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Classification of types of tardive dyskinesia in a developmentally disabled population at a public residential facility

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Abstract

We evaluated the incidence of three types of tardive dyskinesia (withdrawal, persistent, and masked) in the context of clinically determined changes in neuroleptic medication status in persons with developmental disabilities. We investigated 56 subjects residing at a public residential facility. Based on changes in neuroleptic dosage over a ten-month period, four groups were formed: (1) significantly decreased dose, (2) slightly decreased dose, (3) no change, and (4) increased dose. Withdrawal TD was observed in about 60% of the subjects in the group defined by a significant decrease in dose. Persistent TD was observed in approximately 50% of the subjects in the two groups defined by little or no change in medication (slight decrease and no change in dose). Masked TD was observed in 60% of the subjects in the group defined by an increase in dose. Categorizing TD in this fashion may aid in its early diagnosis and subsequent treatment.

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Wigal, T., Christian, D.L., Wigal, S.B. et al. Classification of types of tardive dyskinesia in a developmentally disabled population at a public residential facility. J Dev Phys Disabil 5, 55–69 (1993). https://doi.org/10.1007/BF01046598

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