Evidence map›Paper›PMID 40362244›Full record

Trial reportInternational journal of molecular sciences2025

Halved Dose of Antipsychotics Versus High-Dose Antipsychotic Therapy for Relapse in Patients with Schizophrenia Receiving High-Dose Antipsychotic Therapy: A Randomized Single-Blind Trial.

Ryota Ataniya, Takeshi Koike, Atsuko Inamoto

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of molecular sciences, 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. Prevalence and predictors of high-dose antipsychotic therapy among adult psychiatric inpatients in Baghdad, Iraq.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2026
    Article
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

3 authors.

Ryota AtaniyaShowa University Northern Yokohama Hospital, 35-1, Chigasakichuou, Tsuzuki-Ku, Yokohama-Shi 224-0032, Japan.ORCID 0000-0002-9778-0001
Takeshi KoikeDepartment of Psychiatry, Edogawa Hospital, 2702, Yamazaki, Noda-Shi 278-0022, Japan.
Atsuko InamotoShowa University Northern Yokohama Hospital, 35-1, Chigasakichuou, Tsuzuki-Ku, Yokohama-Shi 224-0032, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Both a shortage and an excess of dopamine (DA) in the prefrontal cortex and striatum result in their decreased functions, and the relationship between the DA levels and their functions exhibits an inverted-U shape. Increased DA transmission via dose reduction in the currently used antipsychotics may improve the activation of DA-related symptoms in schizophrenia; these include delusions and auditory hallucinations caused by increased DA release. In this case, reducing the dose of the antipsychotic may be a treatment option for relapse in patients with schizophrenia who are already on high doses of antipsychotics and find it difficult to further increase the dose. A total of 54 inpatients with schizophrenia receiving high-dose antipsychotic therapy were randomly assigned to either the halved-dose group or the high-dose group (symptomatic treatment). The study compared the time from relapse to improvement between the two groups. In the halved-dose group, the period until relapse improvement ranged from 1 to 3 weeks, while the high-dose group experienced improvement in 4 to 9 weeks, and a significant difference was observed between the two groups using Kaplan-Meier survival analysis (

Indexed as

Antipsychotic AgentsSchizophreniaAdultFemaleHumansKaplan-Meier EstimateMaleMiddle AgedRecurrenceSingle-Blind MethodTreatment OutcomeAntipsychotic Agentsdopamine D2 receptorhigh-dose antipsychotic therapyinverted U-shaped dose responserelapseschizophrenia

Identifiers

PMID40362244
PMCPMC12071691

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.