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Quetiapine treatment in early psychosis: 1 year outcomes

Identifieur interne : 000262 ( Istex/Corpus ); précédent : 000261; suivant : 000263

Quetiapine treatment in early psychosis: 1 year outcomes

Auteurs : L. Kopala ; H. Woodley ; L. A. Campbell ; J. Gallant ; Q. Rui ; H. Milliken ; D. Whitehorn

Source :

RBID : ISTEX:0FF823DD25A3ADED2D36B9D5592A032B04E0425C

Abstract

Objective  To determine clinical response, dosing and adverse events associated with quetiapine treatment in early psychosis.

Url:
DOI: 10.1034/j.1600-0447.106.s413.1_12.x

Links to Exploration step

ISTEX:0FF823DD25A3ADED2D36B9D5592A032B04E0425C

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<b>Objective </b>
To determine clinical response, dosing and adverse events associated with quetiapine treatment in early psychosis.</p>
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<b>Method </b>
40 Patients (33 men; 7 women; mean age 23.75) with schizophrenia spectrum disorders and less than 6 months previous exposure to antipsychotic treatment, entered an open label, 2 years, flexible dose trial and were assessed with PANSS, CGI, GAF, SOFAS, ESRS, BMI and ocular exams at baseline and 6 month intervals thereafter.</p>
<p>
<b>Results </b>
Among 30 patients who enrolled >1 years ago, 19 (63%) completed 1‐year assessment. Dropouts were due to insufficient clinical response (13%), nonadherence (13%) and personal choice (10%). At 1 year, significant improvement was observed on the PANSS, CGI, GAF and SOFAS. Mean dose was 559 (±207) mg/day. No drug induced EPS was noted and EPS present at baseline was reduced. Mean change in BMI was 17% (±22). No ocular changes were observed.</p>
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<b>Conclusions </b>
Quetiapine was well tolerated. Clinical response was similar to that achieved with other second generation antipsychotic agents in the same early psychosis programme.</p>
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<name type="personal">
<namePart type="given">L. A.</namePart>
<namePart type="family">Campbell</namePart>
<affiliation>Dalhousie University, Department of Psychiatry, Dartmouth, Canada,</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">J.</namePart>
<namePart type="family">Gallant</namePart>
<affiliation>Dalhousie University, Department of Psychiatry, Dartmouth, Canada,</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Q.</namePart>
<namePart type="family">Rui</namePart>
<affiliation>Nova Scotia Early Psychosis Program, Dartmouth, Canada</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">H.</namePart>
<namePart type="family">Milliken</namePart>
<affiliation>Dalhousie University, Department of Psychiatry, Dartmouth, Canada,</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">D.</namePart>
<namePart type="family">Whitehorn</namePart>
<affiliation>Dalhousie University, Department of Psychiatry, Dartmouth, Canada,</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
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<publisher>Blackwell publishers</publisher>
<place>
<placeTerm type="text">Oxford, UK</placeTerm>
</place>
<dateIssued encoding="w3cdtf">2002-09</dateIssued>
<copyrightDate encoding="w3cdtf">2002</copyrightDate>
</originInfo>
<language>
<languageTerm type="code" authority="rfc3066">en</languageTerm>
<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
</language>
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<abstract>Objective  To determine clinical response, dosing and adverse events associated with quetiapine treatment in early psychosis.</abstract>
<abstract>Method  40 Patients (33 men; 7 women; mean age 23.75) with schizophrenia spectrum disorders and less than 6 months previous exposure to antipsychotic treatment, entered an open label, 2 years, flexible dose trial and were assessed with PANSS, CGI, GAF, SOFAS, ESRS, BMI and ocular exams at baseline and 6 month intervals thereafter.</abstract>
<abstract>Results  Among 30 patients who enrolled >1 years ago, 19 (63%) completed 1‐year assessment. Dropouts were due to insufficient clinical response (13%), nonadherence (13%) and personal choice (10%). At 1 year, significant improvement was observed on the PANSS, CGI, GAF and SOFAS. Mean dose was 559 (±207) mg/day. No drug induced EPS was noted and EPS present at baseline was reduced. Mean change in BMI was 17% (±22). No ocular changes were observed.</abstract>
<abstract>Conclusions  Quetiapine was well tolerated. Clinical response was similar to that achieved with other second generation antipsychotic agents in the same early psychosis programme.</abstract>
<relatedItem type="host">
<titleInfo>
<title>Acta Psychiatrica Scandinavica</title>
</titleInfo>
<genre type="journal">journal</genre>
<identifier type="ISSN">0001-690X</identifier>
<identifier type="eISSN">1600-0447</identifier>
<identifier type="DOI">10.1111/(ISSN)1600-0447</identifier>
<identifier type="PublisherID">ACPS</identifier>
<part>
<date>2002</date>
<detail type="volume">
<caption>vol.</caption>
<number>106</number>
</detail>
<detail type="supplement">
<caption>Suppl. no.</caption>
<number>s413</number>
</detail>
<extent unit="pages">
<start>69</start>
<end>106</end>
</extent>
</part>
</relatedItem>
<identifier type="istex">0FF823DD25A3ADED2D36B9D5592A032B04E0425C</identifier>
<identifier type="DOI">10.1034/j.1600-0447.106.s413.1_12.x</identifier>
<identifier type="ArticleID">ACPSPO119_12</identifier>
<recordInfo>
<recordContentSource>WILEY</recordContentSource>
<recordOrigin>Blackwell publishers</recordOrigin>
</recordInfo>
</mods>
</metadata>
<serie></serie>
</istex>
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