期刊
ACTA PSYCHIATRICA SCANDINAVICA
卷 119, 期 -, 页码 7-14出版社
WILEY
DOI: 10.1111/j.1600-0447.2008.01308.x
关键词
schizophrenia; antipsychotic drugs; statistical data interpretation; statistical data analysis; drug evaluation studies
类别
Objective: To review and make recommendations for the definition and presentation of the terms 'response' and 'remission' in schizophrenia. Method: Selective review of publications on definitions of response and remission in schizophrenia. Results: When the Brief Psychiatric Rating Scale (BPRS) or the Positive and Negative Syndrome Scale (PANSS) are used for definitions of response, a cut-off of at least 50% reduction of the baseline score should be used for acutely ill, non-refractory patients and a cut-off of at least 25% reduction for refractory patients. When percentage BPRS/PANSS reduction is calculated, the 18/30 points minimum scores meaning 'no symptoms' on the should be subtracted. In addition, responder rates from 0-100% could be presented in a table in steps of 25%. For large and simple practical trials, the Clinical Global Impression scale with suggested improvements could be used 1-7 scale. Conclusion: To show how many patients are still symptomatic at the end of study and to show the overall amount of change in both remission and responder criteria should be presented.
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