Evidence map›Paper›PMID 35041015›Full record

Observational studySocial psychiatry and psychiatric epidemiology2022

An observational study of antipsychotic medication discontinuation in first-episode psychosis: clinical and functional outcomes.

Ashok Malla, Srividya N Iyer, Ridha Joober, Thara Rangaswamy, Padmavati Ramachandran, Norbert Schmitz, Aarati Taksal, Greeshma Mohan, Howard C Margolese

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Social psychiatry and psychiatric epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Ashok Malla *Department of Psychiatry, McGill University, Office: 29-1110, ACCESS Pavilion, 6625 Boulevard LaSalle, Montreal, QC, H4H 1R3, Canada. ashok.malla@mcgill.ca.ORCID http://orcid.org/0000-0002-5863-4191
Srividya N Iyer *Department of Psychiatry, McGill University, Office: 29-1110, ACCESS Pavilion, 6625 Boulevard LaSalle, Montreal, QC, H4H 1R3, Canada.ORCID http://orcid.org/0000-0001-5367-9086
Ridha JooberDepartment of Psychiatry, McGill University, Office: 29-1110, ACCESS Pavilion, 6625 Boulevard LaSalle, Montreal, QC, H4H 1R3, Canada.ORCID http://orcid.org/0000-0003-3492-807X
Thara RangaswamySchizophrenia Research Foundation (SCARF), Chennai, India.ORCID http://orcid.org/0000-0001-6813-066X
Padmavati RamachandranSchizophrenia Research Foundation (SCARF), Chennai, India.ORCID http://orcid.org/0000-0002-0380-8617
Norbert SchmitzDepartment of Psychiatry, McGill University, Office: 29-1110, ACCESS Pavilion, 6625 Boulevard LaSalle, Montreal, QC, H4H 1R3, Canada.ORCID http://orcid.org/0000-0001-7777-6323
Aarati TaksalPrevention and Early Intervention Program for Psychosis (PEPP-Montreal), Douglas Mental Health University Institute, Montreal, Canada.ORCID http://orcid.org/0000-0003-4125-7585
Greeshma MohanSchizophrenia Research Foundation (SCARF), Chennai, India.ORCID http://orcid.org/0000-0002-6322-5413
Howard C MargoleseDepartment of Psychiatry, McGill University, Office: 29-1110, ACCESS Pavilion, 6625 Boulevard LaSalle, Montreal, QC, H4H 1R3, Canada.
Douglas Mental Health University Institute · CASchizophrenia Research Foundation · INMcGill University · CAMcGill University Health Centre · CA

Funding

Early Psychosis in India and Canada: Investigating outcomes and family factorsR01MH093303 · NIMH · MCGILL UNIVERSITY · PI MALLA, ASHOK · 2012 to 2016
$2.3M
foundation for the national institutes of health 5R01MH093303-05NIMH NIH HHS R01 MH093303
6 · The paper itself

Abstract

purposeTo study the impact of supervised antipsychotic medication discontinuation on clinical and functional outcomes in first-episode psychosis (FEP) in two different cultural environments.

methodFEP patients(N = 253), treated in two early intervention services (Montreal, Canada and Chennai, India) for 2 years, were assessed for medication use, positive and negative symptom remission and social-occupational functioning at regular intervals.

resultsBetween months 4 and 24 of treatment, 107 patients discontinued medication ('Off'group) as compared to 146 who stayed on medication ('On'group). Medication discontinuation was higher in Chennai as compared to Montreal (n = 80, 49.07% vs n = 27, 16.87%; χ

conclusionCertain cultural environments and patient characteristics may facilitate supervised discontinuation of antipsychotic medication following treatment of an FEP without negative consequences.

Indexed as

Antipsychotic AgentsPsychotic DisordersHumansIndiaRemission InductionSocial AdjustmentAntipsychotic AgentsAdherenceCanadaEarly intervention in psychosisFEPIndiaMedication discontinuationRemission

Identifiers

PMID35041015
OpenAlexW4206478390

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.