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Aripiprazole Long-Acting Injection During First Episode Schizophrenia—An Exploratory Analysis

Bibliographic Data

ID15523728
AuthorsGloria Giordano, Lorenzo Tomassini, Ilaria Cuomo (ASL Roma), Emanuela Amici (0009-0003-5347-7160), F Perrini (0000-0003-0789-8071), Gemma Callovini (0000-0001-5987-2362), Alfonso Carannante, Georgios D Kotzalidis (0000-0002-0281-6324, Azienda Ospedaliera Sant'Andrea, corresponding author), Sergio De Filippi (0000-0002-6521-3379), Sergio De Filippis
Year2020
Volume10
Pages935-935
Publication date2020-01-07
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2019.00935
PMID31969843
OpenAlexW2990665555
LanguageEN
References cited81

Background: Long-acting injectable (LAI) aripiprazole was found to be efficacious in schizophrenia. In common clinical practice, the use of LAIs is often restricted to chronic patients with frequent relapses and poor adherence. Recently, some investigators advanced the idea of early LAI use also in young people with schizophrenia at their first psychotic episode (FEP). Objective: Our study aimed to assess the effect of LAI aripiprazole once monthly (AOM) in the treatment of FEP in patients aged 18-26 years. Methods: We included 50 patients with DSM-5 schizophrenia as assessed with SCID, and used the Clinical Global Impressions Scale-Severity of Illness (CGI-S) and the Positive and Negative Syndrome Scale (PANSS) to assess symptom severity and the World Health Organization Quality of Life (WHOQOL), the Short Form Health Survey (SF-36) and the Personal and Social Performance Scale (PSP) to assess quality of life (QoL) and global health perception at baseline and 3, 6, 9, and 12 months after the first AOM injection. Results: AOM was associated with a progressive improvement, compared to baseline, of both positive ( p p p p < 0.001). We also observed progressive improvement in QoL and social and personal functioning. Treatment adherence was 78% at study endpoint. Our results support that AOM may improve psychotic symptoms, QoL and social functioning in young FEP patients. Further studies should compare AOM to its oral formulation in the treatment of young patients with schizophrenia at the outset of their illness

Aripiprazole · Global Assessment of Functioning · Positive and Negative Syndrome Scale · Psychiatry · Psychopathology · Psychosis · Quality of life (healthcare · Schizophrenia (object-oriented programming · Bipolar Disorder and Treatment · Clinical Psychology · Medicine · Mental Health and Psychiatry · Psychology · Schizophrenia research and treatment · Internal Medicine

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Highly citedNo

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