Effectiveness of aripiprazole in adolescents and young adults with schizophrenia spectrum disorders: comparison of first-episode to recurrent psychosis

Early Interv Psychiatry. 2013 Feb;7(1):89-93. doi: 10.1111/j.1751-7893.2012.00379.x. Epub 2012 Jul 22.

Abstract

Aims: The study aims to determine the clinical outcomes of aripiprazole treatment in adolescents and young adults with schizophrenia spectrum disorders.

Methods: This was a 24-week, observational, prospective study. Patients with schizophrenia spectrum disorders were prescribed a daily dose of 5 mg to 30 mg of aripiprazole. Effectiveness was assessed by the change from baseline in psychotic symptoms and quality of life.

Results: Forty-two patients with a mean age of 18.1 ± 3.7 years were recruited. Eighteen were experiencing the first episode of psychosis (FEP), whereas the remaining 24 were non-FEP. Psychotic symptoms, but not quality of life, improved globally from baseline scores by the endpoint of the study (effect size = 0.44). Compared with non-FEP patients, FEP patients had greater improvements (effect size = 0.45) in some clinical outcome dimensions during the 24-week aripiprazole treatment.

Conclusion: We observed significant improvements of medium effect sizes in psychotic symptoms of patients with schizophrenia spectrum disorders within a naturalistic clinical setting, especially for FEP patients.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adolescent Behavior / drug effects*
  • Adult
  • Aripiprazole
  • Child
  • Female
  • Humans
  • Male
  • Piperazines / pharmacology
  • Piperazines / therapeutic use*
  • Psychotic Disorders / drug therapy*
  • Psychotic Disorders / psychology
  • Quality of Life / psychology*
  • Quinolones / pharmacology
  • Quinolones / therapeutic use*
  • Recurrence
  • Schizophrenia / drug therapy*
  • Schizophrenia / physiopathology
  • Schizophrenic Psychology*

Substances

  • Piperazines
  • Quinolones
  • Aripiprazole