Predictors of response and remission in the acute
treatment of first-episode schizophrenia
patients — Is it all about early response?
Rebecca Schennach-Wolff
a ,
⁎
, Markus Jäger
a
, Andreas Mayr
a , l
,
Sebastian Meyer
a
, Kai-Uwe Kühn
b
, Stefan Klingberg
c
, Isabella Heuser
d
,
Joachim Klosterkötter
e
, Markus Gastpar
f
, Andrea Schmitt
g , m
,
Ralf Schlösser
h
, Frank Schneider
i
, Wolfgang Gaebel
j
, Florian Seemüller
a
,
Hans-Jürgen Möller
a
, Michael Riedel
a , k
a
Department of Psychiatry and Psychotherapy, Ludwig-Maximilians-University, Munich, Germany
b
Department of Psychiatry and Psychotherapy, University of Bonn, Germany
c
Department of Psychiatry and Psychotherapy, University of Tübingen, Germany
d
Department of Psychiatry and Psychotherapy, Charite Berlin, Campus Benjamin Franklin, Germany
e
Department of Psychiatry and Psychotherapy, University of Cologne, Germany
f
Department of General Psychiatry, Rhein Hospital Essen, Germany
g
Central Institute of Mental Health, Mannheim, Germany
h
Department of Psychiatry and Psychotherapy, University of Jena, Germany
i
Department of Psychiatry and Psychotherapy, RWTH Aachen University, Germany
j
Department of Psychiatry and Psychotherapy, Heinrich-Heine-University, Duesseldorf, Germany
k
Psychiatric Clinic, Vinzenz-von-Paul-Hospital, Rottweil, Germany
l
Department of Medical Informatics, Biometry and Epidemiology, University of Erlangen-Nuremberg, Germany
m
Department of Psychiatry and Psychotherapy, University of Göttingen, Germany
Received 7 June 2010; received in revised form 12 October 2010; accepted 12 October 2010
KEYWORDS:
First-episode
schizophrenia;
Response;
Predictors;
Risperidone;
Haloperidol
Abstract
Background: To evaluate the predictive validity of early response compared to other well-known
predictor variables in acutely ill first-episode patients. Methods: 112 patients were treated with
a mean dosage of 4.14 mg (±1.70) haloperidol and 112 patients with a mean dosage of 4.17 mg
(± 1.55) risperidone for a mean inpatient treatment duration of 42.92 days (± 16.85) within a
double-blind, randomized controlled trial. Early response was defined as a ≥ 30% improvement in
the PANSS total score by week 2, response as a ≥ 50% reduction in the PANSS total score from
admission to discharge and remission according to the consensus criteria. Univariate tests and
⁎ Corresponding author. Department of Psychiatry Ludwig-Maximilians-University Munich Nussbaumstr. 7, 80336 München, Germany. Tel.: +49
89 5160 5511; fax: +49 89 5160 5728.
E-mail address: Rebecca.Schennach-Wolff@med.uni-muenchen.de (R. Schennach-Wolff).
0924-977X/$ - see front matter © 2010 Elsevier B.V. and ECNP. All rights reserved.
doi:10.1016/j.euroneuro.2010.10.003
www.elsevier.com/locate/euroneuro
European Neuropsychopharmacology (2011) 21, 370–378