4.5 Article

Predictors of treatment discontinuation and medication nonadherence in patients recovering from a first episode of schizophrenia, schizophreniform disorder, or schizoaffective disorder: A randomized, double-blind, flexible-dose, multicenter study

期刊

JOURNAL OF CLINICAL PSYCHIATRY
卷 69, 期 1, 页码 106-113

出版社

PHYSICIANS POSTGRADUATE PRESS
DOI: 10.4088/JCP.v69n0114

关键词

-

向作者/读者索取更多资源

Objective: To evaluate predictors of treatment discontinuation against medical advice and poor medication adherence among first-episode patients treated with olanzapine, quetiapine, or risperidone. Method: First-episode patients with schizophrenia, schizophreniform disorder, or schizoaffective disorder (DSM-IV) were randomly assigned to olanzapine (2.5-20 rng/day), quetiapine (100-800 mg/day), or risperidone (0.5-4 mg/day) as part of a 52-week, randomized, double-blind, flexible-dose, multicenter study. Patients were enrolled from 2002 to 2004 at one of 26 sites in the United States and Canada. Survival analysis tested for predictors of treatment discontinuation against medical advice, while mixed models tested for predictors of poor medication adherence. Significant findings from the final models were replicated in sensitivity analyses. Results: Of the 400 patients randomly assigned to treatment, 115 patients who discontinued treatment against medical advice and It 9 study completers were compared in this analysis. Poor treatment response (p < .001) and low medication adherence (p = .02) were independent predictors of discontinuation against medical advice. Ongoing substance abuse, ongoing depression, and treatment response failure significantly predicted poor medication adherence (p < .01). Higher cognitive performance at baseline and ethnicity (black) were also associated with lower medication adherence (p <.05). An association between poor medication adherence and illness insight at study entry was found at trend level (p = .059). Conclusion: This study highlights the importance of treatment response in predicting discontinuation against medical advice and poor adherence to medication in first-episode patients. These results also support interventions to improve adherence behavior, particularly by targeting substance use disorders and depressive symptoms. Trial Registration: ClinicalTrials.gov identifier NCT00034892 (http://www.clinicaltrials.gov).

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.5
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Psychiatry

North American Prodrome Longitudinal Study (NAPLS 3): Methods and baseline description

Jean Addington, Lu Liu, Kali Brummitt, Carrie E. Bearden, Kristin S. Cadenhead, Barbara A. Cornblatt, Matcheri Keshavan, Daniel H. Mathalon, Thomas H. McGlashan, Diana O. Perkins, Larry J. Seidman, William Stone, Ming T. Tsuang, Elaine F. Walker, Scott W. Woods, Tyrone D. Cannon

Summary: This article provides an overview of the methodology of the third phase of the North American Prodrome Longitudinal Study (NAPLS) consortium, known as NAPLS-3, and presents the demographic information of 710 clinical high-risk participants in NAPLS-3.

SCHIZOPHRENIA RESEARCH (2022)

Article Psychology, Clinical

Characterizing sustained social anxiety in individuals at clinical high risk for psychosis: trajectory, risk factors, and functional outcomes

Wisteria Deng, Jean Addington, Carrie E. Bearden, Kristin S. Cadenhead, Barbara A. Cornblatt, Daniel H. Mathalon, Diana O. Perkins, Larry J. Seidman, Ming T. Tsuang, Scott W. Woods, Elaine F. Walker, Tyrone D. Cannon

Summary: This study found that there are different covariant trajectories of social anxiety and positive symptoms over time in individuals at clinical high-risk for psychosis. One subgroup showed sustained social anxiety despite moderate recovery in positive symptoms, while the other two subgroups showed recovery in both social anxiety and positive symptoms. The subgroup with sustained social anxiety had poorer long-term functional outcomes and higher levels of genetic and environmental risk factors for psychosis.

PSYCHOLOGICAL MEDICINE (2023)

Article Psychiatry

Family history of psychosis in youth at clinical high risk: A replication study

Olga Santesteban-Echarri, Danah Sandel, Lu Liu, Carrie E. Bearden, Kristin S. Cadenhead, Tyrone D. Cannon, Barbara A. Cornblatt, Matcheri Keshavan, Daniel H. Mathalon, Thomas H. McGlashan, Diana O. Perkins, Larry J. Seidman, William S. Stone, Ming T. Tsuang, Elaine F. Walker, Scott W. Woods, Jean Addington

Summary: Having a first-degree relative with a psychotic disorder significantly increases the severity of symptoms, lowers IQ scores, and increases the likelihood of experiencing trauma and abuse in individuals at risk for psychosis.

