Psychotropic drug-prescribing correlates of disorganized speech in Asians with schizophrenia: The REAP-AP study

Background: Although disorganized speech is seen as one of the nuclear features of schizophrenia, there have been few reports of disorganized speech-associated psychotropic drug-prescribing patterns in large samples of schizophrenia patients. Objective: We aimed to examine the prevalence of disorgan...

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Main Authors: Yong Chon Park (Author), Min-Soo Lee (Author), Tian-Mei Si (Author), Helen F.K. Chiu (Author), Shigenobu Kanba (Author), Mian-Yoon Chong (Author), Adarsh Tripathi (Author), Pichet Udomratn (Author), Kok Yoon Chee (Author), Andi J. Tanra (Author), Golam Rabbani (Author), Afzal Javed (Author), Samudra Kathiarachchi (Author), Win Aung Myint (Author), Tran Van Cuong (Author), Kang Sim (Author), Shu-yu Yang (Author), Norman Sartorius (Author), Chay-Hoon Tan (Author), Naotaka Shinfuku (Author), Seon-Cheol Park (Author)
Format: Book
Published: Elsevier, 2019-02-01T00:00:00Z.
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100 1 0 |a Yong Chon Park  |e author 
700 1 0 |a Min-Soo Lee  |e author 
700 1 0 |a Tian-Mei Si  |e author 
700 1 0 |a Helen F.K. Chiu  |e author 
700 1 0 |a Shigenobu Kanba  |e author 
700 1 0 |a Mian-Yoon Chong  |e author 
700 1 0 |a Adarsh Tripathi  |e author 
700 1 0 |a Pichet Udomratn  |e author 
700 1 0 |a Kok Yoon Chee  |e author 
700 1 0 |a Andi J. Tanra  |e author 
700 1 0 |a Golam Rabbani  |e author 
700 1 0 |a Afzal Javed  |e author 
700 1 0 |a Samudra Kathiarachchi  |e author 
700 1 0 |a Win Aung Myint  |e author 
700 1 0 |a Tran Van Cuong  |e author 
700 1 0 |a Kang Sim  |e author 
700 1 0 |a Shu-yu Yang  |e author 
700 1 0 |a Norman Sartorius  |e author 
700 1 0 |a Chay-Hoon Tan  |e author 
700 1 0 |a Naotaka Shinfuku  |e author 
700 1 0 |a Seon-Cheol Park  |e author 
245 0 0 |a Psychotropic drug-prescribing correlates of disorganized speech in Asians with schizophrenia: The REAP-AP study 
260 |b Elsevier,   |c 2019-02-01T00:00:00Z. 
500 |a 1319-0164 
500 |a 10.1016/j.jsps.2018.11.006 
520 |a Background: Although disorganized speech is seen as one of the nuclear features of schizophrenia, there have been few reports of disorganized speech-associated psychotropic drug-prescribing patterns in large samples of schizophrenia patients. Objective: We aimed to examine the prevalence of disorganized speech and its correlates in terms of psychotropic drug prescribing, using the data from the Research on Asian Psychotropic Patterns for Antipsychotics (REAP-AP) study. Method: A total of 3744 patients with the ICD-10 diagnosis of schizophrenia were enrolled from 71 survey centers in 15 Asian countries/areas. An essential criterion of disorganized speech was that it was "severe enough to impair substantially effective communication" as defined in the DSM-5. A binary logistic model was fitted to identify the psychotropic drug-prescribing correlates of disorganized speech. Results: After adjusting for the potential effects of confounding variables, the binary logistic regression model showed that the presence of disorganized speech was directly associated with adjunctive use of mood stabilizers (P < 0.001) and cumulative diazepam equivalent dose (P < 0.0001), and inversely associated with adjunctive use of anti-Parkinson drugs (P < 0.0001). Conclusion: The association between disorganized speech and adjunctive use of mood stabilizers could perhaps be understood in the context of a relationship with impulsiveness/aggressiveness, or in terms of deconstructing the Kraepelinian dualism. Keywords: Asian, Disorganized speech, Mood stabilizers, Schizophrenia 
546 |a EN 
690 |a Therapeutics. Pharmacology 
690 |a RM1-950 
655 7 |a article  |2 local 
786 0 |n Saudi Pharmaceutical Journal, Vol 27, Iss 2, Pp 246-253 (2019) 
787 0 |n http://www.sciencedirect.com/science/article/pii/S1319016418305681 
787 0 |n https://doaj.org/toc/1319-0164 
856 4 1 |u https://doaj.org/article/f9c6e7527c9742be86dfa6e64f715dfc  |z Connect to this object online.