Psychoses, Schizophrenia
Conditions
Keywords
Schizophrenia, first episode, prodrome based early intervention, antipsychotics - benzodiazepine, maintenance treatment, drug discontinuation
Brief summary
Prodrome based early intervention with an antipsychotic drug vs. benzodiazepine was applied in patients with first episode schizophrenia after one year neuroleptic maintenance treatment. Two groups of patients were followed over a period of 1 year: one further on under maintenance neuroleptic treatment, the other one after stepwise drug discontinuation.
Detailed description
In case of early signs of a relapse prodrome based early intervention with an antipsychotic drug (Haloperidol, Risperidone and other) vs. benzodiazepine (Lorazepam) was applied in patients with first episode schizophrenia after one year neuroleptic maintenance treatment. Two groups of patients were followed over a period of 1 year: one further on under maintenance neuroleptic treatment (Haloperidol, Risperidone and other) , the other one after stepwise drug discontinuation.
Interventions
Early intervention with low-dose antipsychotics vs. lorazepam (up to 3 mg/day) in case of early warning signs of an impending relapse;
Sponsors
Study design
Eligibility
Inclusion criteria
* First-episode in schizophrenia (according ICD-10 F20) * Age between 18 and 55 * Informed consent * One year neuroleptic maintenance treatment
Exclusion criteria
* Residence outside of the catchment area * Legal reasons * Insufficient knowledge of the german language * Substance abuse or addiction * Pregnancy * Serious physical illness * Organic brain disease * Contraindication to neuroleptic treatment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| relapse rate | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| psychopathology | 1 year |
| social and cognitive functioning | 1 year |
| side-effects | 1 year |
| drop-out | 1 year |
| quality of life | 1 year |
Countries
Germany