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Cochrane Database of Systematic Reviews

Fármacos antipsicóticos para las primeras etapas de la esquizofrenia

Información

DOI:
https://doi.org/10.1002/14651858.CD006374.pub2Copiar DOI
Base de datos:
  1. Cochrane Database of Systematic Reviews
Versión publicada:
  1. 15 junio 2011see what's new
Tipo:
  1. Intervention
Etapa:
  1. Review
Grupo Editorial Cochrane:
  1. Grupo Cochrane de Esquizofrenia

Copyright:
  1. Copyright © 2017 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

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Contraer

Autores

  • John R Bola

    Correspondencia a: Department of Applied Social Studies, City University of Hong Kong, Kowloon Tong, Hong Kong

    [email protected]

    [email protected]

  • Dennis Kao

    Graduate College of Social Work, University of Houston, Houston, USA

  • Haluk Soydan

    School of Social Work, University of Southern California, Los Angeles, USA

  • Clive E Adams

    Cochrane Schizophrenia Group, The University of Nottingham, Nottingham, UK

Contributions of authors

John Bola ‐ wrote the protocol, reviewed studies for inclusion, guided and took a lead role in writing the review.

Dennis Kao ‐ reviewed studies for inclusion, entered data into RevMan, edited the review.

Haluk Soydan ‐ helped write the protocol, reviewed studies for inclusion, edited the review.

Sources of support

Internal sources

  • School of Social Work, University of Southern California, USA.

External sources

  • No sources of support supplied

Declarations of interest

None known.

Acknowledgements

We would like to thank the School of Social Work, University of Southern California and the Cochrane Schizophrenia Group for providing staff time and resources to facilitate this review. We also acknowledge our use of the Cochrane Schizophrenia Group's methods section template, which we have adapted to our requirements.

Version history

Published

Title

Stage

Authors

Version

2011 Jun 15

Antipsychotic medication for early episode schizophrenia

Review

John R Bola, Dennis Kao, Haluk Soydan, Clive E Adams

https://doi.org/10.1002/14651858.CD006374.pub2

2007 Jan 24

Antipsychotic medication for early episode schizophrenia

Protocol

John Bola, Haluk Soydan

https://doi.org/10.1002/14651858.CD006374

Differences between protocol and review

In reviewing studies for inclusion in this review, we realised that additional focusing of our review question was needed. The initial intent of this review was to assess the evidence supporting the clinical practice guideline to treat early episodes of schizophrenia psychosis in the acute phase with antipsychotic medications. We have therefore excluded (and left for a subsequent edition of this review) studies addressing the question about medication maintenance in the post‐acute phase. For example, the Schooler 1989a study treated all first‐episode patients in the acute phase with antipsychotic medications and, after stabilisation, randomised to two medication dosages and placebo that was followed up for two years. This, and similar studies, can address the effectiveness of maintenance medications in the post‐acute phase of early episodes, but not the effectiveness of antipsychotics in the acute episode, since in that phase there was no un‐medicated group. In addition, we have preliminarily excluded RCTS that compare two or more antipsychotic medications in the acute treatment of individuals with early episode schizophrenia. Subsequent editions of this review might include the medication to medication comparisons to address questions of differential medication effectiveness. Pseudo‐random studies have not yet been included in this version of the review, but might be incorporated in a subsequent version of the review, along with a sensitivity analysis to assess the influence of their inclusion. We have also updated the protocol method's section with the Cochrane schizophrenia group's current guidelines.

PICO

Population
Intervention
Comparison
Outcome

El uso y la enseñanza del modelo PICO están muy extendidos en el ámbito de la atención sanitaria basada en la evidencia para formular preguntas y estrategias de búsqueda y para caracterizar estudios o metanálisis clínicos. PICO son las siglas en inglés de cuatro posibles componentes de una pregunta de investigación: paciente, población o problema; intervención; comparación; desenlace (outcome).

Para saber más sobre el uso del modelo PICO, puede consultar el Manual Cochrane.