PSYCHIATRY RESEARCH (2022)

Article Psychiatry

The use of diary methods to evaluate daily experiences in first-episode psychosis

Katherine G. Welch, Bryan J. Stiles, Olafur S. Palsson, Piper S. Meyer-Kalos, Diana O. Perkins, Tate F. Halverson, David L. Penn

Summary: This study extends prior outcome research on I-CAT and suggests that diaries are a valuable method of data collection in FEP.

PSYCHIATRY RESEARCH (2022)

Article Psychiatry

The associations between area-level residential instability and gray matter volumes from the North American Prodrome Longitudinal Study (NAPLS) consortium

Benson S. Ku, Jean Addington, Carrie E. Bearden, Kristin S. Cadenhead, Tyrone D. Cannon, Michael T. Compton, Barbara A. Cornblatt, Benjamin G. Druss, Matcheri Keshavan, Daniel H. Mathalon, Diana O. Perkins, William S. Stone, Ming T. Tsuang, Scott W. Woods, Elaine F. Walker

Summary: This study found that area-level residential instability may be associated with reduced gray matter volumes in brain regions corresponding to urban upbringing. This association was observed in both individuals at high risk for psychosis and healthy controls.

SCHIZOPHRENIA RESEARCH (2022)

Article Multidisciplinary Sciences

A greedy regression algorithm with coarse weights offers novel advantages

Clark D. Jeffries, John R. Ford, Jeffrey L. Tilson, Diana O. Perkins, Darius M. Bost, Dayne L. Filer, Kirk C. Wilhelmsen

Summary: Regularized regression analysis is a mature analytic approach used to identify weighted sums of variables predicting outcomes. This article presents a novel method called Coarse Approximation Linear Function (CALF) that selects important predictors and builds powerful predictive models using linear regression and nonzero weights. The study finds that CALF has advantages over other regression methods, especially when dealing with collinear or nearly collinear variables.

SCIENTIFIC REPORTS (2022)

Article Psychiatry

The Association Between Neighborhood Poverty and Hippocampal Volume Among Individuals at Clinical High-Risk for Psychosis: The Moderating Role of Social Engagement

Benson S. Ku, Katrina Aberizk, Jean Addington, Carrie E. Bearden, Kristin S. Cadenhead, Tyrone D. Cannon, Ricardo E. Carrion, Michael T. Compton, Barbara A. Cornblatt, Benjamin G. Druss, Daniel H. Mathalon, Diana O. Perkins, Ming T. Tsuang, Scott W. Woods, Elaine F. Walker

Summary: This study found that higher levels of neighborhood poverty were associated with reduced hippocampal volume, and social engagement moderated this association.

SCHIZOPHRENIA BULLETIN (2022)

Article Psychiatry

Mismatch Negativity in Response to Auditory Deviance and Risk for Future Psychosis in Youth at Clinical High Risk for Psychosis

Holly K. Hamilton, Brian J. Roach, Peter M. Bachman, Aysenil Belger, Ricardo E. Carrion, Erica Duncan, Jason K. Johannesen, Gregory A. Light, Margaret A. Niznikiewicz, Jean Addington, Carrie E. Bearden, Kristin S. Cadenhead, Barbara A. Cornblatt, Thomas H. McGlashan, Diana O. Perkins, Ming T. Tsuang, Elaine F. Walker, Scott W. Woods, Tyrone D. Cannon, Daniel H. Mathalon

Summary: This study found that deficits in mismatch negativity (MMN) amplitude were associated with future psychosis conversion among individuals at risk of CHR-P, particularly those not taking antipsychotic medication at baseline, although the associations were modest. MMN may provide novel risk information to multivariate prediction algorithms and serve as a translational neurophysiological target for novel treatment development in a subgroup of at-risk individuals.

JAMA PSYCHIATRY (2022)

Article Psychiatry

Risk of violent behaviour in young people at clinical high risk for psychosis from the North American Prodrome Longitudinal Studies consortium

Lauren N. N. Tronick, Heline Mirzakhanian, Jean Addington, Carrie E. E. Bearden, Tyrone D. D. Cannon, Barbara A. A. Cornblatt, Matcheri Keshavan, Daniel H. H. Mathalon, Thomas H. H. McGlashan, Diana O. O. Perkins, William Stone, Ming T. T. Tsuang, Elaine F. F. Walker, Scott W. W. Woods, Kristin S. S. Cadenhead

Summary: This study aims to explore the risk of violence in individuals at clinical high risk for psychosis (CHR) and its relationship with psychosis risk symptoms and global functioning. It shows that CHR individuals are at higher risk of violence compared to healthy individuals and that this risk is associated with greater severity of symptoms, poor functioning, and risk for conversion to psychosis.

