Neuropsychological performance in chronic schizophrenia in response to neuroleptic dose reduction.

Abstract:

:The effect of 80%-90% neuroleptic dose reductions on neuropsychological function in schizophrenic and schizoaffective patients was examined in a prospective study. A neuropsychological battery was administered in the week prior to neuroleptic reduction followed by retesting at least 6 weeks postreduction. Patients were retested only if they did not relapse after reduction. The design allowed neuropsychological changes due to neuroleptic medications to be assessed independently of general clinical change. Neuropsychological performance was generally stable and unchanging. However, there was a trend toward significant improvement on a dichotic digits task based in improvement in left ear accuracy. Negative symptoms diminished after reduction. Compared with a normal control group, schizophrenics' initial laterality index showed a significantly exaggerated right ear advantage (REA); after reduction, the REA was no longer different from controls. The findings indicate that neuropsychological changes in a small sample of older nonrelapsing chronic schizophrenics are modest. The data suggest that neuroleptics may impair right hemisphere functions in some patients.

journal_name

Biol Psychiatry

journal_title

Biological psychiatry

authors

Seidman LJ,Pepple JR,Faraone SV,Kremen WS,Green AI,Brown WA,Tsuang MT

doi

10.1016/0006-3223(93)90095-u

subject

Has Abstract

pub_date

1993-04-15 00:00:00

pages

575-84

issue

8-9

eissn

0006-3223

issn

1873-2402

pii

0006-3223(93)90095-U

journal_volume

33

pub_type

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