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Quality of life during treatment with haloperidol or olanzapine in the year following a first psychotic episode.

Publication ,  Journal Article
Strakowski, SM; Johnson, JL; Delbello, MP; Hamer, RM; Green, AI; Tohen, M; Lieberman, JA; Glick, I; Patel, JK; HGDH Research Group,
Published in: Schizophr Res
October 15, 2005

OBJECTIVES: Schizophrenia causes significant impairments of quality of life. As treatment approaches have advanced, more attention has been given to re-integrating patients into their psychosocial environments, rather than simply monitoring psychotic symptoms. The development of the second-generation antipsychotics raised hope that these medications would provide better quality of life improvement than conventional antipsychotics. This improvement is particularly relevant early in the course of schizophrenia. METHODS: To address these considerations, improvements in measures of general health and social function (determined using the SF-36) were assessed in 195 patients with first-episode schizophrenia for up to one year following randomization to either olanzapine or haloperidol in a double blind clinical trial. We hypothesized that olanzapine would demonstrate better improvement on these measures than haloperidol. In order to test this hypothesis, we used a repeated measure model with SF-36 scores as the outcome, and treatment group, time, time2, time-by-treatment group interaction, and time2-by-treatment group interaction as fixed effects. RESULTS: Both treatments demonstrated similar changes on the SF-36. Independent of treatment, patients demonstrated significant improvements in most of the SF-36 subscales, which approached normative scores by the end of one year of treatment. Forty-six of 100 olanzapine-treated patients and 37 of 95 haloperidol-treated patients completed the one year of this study (p<.4). CONCLUSIONS: These results suggest an important initial treatment goal for patients with new onset schizophrenic disorders, namely that they can expect to recover significant quality of life and social function at least initially in treatment.

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Published In

Schizophr Res

DOI

ISSN

0920-9964

Publication Date

October 15, 2005

Volume

78

Issue

2-3

Start / End Page

161 / 169

Location

Netherlands

Related Subject Headings

  • Time Factors
  • Quality of Life
  • Psychotic Disorders
  • Psychiatry
  • Pain Measurement
  • Pain
  • Olanzapine
  • Male
  • Humans
  • Haloperidol
 

Citation

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Strakowski, S. M., Johnson, J. L., Delbello, M. P., Hamer, R. M., Green, A. I., Tohen, M., … HGDH Research Group, . (2005). Quality of life during treatment with haloperidol or olanzapine in the year following a first psychotic episode. Schizophr Res, 78(2–3), 161–169. https://doi.org/10.1016/j.schres.2005.04.017
Strakowski, Stephen M., Jacqueline L. Johnson, Melissa P. Delbello, Robert M. Hamer, Alan I. Green, Mauricio Tohen, Jeffrey A. Lieberman, Ira Glick, Jayendra K. Patel, and Jayendra K. HGDH Research Group. “Quality of life during treatment with haloperidol or olanzapine in the year following a first psychotic episode.Schizophr Res 78, no. 2–3 (October 15, 2005): 161–69. https://doi.org/10.1016/j.schres.2005.04.017.
Strakowski SM, Johnson JL, Delbello MP, Hamer RM, Green AI, Tohen M, et al. Quality of life during treatment with haloperidol or olanzapine in the year following a first psychotic episode. Schizophr Res. 2005 Oct 15;78(2–3):161–9.
Strakowski, Stephen M., et al. “Quality of life during treatment with haloperidol or olanzapine in the year following a first psychotic episode.Schizophr Res, vol. 78, no. 2–3, Oct. 2005, pp. 161–69. Pubmed, doi:10.1016/j.schres.2005.04.017.
Strakowski SM, Johnson JL, Delbello MP, Hamer RM, Green AI, Tohen M, Lieberman JA, Glick I, Patel JK, HGDH Research Group. Quality of life during treatment with haloperidol or olanzapine in the year following a first psychotic episode. Schizophr Res. 2005 Oct 15;78(2–3):161–169.
Journal cover image

Published In

Schizophr Res

DOI

ISSN

0920-9964

Publication Date

October 15, 2005

Volume

78

Issue

2-3

Start / End Page

161 / 169

Location

Netherlands

Related Subject Headings

  • Time Factors
  • Quality of Life
  • Psychotic Disorders
  • Psychiatry
  • Pain Measurement
  • Pain
  • Olanzapine
  • Male
  • Humans
  • Haloperidol