EARLY INTERVENTION IN PSYCHIATRY (2023)

Article Biochemistry & Molecular Biology

Accelerated cortical thinning precedes and predicts conversion to psychosis: The NAPLS3 longitudinal study of youth at clinical high-risk

Meghan A. Collins, Jie Lisa Ji, Yoonho Chung, Cole A. Lympus, Yvette Afriyie-Agyemang, Jean M. Addington, Bradley G. Goodyear, Carrie E. Bearden, Kristin S. Cadenhead, Heline Mirzakhanian, Ming T. Tsuang, Barbara A. Cornblatt, Ricardo E. Carrion, Matcheri Keshavan, Wiliam S. Stone, Daniel H. Mathalon, Diana O. Perkins, Elaine F. Walker, Scott W. Woods, Albert R. Powers, Alan Anticevic, Tyrone D. Cannon

Summary: Progressive grey matter loss has been observed among individuals who convert to psychosis, and this study found that accelerated cortical thinning precedes psychosis onset and can differentiate converters from non-converters. These findings highlight the importance of identifying neurobiological mechanisms prior to conversion for early intervention.

MOLECULAR PSYCHIATRY (2023)

Article Psychiatry

Sex- and Age-Specific Deviations in Cerebellar Structure and Their Link With Symptom Dimensions and Clinical Outcome in Individuals at Clinical High Risk for Psychosis

Esra Sefik, Michelle Boamah, Jean Addington, Carrie E. Bearden, Kristin S. Cadenhead, Barbara A. Cornblatt, Matcheri S. Keshavan, Daniel H. Mathalon, Diana O. Perkins, William S. Stone, Ming T. Tsuang, Scott W. Woods, Tyrone D. Cannon, Elaine F. Walker

Summary: This study found clinically relevant deviations in cerebellar cortex and white matter structures among CHR individuals, highlighting the importance of considering the complex interplay between sex and age when studying the neuromaturational substrates of psychosis risk.

SCHIZOPHRENIA BULLETIN (2023)

Article Psychiatry

Migrant status, clinical symptoms and functional outcome in youth at clinical high risk for psychosis: findings from the NAPLS-3 study

Mariapaola Barbato, Lu Liu, Carrie E. Bearden, Kristin S. Cadenhead, Barbara A. Cornblatt, Matcheri Keshavan, Daniel H. Mathalon, Thomas H. McGlashan, Diana O. Perkins, Larry J. Seidman, William Stone, Ming T. Tsuang, Elaine F. Walker, Scott W. Woods, Tyrone D. Cannon, Jean Addington

Summary: This study aimed to assess the impact of migrant status on clinical symptoms and functional outcome in individuals at clinical high risk (CHR) for psychosis. The results showed no significant differences in symptoms or functioning between different groups at any time point. However, significant improvements in symptoms and functioning were observed within each group over time. Transition rates did not differ across groups.

SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY (2023)

Article Psychology, Clinical

Hippocampal Connectivity With the Default Mode Network Is Linked to Hippocampal Volume in the Clinical High Risk for Psychosis Syndrome and Healthy Individuals

Katrina Aberizk, Esra Sefik, Jean Addington, Alan Anticevic, Carrie E. E. Bearden, Kristin S. S. Cadenhead, Tyrone D. D. Cannon, Barbara A. A. Cornblatt, Matcheri Keshavan, Daniel H. H. Mathalon, Diana O. O. Perkins, William S. S. Stone, Ming T. T. Tsuang, Scott W. W. Woods, Elaine F. F. Walker

Summary: This study found that reduced hippocampal volume is a brain morphological feature of psychiatric conditions. It also observed associations between hippocampal volume and hippocampal functional connectivity with the inferior parietal lobe and thalamus. The results suggest that the functional connectivity of the hippocampus with the temporoparietal junction within the default mode network is sensitive to hippocampal volume.

CLINICAL PSYCHOLOGICAL SCIENCE (2023)

Meeting Abstract Neurosciences

Cannabis Use is Associated With More Symptoms and Better Functioning but Not Psychotic Conversion in Participants at Clinical High Risk (CHR) for Psychosis in the NAPLS 3 Study

Kristin Cadenhead, Jean Addington, Carrie Bearden, Tyrone Cannon, Matcheri Keshavan, Daniel Mathalon, Diana Perkins, Elaine Walker, Scott Woods

NEUROPSYCHOPHARMACOLOGY (2022)

Meeting Abstract Psychiatry

The association between area-level residential instability and gray matter volume changes

B. Ku, J. Addington, C. Bearden, K. Cadenhead, T. Cannon, M. Compton, B. Cornblatt, B. Druss, M. Keshavan, D. Mathalon, T. Mcglashan, D. Perkins, L. Seidman, W. Stone, M. Tsuang, S. Woods, E. Walker

EUROPEAN PSYCHIATRY (2022)

暂无数据