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Related Experiment Videos

Amphetamines for schizophrenia.

S Nolte1, D Wong, G Lachford

  • 1Department of Psychiatry & Behavioural Sciences, 15 Hyde Terrace, Leeds, LS2 9JT, West Yorkshire, UK. klienus@hotmail.com

The Cochrane Database of Systematic Reviews
|October 21, 2004
PubMed
Summary
This summary is machine-generated.

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Amphetamines may reduce negative symptoms in schizophrenia patients but show no effect on positive symptoms. Further research is needed to understand why individuals with schizophrenia use these harmful stimulants.

Area of Science:

  • Psychiatry
  • Neuroscience
  • Clinical Psychology

Background:

  • An estimated 10% to 65% of individuals with schizophrenia use illicit drugs, including amphetamines.
  • This population experiences higher rates of hospitalization, homelessness, unemployment, and suicide compared to those without drug abuse.
  • Understanding the impact of amphetamine use in schizophrenia is crucial due to its prevalence and associated negative outcomes.

Purpose of the Study:

  • To systematically evaluate the effects of amphetamines in individuals with schizophrenia.
  • Assess impacts on clinically meaningful outcomes, cognitive functioning, and physiological measures.
  • Synthesize findings from randomized controlled trials (RCTs) to inform clinical practice and future research.

Main Methods:

  • Searched the Cochrane Schizophrenia Group's Register for relevant studies.

Related Experiment Videos

  • Included all randomized controlled trials comparing amphetamines to placebo in schizophrenia patients.
  • Data extraction and analysis were performed independently, calculating risk ratios, confidence intervals, and weighted mean differences.
  • Main Results:

    • Four short studies with 83 participants were included; data quality was limited.
    • Amphetamines showed a reduction in negative symptoms (WMD -3, CI -5.02 to -0.98) but no significant effect on positive symptoms.
    • Significant alterations in brain metabolism were observed: increased in cerebellum and striatum, decreased in the dorsolateral prefrontal cortex.

    Conclusions:

    • Formal evaluation of amphetamines in schizophrenia via randomized studies is rare, suggesting potential unpublished data.
    • Further research is necessary to elucidate the reasons behind persistent amphetamine use in individuals with schizophrenia.
    • Clarifying these motivations could aid in developing targeted interventions and support strategies.