Relapse of psychiatric symptoms after discontinuation of antipsychotics in pregnant women with schizophrenia: a retrospective study

This study aimed to examine the effect of discontinuation of antipsychotic medication on the relapse of psychiatric symptoms in pregnant women with schizophrenia. We investigated the medical records of all consecutive pregnant women with schizophrenia who continuously visited and delivered their chi...

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Veröffentlicht in:Clinical Neuropsychopharmacology and Therapeutics 2020/10/02, Vol.11, pp.61-66
Hauptverfasser: Seki, Ryota, Hashimoto, Tasuku, Tanaka, Mami, Sato, Aiko, Kimura, Hiroshi, Kimura, Atsushi, Handa, Satoshi, Kanahara, Nobuhisa, Okayama, Jun, Omoto, Akiko, Endo, Mamiko, Osone, Yoshiteru, Watanabe, Hiroyuki, Tanaka, Hirokazu, Nakazato, Michiko, Shozu, Makio, Iyo, Masaomi
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container_end_page 66
container_issue
container_start_page 61
container_title Clinical Neuropsychopharmacology and Therapeutics
container_volume 11
creator Seki, Ryota
Hashimoto, Tasuku
Tanaka, Mami
Sato, Aiko
Kimura, Hiroshi
Kimura, Atsushi
Handa, Satoshi
Kanahara, Nobuhisa
Okayama, Jun
Omoto, Akiko
Endo, Mamiko
Osone, Yoshiteru
Watanabe, Hiroyuki
Tanaka, Hirokazu
Nakazato, Michiko
Shozu, Makio
Iyo, Masaomi
description This study aimed to examine the effect of discontinuation of antipsychotic medication on the relapse of psychiatric symptoms in pregnant women with schizophrenia. We investigated the medical records of all consecutive pregnant women with schizophrenia who continuously visited and delivered their children at Chiba University Hospital from January 2007 to January 2019. We retrospectively assessed the scores on the Clinical Global Impression of Change scale (CGI-C) during the period when psychiatric symptoms changed most during the pregnancy. A CGI-C score of 5 or more was defined as a relapse. Twenty-eight patients consisting of the maintained treatment group (n = 18) and the discontinuation group (n= 10) were recruited. During pregnancy, the relapse rate in the maintained treatment group (16.7%) was significantly lower than that in the discontinuation group (90.0%). This study demonstrates a high relapse rate in pregnant women discontinuing their antipsychotic medication, as well as during the non-pregnancy period.
doi_str_mv 10.5234/cnpt.11.61
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subjects antipsychotics
pregnancy
relapse
schizophrenia
title Relapse of psychiatric symptoms after discontinuation of antipsychotics in pregnant women with schizophrenia: a retrospective study
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