Normalization of information processing deficits in schizophrenia with clozapine

V Kumari, W Soni, T Sharma - American Journal of Psychiatry, 1999 - Am Psychiatric Assoc
V Kumari, W Soni, T Sharma
American Journal of Psychiatry, 1999Am Psychiatric Assoc
OBJECTIVE: The authors tested the hypothesis that the use of an atypical drug, clozapine,
for patients with schizophrenia is related to less impairment in information processing
deficits (assessed by prepulse inhibition of the startle response) than is the use of typical
antipsychotics. METHOD: Two groups of schizophrenic patients—receiving either clozapine
or a range of typical antipsychotics—were tested for prepulse inhibition (a reduction in
response to a startling stimulus, if preceded briefly by a weak, nonstartling stimulus; …
OBJECTIVE
The authors tested the hypothesis that the use of an atypical drug, clozapine, for patients with schizophrenia is related to less impairment in information processing deficits (assessed by prepulse inhibition of the startle response) than is the use of typical antipsychotics.
METHOD
Two groups of schizophrenic patients—receiving either clozapine or a range of typical antipsychotics—were tested for prepulse inhibition (a reduction in response to a startling stimulus, if preceded briefly by a weak, nonstartling stimulus; measured at prepulse-to-pulse intervals of 30 msec, 60 msec, and 120 msec) of the acoustic startle response and compared with a group of healthy volunteers.
RESULTS
Patients receiving typical antipsychotics showed less prepulse inhibition with 30-msec and 60-msec prepulse trials than did comparison subjects. Clozapine-treated patients showed normal levels of prepulse inhibition.
CONCLUSIONS
Clozapine is superior to typical antipsychotics in normalizing prepulse inhibition, presumably because of its pharmacological effects on prefrontal regions of the brain or its effects on a broader range of neuroreceptors.
American Journal of Psychiatry