Research Article
Long-Acting Injectable Second-Generation
Antipsychotics Improve Negative Symptoms and
Suicidal Ideation in Recent Diagnosed Schizophrenia Patients:
A 1-Year Follow-up Pilot Study
Valentina Corigliano ,
1
Anna Comparelli ,
1
Iginia Mancinelli,
1
Benedetta Montalbani,
1
Dorian A. Lamis ,
2
Antonella De Carolis,
3
Denise Erbuto,
1
Paolo Girardi,
1
and Maurizio Pompili
1
1
Department of Neurosciences, Unit of Psychiatry, Sapienza University of Rome, School of Medicine and Psychology,
Via di Grottarossa 1035-39, 00198 Rome, Italy
2
Department of Psychiatry and Behavioral Sciences, Emory School of Medicine, Grady Hospital, Atlanta, GA, USA
3
Department of Neurosciences, Unit of Neurology, Sapienza University of Rome, School of Medicine and Psychology,
Via di Grottarossa 1035-39, 00198 Rome, Italy
Correspondence should be addressed to Anna Comparelli; anna.comparelli@uniroma1.it
Received 30 May 2018; Revised 31 July 2018; Accepted 14 August 2018; Published 30 August 2018
Academic Editor: Hugo Schnack
Copyright © 2018 Valentina Corigliano et al. Tis is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly
cited.
Long-acting injectable second-generation antipsychotics (LAI-SGA) are typically used to maintain treatment adherence in patients
with chronic schizophrenia. Recent research suggests that they may also provide an efective treatment strategy for patients
with early-phase disease. Te aim of this study is to evaluate clinical and psychosocial outcomes among recent and long-term
diagnosed schizophrenia outpatients treated with LAI-SGA during a follow-up period of 12 months. Stable schizophrenia patients
receiving LAI-SGA with 5 or less years of illness duration (n = 10) were compared to those with more than 5 years of illness
duration (n = 15). Clinical data was assessed through the Positive and Negative Syndrome Scale (PANSS), the Global Assessment of
Functioning (GAF), the Columbia Suicide Severity Rating Scale (C-SSRS), the Recovery Style Questionnaire (RSQ), and the Mayer-
Salovey-Caruso Emotional Intelligence Test (MSCEIT) Managing Emotion branch. Recently diagnosed patients showed greater
improvement versus patients diagnosed for more than 5 years in adjusted mean GAF score, in PANSS factor score for negative
and depressive symptoms, and in severity and intensity of suicidal ideation. Our preliminary fndings support the hypothesis that
LAI-SGA may infuence the course of the illness if administered at the early phase of the illness. However, replicate studies are
needed, possibly with larger samples.
1. Introduction
Schizophrenia poses a signifcant burden to the patient,
caregiver, and society in general. Additionally, mostly due to
suicide deaths, patients diagnosed with schizophrenia have
their life expectancy reduced by approximately 10 years [1].
Much of the deterioration in schizophrenia occurs within
the frst 5 years of disease onset [2], suggesting that the early
stages are a critical period for efective treatment.
Treatment for schizophrenia aims to reduce the severity
of symptoms, prevent the recurrence of episodes, and provide
support to allow for an appropriate level of functioning. Given
that up to half of patients sufering from schizophrenia may
not take their medications as prescribed, treatment adherence
is a major challenge [3], with serious consequences on the
course of the illness [4–6]. Nonadherence is of particular
signifcance to patients in the early phases of psychosis. As the
disease progresses, deterioration in treatment responsiveness
Hindawi
Schizophrenia Research and Treatment
Volume 2018, Article ID 4834135, 7 pages
https://doi.org/10.1155/2018/4834135