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Evidence-Based Mental Health 2008;11:42; doi:10.1136/ebmh.11.2.42
Copyright © 2008 by BMJ Publishing Group Ltd, Royal College of Psychiatrists, & British Psychological Society.

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THERAPEUTICS

Cognitive improvements with antipsychotics: real or practice effect?

The first 150 words of the full text of this article appear below.

Terry Goldberg

Correspondence to: Terry Goldberg, PhD, Zucker Hillside Hospital, 7559 263rd Street, Glen Oaks, NY 11004, USA; tgoldberg@nshs.edu

QUESTION
Question:
Do the effects of olanzapine and risperidone on cognition in first-episode schizophrenia differ, and are the effects real or the result of repeating the tests?

Patients:
104 people with DSM-IV first episode schizophrenia (76 with schizophrenia, 10 with schizoaffective disorder, and 18 with schizophreniform disorder) recruited through hospital-based research units who were all actively psychotic on enrolment; 84 healthy controls were recruited through newspaper advertisements and word of mouth. Exclusions: medical condition affecting the central nervous system, and having neurological conditions or taking drugs that affected cognition.

Setting:
Hospitals in the USA; time period not stated.

Intervention:
People with first-episode schizophrenia (FES) were randomised to receive olanzapine (2.5–20 mg/d) or risperidone (1–6 mg/d) for 16 weeks. Healthy controls did not receive any medication.

Outcomes:
Severity of illness (Schedule for Affective Disorders and Schizophrenia-Change Version; Schedule . . . [Full text of this article]

Corrado Barbui, Andrea Cipriani

Department of Medicine and Public Health, Section of Psychiatry and Clinical Psychology, University of Verona, Verona, Italy







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Copyright © 2008 by BMJ Publishing Group Ltd, Royal College of Psychiatrists, & British Psychological Society.