Evidence map›Paper›PMID 40082469›Full record

ArticleSchizophrenia (Heidelberg, Germany)2025

Predictors of relapse after discontinuing antipsychotics in patients with schizophrenia spectrum disorders.

Ling Li, Thi Hung Le, Woo Sung Kim, Soyolsaikhan Odkhuu, Chae Yeong Kang, Ariana Setiani, EunJin Jeon, Fatima Zahra Rami, Young-Chul Chung

Abstract read
In one paragraph

Article in Schizophrenia (Heidelberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

9 authors.

Ling LiDepartment of Psychiatry, Jeonbuk National University Medical School, Jeonju, Republic of Korea.
Thi Hung LeDepartment of Psychiatry, Jeonbuk National University Medical School, Jeonju, Republic of Korea.
Woo Sung KimDepartment of Psychiatry, Jeonbuk National University Medical School, Jeonju, Republic of Korea.
Soyolsaikhan OdkhuuDepartment of Psychiatry, Jeonbuk National University Medical School, Jeonju, Republic of Korea.
Chae Yeong KangDepartment of Psychiatry, Jeonbuk National University Medical School, Jeonju, Republic of Korea.ORCID http://orcid.org/0000-0001-8587-7765
Ariana SetianiDepartment of Psychiatry, Jeonbuk National University Medical School, Jeonju, Republic of Korea.
EunJin JeonJeonbuk National University Hospital, Jeonju, Republic of Korea.
Fatima Zahra RamiDepartment of Psychiatry, Jeonbuk National University Medical School, Jeonju, Republic of Korea.
Young-Chul ChungDepartment of Psychiatry, Jeonbuk National University Medical School, Jeonju, Republic of Korea. chungyc@jbnu.ac.kr.ORCID http://orcid.org/0000-0001-9491-1822

Funding

Korea Health Industry Development Institute (KHIDI) HR18C0016
6 · The paper itself

Abstract

We studied 61 patients with schizophrenia spectrum disorders who discontinued medication after achieving symptomatic remission. Over 3 years, relapse rates were significantly higher in those not meeting full recovery (p = 0.006) or remission (p < 0.001) criteria, with rates up to twice as high. Significant differences between relapsed and maintained groups included age at onset (p = 0.004), age at discontinuation (p = 0.009), and proportions meeting full recovery (p = 0.001) or remission (p = 0.003). Univariate Cox regression identified older age of onset (p = 0.038), lack of full recovery (p = 0.008) or remission (p = 0.001), and higher positive symptom score (p = 0.018) as predictors of relapse. In multivariate analysis, only full remission remained significant (p = 0.002). Our findings suggest that in making decision about discontinuation, applying more strict approaches, i.e., full recovery or remission criteria and detailed assessment of positive symptoms are critical and essential.

Identifiers

PMID40082469
PMCPMC11906741

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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.