Negative symptoms and neuroleptics in catatonic schizophrenia

被引:8
作者
Salokangas, RKR [1 ]
Honkonen, T
Stengård, E
Koivisto, AM
Hietala, J
机构
[1] Univ Turku, Dept Psychiat, FIN-20520 Turku, Finland
[2] Univ Turku, Cent Hosp, Psychiat Clin, FIN-20520 Turku, Finland
[3] Turku Mental Hlth Ctr, Turku Psychiat Clin, FIN-20700 Turku, Finland
[4] Finnish Inst Occupat Hlth, Sect Clin Neurosci, FI-00250 Helsinki, Finland
[5] Tampere Univ, Dept Psychol, FIN-33014 Tampere, Finland
[6] Tampere Univ, Tampere Univ Hosp, Res Unit, Tampere Sch Pub Hlth, FIN-33014 Tampere, Finland
[7] Univ Turku, Cent Hosp, Turku PET Ctr, FIN-20520 Turku, Finland
关键词
catatonia; schizophrenia; negative symptoms; neuroleptic medication; dopaminergic pathway;
D O I
10.1016/S0920-9964(02)00155-X
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
The association between neuroleptic treatment and the negative symptom dimension (ND) was evaluated in 1528 schizophrenia patients. In patients receiving more than 820 mg chlorpromazine (CPZ), those with catatonic-type disorder had significantly (p < 0.05) higher ND scores than those in any of the other diagnostic subtypes. Even in patients receiving 450 mg CPZ or more, catatonic patients had significantly (p = 0.046) higher ND scores than other patients. Patients with catatonic schizophrenia are highly vulnerable to negative symptoms related to neuroleptic drugs, probably because of a defect in their dopaminergic neuronal pathways. (C) 2002 Elsevier Science B.V. All rights reserved.
引用
收藏
页码:73 / 76
页数:4
相关论文
共 17 条
[1]  
[Anonymous], 1986, POSITIVE NEGATIVE SY
[2]  
Black KJ, 1997, J NEUROSCI, V17, P3168
[3]   Catatonia and the neuroleptics: Psychobiologic significance of remote and recent findings [J].
Blumer, D .
COMPREHENSIVE PSYCHIATRY, 1997, 38 (04) :193-201
[4]   Treatment of negative symptoms in schizophrenia and schizoaffective disorder by selegiline augmentation of antipsychotic medication - A pilot study examining the role of dopamine [J].
Bodkin, JA ;
Cohen, BM ;
Salomon, MS ;
Cannon, SE ;
Zornberg, GL ;
Cole, JO .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 1996, 184 (05) :295-301
[5]  
CARPENTER WT, 1988, AM J PSYCHIAT, V145, P578
[6]   Catatonia 2: diagnosis, management and prognosis [J].
Clark, T ;
Rickards, H .
HOSPITAL MEDICINE, 1999, 60 (11) :812-814
[7]   THE 2-SYNDROME CONCEPT - ORIGINS AND CURRENT STATUS [J].
CROW, TJ .
SCHIZOPHRENIA BULLETIN, 1985, 11 (03) :471-486
[8]   Presynaptic dopaminergic function in the striatum of schizophrenic patients [J].
DaoCastellana, MH ;
PaillereMartinot, ML ;
Hantraye, P ;
AttarLevy, D ;
Remy, P ;
Crouzel, C ;
Artiges, E ;
Feline, A ;
Syrota, A ;
Martinot, JL .
SCHIZOPHRENIA RESEARCH, 1997, 23 (02) :167-174
[9]  
GLENBERG AJ, 1977, ARCH GEN PSYCHIAT, V34, P947
[10]   PRESYNAPTIC DOPAMINE FUNCTION IN STRIATUM OF NEUROLEPTIC-NAIVE SCHIZOPHRENIC-PATIENTS [J].
HIETALA, J ;
SYVALAHTI, E ;
VUORIO, K ;
RAKKOLAINEN, V ;
BERGMAN, J ;
HAAPARANTA, M ;
SOLIN, O ;
KUOPPAMAKI, M ;
KIRVELA, O ;
RUOTSALAINEN, U ;
SALOKANGAS, RKR .
LANCET, 1995, 346 (8983) :1130-1131