Interrelation of the indices of neurocognitive functions with acute drug-induced extrapyramidal disorders in patients with schizophrenia
Abstract
The article presents the results of studies of the connection of neurocognitive indices in patients with schizophrenia with acute parkinsonism and akathisia, which resulted from the administration of standardized antipsychotic therapy to patients. It was found that drug-induced akathisia is significantly more often associated with such disorders of neurocognitive functions as impaired active attention, reduced visual short-term memory volume, poor automation and high distractibility. Drug-induced Parkinsonism revealed a connection with the violation of such characteristics of attention as work efficiency and degree of workability, as well as with a reduced volume of verbal short-term memory, a violation of working memory, severe cognitive control and thorough thinking.
References
1. Jablensky A. (2000) Epidemiology of schizophrenia: the global burden of disease and disability. Eur Arch Psychiatry ClinNeurosci. Vol. 250, no. 6, pp. 274–285.
2. Gerlach J, Peacock L. (1995) New antipsychotics: the present status. In ClinPsychopharmacol. Vol. 10, pp. 39–48.
3. Steck H. (2006) Extrapyramidal and diencephalic syndrome in the course of largactil and serpasil treatments. Ann Med Psychol (Paris). Vol. 12, pp. 737–744.
4. Poyurovsky M (2010). Acute antipsychotic-induced akathisia revisited. BrJPsychiatry. Vol. 196, no. 2, pp. 89–91.
5. Plotnikova E. V. (2009) Lekarstvenno-inducirovannye dvigatel'nye rasstrojstva pri shizofrenii. Tavricheskij medikobiologicheskij vestnik. T. 12, № 1 (45). S. 192–199.
6. Sachdev P (2004) Early extrapyramidal side-effects as risk factors for later tardive dyskinesia: a prospective study. Aust N Z J Psychiatry. Vol. 38, no. 6, pp. 445–9.
7. Duncan E. J., Adler L. A., Stephanides M. et al. (2000) Akathisia and exacerbation of psychopathology: a preliminary report. ClinNeuropharmacol. Vol. 23, pp. 169–173.
8. Peitl M. V., ProloščićJ., Blažević-Zelić S. (2011) Et al. Symptoms of agitated depression and/or akathisia. PsychiatrDanub. Vol. 23, no. 1, pp. 108–110.
9. Reid A. M., McNamara J. P, Murphy T. K. (2015) Sideeffects of SSRIs disrupt multimodal treatment for pediatric OCD in a randomized-controlled trial. J Psychiatr Res. Vol. 71, pp. 140–147.
10. Lipinski J. F. Jr., Mallya G., Zimmerman P. et al. (1989) Fluoxetine-induced akathisia: clinical and theoretical implications. J Clin Psychiatry. Vol. 50, no. 9, pp. 339–342.
11. Temmingh H., Stein D. J. (2015) Anxiety in Patients with Schizophrenia: Epidemiology and Management. CNS Drugs.Vol.29, no.10, pp.819–832.
12. Kim JH, Byun HJ (2009). Non-motor cognitive-perceptual dysfunction associated with drug-induced parkinsonism. Hum Psychopharmacol. Vol. 24, no. 2, pp. 129–134.
13. Kim JH, Kim SY, Byun HJ (2008). Subjective cognitive dysfunction associated with drug-induced parkinsonism in schizophrenia. ParkinsonismRelat.Disord. Vol. 14, no. 3, pp. 239–242.
14. Fedorova N. V., Vetohina T. N. (2009) Diagnostika i lechenienejrolepticheskihjekstrapiramidnyhsindromov. Psih. rasstrojstva v obshhej medicine. – № 3.
15. Bekker R. A., BykovJu.V. Akatizija: klinicheskijanalizpatologii s rekomendacijami i obzoromliteratury. ConsiliumMedicum: Publikaciipartnerov.
16. Berrios G. E. (1995) Lad Haskovec and akathisia: an introduction. Hist Psychiatry. Vol. 6, pp. 243–251
17. Mohr P., Volavka J. (2002) LadislavHaskovec and akathisia: 100th anniversary. Br J Psychiatry. Vol. 12, pp. 181–237.
18. Sachdev P. (1995) The development of the concept of akathisia: a historical overview. Schizophr Res. Vol. 16, no. 1, pp. 33–45.
