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Drug Withdrawal in Chronic Schizophrenic Patientsin Search of Neuroleptic‐Induced Supersensitivity Psychosis

 

作者: DANIEL,   WEINBERGER LLEWELLYN,   BIGELOW SUSAN,   KLEIN RICHARD,  

 

期刊: Journal of Clinical Psychopharmacology  (OVID Available online 1981)
卷期: Volume 1, issue 3  

页码: 120-123

 

ISSN:0271-0749

 

年代: 1981

 

出版商: OVID

 

数据来源: OVID

 

摘要:

&NA;As a test of the hypothesis that neuroleptics can induce a psychosis secondary to dopamine receptor supersensitivity, we examined the behavioral ratings of 20 symptomatic chronic schizophrenic patients who were withdrawn from neuroleptic drugs and maintained drug free for 4 wk. We hypothesized that, if supersensitivity existed, it might be reflected in a drug‐free course characterized by an initial phase of exacerbation followed by improvement (a “hump”). Four patients had such a course. No patient had the inverse of this hypothesized course (improvement followed by relapse). The implications of this finding and problems inherent in testing the supersensitivity psychosis hypothesis are discussed.

 

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