Skip to main content

Prediction research of outcome in neuroleptic treatment — definitions and concepts

  • Conference paper
Prediction of Neuroleptic Treatment Outcome in Schizophrenia

Abstract

Prognosis is a core concept in medicine. It is a prerequisite for the clinical evaluation of spontaneous course and effective treatment. Since the introduction of effective treatment methods in psychiatry, interest in prediction of outcome as well as understanding the factors contributing to variability of response to therapy has preoccupied researchers and clinicians. One reason for the limitation of results thus far is the inconsistent conceptual and methodological foundation of research.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  • Alpert M (1985) The signs and symptoms of schizophrenia. Compr Psychiatry 26:103–112.

    Article  PubMed  CAS  Google Scholar 

  • Awad AG, Hogan TP (1985) Early treatment events and prediction of response to neuroleptics in schizophrenia. Prog Neuropsychopharmacol Biol Psychiatry 9:585–588.

    Article  PubMed  CAS  Google Scholar 

  • Awad AG (1989) Drug therapy in schizophrenia: variability of outcome and prediction of response. Can J Psychiatry 34:711–720.

    PubMed  CAS  Google Scholar 

  • Awad A (1992) Quality of life of schizophrenic patients on medications and implications for new drug trials. Hosp Commun Psychiatry 43:262–265.

    CAS  Google Scholar 

  • Bartko G, Herczeg I, Bekesy M (1987) Predicting outcome of neuroleptic treatment on the basis of subjective response and early clinical improvement. J Clin Psychiatry 48:363–365.

    PubMed  CAS  Google Scholar 

  • Birnbaum K (1923) Der Aufbau der Psychose. Grundzüge der psychiatrischen Strukturanalyse. Springer, Berlin.

    Google Scholar 

  • Carpenter WT, Heinrichs DW, Hanlon TE (1981) Methodologic standards for treatment outcome research in schizophrenia. Am J Psychiatry 138:465–471.

    PubMed  Google Scholar 

  • Clements K, Turpin G (1992) Vulnerability models and schizophrenia: the assessment and prediction of relapse. In: Birchwood M, Tarrier N (eds) Innovations in the psychological management of schizophrenia. Wiley, Chichester New York Brisbane Toronto Singapore, pp 21–47.

    Google Scholar 

  • Dewey SL, Smith GS, Logan J, Brodie JD, Fowler JS, Wolf AP (1993) Striatal binding of the PET ligand 11C-Raclopride is altered by drugs that modify synaptic dopamine levels. Synapse 13:350–356.

    Article  PubMed  CAS  Google Scholar 

  • Engel GL (1980) The clinical application of the bio-psycho-social model. Am J Psychiatry 137:535–544.

    PubMed  CAS  Google Scholar 

  • Frank E, Prien RF, Jarrett RB, Keller MB, Kupfer DJ, Lavori PW, Rush J, Weissman MM (1991) Conceptualization and rationale for consensus definitions of terms in major depressive disorder. Remission, recovery, relapse, and recurrence. Arch Gen Psychiatry 48:851–855.

    Article  PubMed  CAS  Google Scholar 

  • Freed WJ (1988) The therapeutic latency of neuroleptic drugs and nonspecific postjunctional supersensitivity. Schizophr Bull 14:269–277.

    PubMed  CAS  Google Scholar 

  • Gaebel W, Pietzcker A, Baumgartner A (1986) 3-Year follow-up of schizophrenic patients — outcome dimensions and neuroleptic treatment. Pharmacopsychiatry 19:208–209.

    Article  Google Scholar 

  • Gaebel W, Pietzcker A, Ulrich G, Schley J, Müller-Oerlinghausen B (1988) Predictors of neuroleptic treatment response in acute schizophrenia. Pharmacopsychiatry 21:384–386.

    Article  PubMed  CAS  Google Scholar 

  • Gaebel W, Renfordt E (eds) (1989) Objective methods for behavioral analysis in psychiatry and psychopharmacology — examples and concepts. Pharmacopsychiatry 22[Suppl]:1–50.

    Google Scholar 

  • Gaebel W, Müller-Oerlinghausen B, Schley J (1992) Early serum levels of neuroleptics do not predict therapeutic response in schizophrenia. Prog Neuropsychopharmacol Biol Psychiatry 16:891–900.

    Article  PubMed  CAS  Google Scholar 

  • Gaebel W (1993) The importance of non-biological factors in influencing the outcome of clinical trials. Br J Psychiatry 163[Suppl 22]:44–50.

    Google Scholar 

  • Gaebel W, Frick U, Köpeke W, Linden M, Müller P, Müller-Spahn F, Pietzcker A, Tegeler J (1993) Early neuroleptic intervention in schizophrenia: are prodromal symptoms valid predictors of relapse? Br J Psychiatry 163[Suppl 21]:8–12.