19. Sachdev P (1995). The epidemiology of drug-induced akathisia: Part I. Acute akathisia. SchizophrBull Vol. 21, no. 3, pp. 431–449. Availabe: http://psycnet.apa.org/psycinfo/1996–09010-001.
20. Sachdev P. (1995) The classification of akathisia. MovDisord. Vol. 10, no. 2, pp. 235–237.
21. Duncan E. J., Adler L. A., Stephanides M. et al. (2000) Akathisia and exacerbation of psychopathology: a preliminary report. ClinNeuropharmacol. Vol. 23, pp. 169–173.
22. PeitlM. V., Prološčić J., Blažević-Zelić S. etal.Symptoms of agitated depression and/or akathisia.PsychiatrDanub.Vol.23,no1, pp.108–110.
23. Breier A. Cognitive deficit in schizophrenia and its neurochemical basis // Br J Psychiatr Y – 1999. – Vol. 174. – Р. 8–16.
24. Waldo M. C., Carey G., Myles-Worsley M. et al. Codistribution of a sensory gating deficit and schizophrenia in multi-affected families // Psychiatr. Res. – 1991. – Vol. 39. – Р. 257–268.
25. Магомедова М. В. О нейрокогнитивном дефиците и его связи с уровнем социальной компетентности у больных шизофренией // Социальная и клиническая психиатрия. – 2000. – № 1. – С. 92–98.
26. Аведисова А. С. Новые возможности улучшения когнитивных функций и социальной адаптации при терапии шизофрении // Фарматека. – 2004. – № 9/10 (87).
27. Vetohina T. N., Fedorova N. V., Voronina E. F. (2006) Osobennosti klinicheskih projavlenij i techenija nejrolepticheskogo parkinsonizma i podhody k ego korrekcii. Psihiatrija i psihofarmakoterapija. – T. 8, № 1.
28. Loas G, Yon V, Brien D. (2002) Dimensional structure of the Frankfurt Complaint Questionnaire. Compr Psychiatry. Vol. 43 (5): 397–403.
29. Kim JH, Byun HJ (2007) Association of subjective cognitive dysfunction with akathisia in patients receiving stable doses of risperidone or haloperidol. J Clin Pharm Ther. Vol. 32 (5): 461–467.
30. Sachdev P, Hume F, Toohey P, Doutney C. (1996) Negative symptoms, cognitive dysfunction, tardive akathisia and tardive dyskinesia.ActaPsychiatr Scand. Vol. 93 (6): 451–9.
31. Chouinard G, Ross-Chouinard A, Annable L, et al (1980) Extrapyramidal Rating Scale. The Canadian Journal of Neurological Sciences 7: 233–239, 1980.
32. Ветохина Т. Н., Федорова Н. В., Воронина Е. Ф. Особенности клинических проявлений и течения нейролептического паркинсонизма и подходы к его коррекции // Психиатрия и психофармакотерапия. – 2006. – Т. 8, № 1.
33. Глозман Ж. М. Психические расстройства при экстрапирамидных заболеваниях / Ж. М. Глозман, О. С. Левин // Экстрапирамидные расстройства: руководство по диагностике и лечению. – М.: МЕДпресс-информ, 2002. – С. 74–86.
34. Лурия А. Р. Функциональная организация мозга // Естественно-научные основы психологии / Под. ред. А. А. Смирнова, А. Р. Лурия, В. Д. Небылицына. М.: Педагогика, 1978. С. 109–139.
35. Kandel E. R. Biology and the future of psychoanalysis: A new intellectual framework for psychiatry revisited // American J. of Psychiatry. 1999. Vol. 156. P. 505–524.
36. Лурия А. Р. Мозг человека и психические процессы. – М., 1970. – С. 16–18.
Review
For citations:
Gorgun O.V. Interrelation of the indices of neurocognitive functions with acute drug-induced extrapyramidal disorders in patients with schizophrenia. Military Medicine. 2018;(2):37-43. (In Russ.)
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