학술논문

Cognitive Efficacy of Quetiapine in Early-Onset First-Episode Psychosis: A 12-Week Open Label Trial.
Document Type
Article
Source
Psychiatric Quarterly. Sep2012, Vol. 83 Issue 3, p311-324. 14p. 2 Charts, 1 Graph.
Subject
*PSYCHOSES
*BIPOLAR disorder
*COGNITION
*COGNITIVE ability
*QUETIAPINE
*SHORT-term memory
*ANTIPSYCHOTIC agents
*NEUROPSYCHOLOGY
Language
ISSN
0033-2720
Abstract
Twenty-three adolescents with psychotic disorders, aged from 13 to 18 years, participated in a 12-week open label trial (17 adolescents completed the study) in order to examine the impact of quetiapine on clinical status and cognitive functions (encompassing processing speed, attention, short-term memory, long-term memory and executive function). An improvement in Clinical Global Impression and Positive and Negative Symptom Scale ( P's ≤ 0.001) was observed. In addition, after controlling for amelioration of symptoms, a significant improvement was observed on one executive function ( P = 0.044; Trail Making Part B). The remaining cognitive abilities showed stability. In addition, we observed an interaction between quetiapine doses (>300 mg/day or <300 mg/day) and time, where lower doses showed more improvement in verbal short-term memory ( P = 0.048), inhibition abilities ( P = 0.038) and positive symptoms ( P = 0.020). The neuropsychological functioning of adolescents with psychotic disorders remained mainly stable after 12 weeks of treatment with quetiapine. However, lower doses seemed to have a better impact on two components of cognition (inhibition abilities and verbal short-term memory) and on positive symptoms. [ABSTRACT FROM AUTHOR]