    Google Scholar 

  • Goodman A (1991) Organic unity theory: the mind-body problem revisited. Am J Psychiatry 148:553–563.

    PubMed  CAS  Google Scholar 

  • Helmchen H, Gaebel W (1987) Strategies of clinical research on neurobiological determinants of psychosis. Psychiatr Dev 5:51–62.

    PubMed  CAS  Google Scholar 

  • Hogarty GE, Goldberg SC, Collaborative Study Group (1973) Drug and sociotherapy in the aftercare of schizophrenic patients. Arch Gen Psychiatry 28:54–64.

    Article  PubMed  CAS  Google Scholar 

  • Hsiao JK, Bartko JJ, Potter WZ (1989) Diagnosing diagnoses. Receiver operating characteristic methods and psychiatry. Arch Gen Psychiatry 46:664–667.

    Article  PubMed  CAS  Google Scholar 

  • Hyman SE, Nestler EJ (1993) The molecular foundations of psychiatry. American Psychiatric Press, Washington London.

    Google Scholar 

  • Lieberman JA, Kane JM, Sarantakos S, Gadeleta D, Woerner M, Alvir M, Ramos-Lorenzi J (1987) Prediction of relapse in schizophrenia. Arch Gen Psychiatry 44:597–603.

    Article  PubMed  CAS  Google Scholar 

  • May PRA, Van Putten T, Yale C, Potepan P, Jenden DJ, Fairchild MD, Goldstein MJ, Dixon WJ (1976) Predicting individual responses to drug treatment in schizophrenia: a test dose model. J Nerv Ment Dis 162:177–183.

    Article  PubMed  CAS  Google Scholar 

  • May PRA, Goldberg SC (1978) Prediction of schizophrenic patients’ response to pharmacotherapy. In: Lipton MA, Dimascio A, Killam KF (eds) Psychopharmacology: a generation of progress. Raven Press, New York, pp 1139–1153.

    Google Scholar 

  • May PRA, Van Putten T, Yale C (1980) Predicting outcome of antipsychotic drug treatment from early response. Am J Psychiatry 137:1088–1089.

    PubMed  CAS  Google Scholar 

  • Möller HJ, Kissling W, Zerssen von D (1983) Die prognostische Bedeutung des frühen Ansprechens schizophrener Patienten auf Neuroleptika für den weiteren stationären Behandlungsverlauf. Pharmacopsychiatry 16:46–49.

    Article  Google Scholar 

  • Nedopil N, Rüther E (1981) Initial improvement as predictor of outcome of neuroleptic treatment. Pharmacopsychiatry 14:205–207.

    Article  CAS  Google Scholar 

  • Nuechterlein KH (1987) Vulnerability models for schizophrenia: state of the art. In: Häfner H, Gattaz WF, Janzarik W (eds) Search for the causes of schizophrenia. Springer, Berlin Heidelberg New York, pp 297–316.

    Chapter  Google Scholar 

  • Pickar D (1988) Perspectives on a time-dependent model of neuroleptic action. Schizophr Bull 14:255–268.

    PubMed  CAS  Google Scholar 

  • Pietzcker A, Gaebel W, Köpcke W, Linden M, Müller P, Müller-Spahn F, Tegeler J (1993) Continuous vs intermittent neuroleptic longterm treatment in schizophrenia — results of a German multicenter study. J Psychiatr Res 27:321–339.

    Article  Google Scholar 

  • Selbach H (1961) Über die vegetative Dynamik in der psychiatrischen Pharmakotherapie. Dtsch Med J 16:511–517.

    Google Scholar 

  • Strauss JS, Carpenter WT (1974) The prediction of outcome in schizophrenia. II. Relationships between predictor and outcome variables. Arch Gen Psychiatry 31:37–42.

    Article  PubMed  CAS  Google Scholar 

  • Van Praag HM, Kahn RS, Asnis GM et al. (1987) Denosologization of biological psychiatry or the specificity of 5-HT disturbances in psychiatric disorders. J Affect Disord 13:1–8.

    Article  PubMed  Google Scholar 

  • Van Putten T, May PRA (1978) Subjective response as a predictor of outcome in pharmacotherapy. Arch Gen Psychiatry 35:477–480.

    Article  PubMed  Google Scholar 

  • Woggon B, Baumann U (1983) Multimethodological approach in psychiatric predictor research. Pharmacopsychiatry 16:175–178.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1994 Springer-Verlag Wien

About this paper

Cite this paper

Gaebel, W. (1994). Prediction research of outcome in neuroleptic treatment — definitions and concepts. In: Gaebel, W., Awad, A.G. (eds) Prediction of Neuroleptic Treatment Outcome in Schizophrenia. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6636-9_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-7091-6636-9_2

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-82602-7

  • Online ISBN: 978-3-7091-6636-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics