Evidence map›Paper›PMID 38778040›Full record

ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2024

The management of patients with predominant negative symptoms in Slovakia: A 1-year longitudinal, prospective, multicentric cohort study.

Jozef Dragasek, Zsofia Borbala Dombi, Károly Acsai, Viktor Dzurilla, Ágota Barabássy

Abstract readMulticenter Study
In one paragraph

Article in European psychiatry : the journal of the Association of European Psychiatrists, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Article
  4. Review
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

5 authors.

Jozef Dragasek1st Department of Psychiatry, Pavol Jozef Safarik University, Faculty of Medicine and University Hospital of Louis Pasteur, Košice, Slovakia.ORCID 0000-0003-2938-6675
Zsofia Borbala DombiGlobal Medical Division, Gedeon Richter Plc., Budapest, Hungary.ORCID 0000-0002-0390-4852
Károly AcsaiGlobal Medical Division, Gedeon Richter Plc., Budapest, Hungary.
Viktor DzurillaGedeon Richter Slovakia, Bratislava, Slovakia.
Ágota BarabássyGlobal Medical Division, Gedeon Richter Plc., Budapest, Hungary.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPredominant negative symptoms (PNSs) in schizophrenia can affect the patients' psychosocial functioning immensely and are less responsive to treatment than positive symptoms.

aimsThe aim of the study was to observe negative symptoms and psychosocial functioning in PNS schizophrenia patients and to understand whether PNS can be improved and with what treatment strategies.

methodsThis was a 1-year, prospective, multicentric cohort study conducted in Slovakia. Adult outpatients with diagnosis of schizophrenia according to ICD-10 and PNS evaluated using the criteria by the European Psychiatric Association's (EPA) guidance were included. Change in negative symptoms, functionality, and treatment patterns were observed. Treatment effectiveness was evaluated using the modified Short Assessment of Negative Domain (m-SAND), the Self-evaluation of Negative Symptoms (SNS) scale, the Personal and Social Performance (PSP) scale, and the Clinical Global Impression - Severity (CGI-S) and the Clinical Global Impression - Improvement (CGI-I) scales. Least-squares (LS) means were calculated for the change from baseline to final visit for the outcomes.

resultsThe study included 188 patients. Functionality improved as, by the end of the study, fewer patients were unemployed (53%) and more worked occasionally (21%). PNS improved significantly according to both physicians and patients (LS mean change from baseline in m-SAND total score: -10.0 (p-value <0.0001)). Most patients received polytherapy throughout the study. Cariprazine was utilized most (20% monotherapy and 76% polytherapy). Only a few patients discontinued treatment due to adverse drug reactions.

conclusionsWith the right treatment strategy, it is possible to achieve improvement in PNS and everyday functioning in schizophrenia outpatients.

Indexed as

SchizophreniaAdultAntipsychotic AgentsFemaleHumansLongitudinal StudiesMaleMiddle AgedProspective StudiesPsychiatric Status Rating ScalesSchizophrenic PsychologySlovakiaTreatment OutcomeAntipsychotic Agentsantipsychotic medicationnegative symptomsobservational studyschizophrenia

Identifiers

PMID38778040
PMCPMC11441340

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