Neuropsychological change in schizophrenia after 6 weeks of clozapine

Neuropsychological change after 6 weeks of clozapine treatment was examined in 18 treatment-refractory patients to test anticipated domain-specific cognitive improvements. The first aim of this study was to test the assumption that increased homogeneity of sample and treatment would yield an experim...

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Veröffentlicht in:Schizophrenia research 2001-03, Vol.48 (1), p.57-67
Hauptverfasser: Purdon, Scot E, Labelle, Alain, Boulay, Luc
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container_title Schizophrenia research
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creator Purdon, Scot E
Labelle, Alain
Boulay, Luc
description Neuropsychological change after 6 weeks of clozapine treatment was examined in 18 treatment-refractory patients to test anticipated domain-specific cognitive improvements. The first aim of this study was to test the assumption that increased homogeneity of sample and treatment would yield an experimental design with sufficient sensitivity to detect general intellectual changes with clozapine that were not apparent in one previous investigation. The second aim was to test predictions derived from a domain-specific review of all other investigations with clozapine suggesting salient gains on tests sensitive to motor and mental speed, visual spatial manipulation, and new learning of verbal material. The results showed that the comprehensive neuropsychological test battery was sensitive to general cognitive changes with clozapine, and supported the hypothesized domain-specific gains on tests of motor and mental speed, visual spatial manipulation and new verbal learning. Novel gains were also apparent on tests of new learning with nonverbal material. The results are discussed in relation to aspects of experimental design necessary for the evaluation of prospective medication-induced changes in cognitive skill, particularly in future investigations designed to differentiate between second-generation antipsychotic medications.
doi_str_mv 10.1016/S0920-9964(00)00101-8
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adult
Antipsychotic Agents - pharmacology
Biological and medical sciences
Clozapine
Clozapine - pharmacology
Cognition
Cognition - drug effects
Female
Humans
Male
Medical sciences
Neuroleptic
Neuropharmacology
Neuropsychological Tests
Neuropsychology
Pharmacology. Drug treatments
Psycholeptics: tranquillizer, neuroleptic
Psychology. Psychoanalysis. Psychiatry
Psychopharmacology
Research Design
Schizophrenia
Schizophrenia - diagnosis
Schizophrenia - drug therapy
Sensitivity and Specificity
title Neuropsychological change in schizophrenia after 6 weeks of clozapine
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