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Recent News and Articles on the Keywords: than haloperidol + more effective + olanzapine  Related to the article below (Last Update: 5/13/2008)

Second-Generation Antipsychotics: Cost-Effectiveness, Policy ...
Psychiatric Services (subscription) - May 1, 2008
Early research on second-generation antipsychotics suggested that these medications are more effective than their predecessors (14), pose less risk of ...
What CATIE Found: Results From the Schizophrenia Trial Psychiatric Services (subscription)
Antipsychotic Use in the Treatment of Outpatients With ... Psychiatric Services (subscription)
Impact of the CATIE Findings on State Mental Health Policy Psychiatric Services (subscription)
Psychiatric Services (subscription)
all 20 news articles »
The Surgeon General's Report on Mental Health
About - News & Issues, NY - May 7, 2008
Moreover, the newer medications may be more effective in treating negative symptoms and may even yield partial improvement in certain neurocognitive ...
A Preliminary Attempt to Personalize Risperidone Dosing Using Drug ...
Psychosomatics (subscription) - Apr 30, 2008
As a matter of fact, some naturalistic studies suggest that R had a better EPS profile than haloperidol, but not better than low-potency APs. ...
Source: Google News

… approach to a double-blind, placebo-and haloperidol-controlled clinical trial with olanzapine -
GD Tollefson, TM Sanger - Am J Psychiatry, 1997 - pt.wkhealth.com
... analysis indicated that "high-dose" olanzapine (averaging 16.3 ... the newer agents are
more effective than the older agents, such as haloperidol, raise at ...

… and extrapyramidal side-effects of the new antipsychotics olanzapine, quetiapine, risperidone, and … -
S Leucht, G Pitschel-Walz, D Abraham, W Kissling - Schizophrenia Research, 1999 - Elsevier
... to date, sertindole and quetiapine are as effective as haloperidol, and risperidone
and olanzapine are slightly more effective than haloperidol in the ...

Clozapine, Olanzapine, Risperidone, and Haloperidol in the Treatment of Patients With Chronic … -
J Volavka, P Czobor, B Sheitman, JP Lindenmayer, L … - Focus, 2004 - Am Psychiatric Assoc
... we conclude that atypical antipsychotics are more effective than haloperidol in
chronic ... effect sizes) suggest that clozapine and olanzapine are similar while ...

A systematic review of atypical antipsychotic drugs in schizophrenia -
AM Bagnall, L Jones, L Ginnelly, R Lewis, J … - Health Technol. Assess, 2003 - ncchta.org
... In a trial of olanzapine versus haloperidol, olanzapine was reported to be more
effective than haloperidol in treating a subgroup with first-episode psychosis ...

[CITATION] Clinical and Economic Outcomes of Olanzapine Compared With Haloperidol for Schizophrenia: Results … -
SH Hamilton, DA Revicki, ET Edgell, LA Genduso, G … - PharmacoEconomics, 1999
... day) was significantly more effective in both achieving and maintaining re- sponse
than placebo, ineffective-dose olanzapine (1 mg/day) and haloperidol (5 to ...

Olanzapine vs haloperidol: treating delirium in a critical care setting -
YK Skrobik, N Bergeron, M Dumont, SB Gottfried - Intensive Care Medicine, 2004 - Springer
... not corrected for the slightly more frequent occurrence ... Olanzapine is costlier than
haloperidol; however, in view of ... or other features preclude haloperidol use ...

A 12-Week, Double-blind Comparison of Olanzapine vs Haloperidol in the Treatment of Acute Mania -
M Tohen, JF Goldberg, AM Gonzalez-Pinto Arrillaga, … - Archives of General Psychiatry, 2003 - archpsyc.highwire.org
... 8.1%) and 25 patients in the haloperidol group (11.4 ... adverse event led to
discontinuation significantly more frequently in one treatment group than in the ...
-

Efficacy of olanzapine: an overview of pivotal clinical trials. -
CM Beasley Jr, GD Tollefson, PV Tran - J Clin Psychiatry, 1997 - ncbi.nlm.nih.gov
... The results suggest that olanzapine is as effective as haloperidol for positive
symptoms and more effective than haloperidol for the treatment of the negative ...

Olanzapine. A review of its pharmacological properties and therapeutic efficacy in the management of … -
B Fulton, KL Goa - Drugs, 1997 - ncbi.nlm.nih.gov
... with schizophrenia or related psychoses, olanzapine generally 5 to 20 mg/day was
at least as effective as haloperidol (5 to 20mg) and more so than placebo, as ...

[PDF] Effectiveness of clozapine versus olanzapine, quetiapine, and risperidone in patients with chronic … -
JP McEvoy, JA Lieberman, TS Stroup, SM Davis, HY … - Am J Psychiatry, 2006 - medaccessonline.com
... of clozapine, olanzapine, quetiapine, and risperidone, in particular, and that
treatment with clozapine would be significantly more effective than treatment ...
-

Source: Google Scholar

The drug clozapine is more effective than olanzapine or haloperidol at reducing aggressive behavior in violent patients with schizophrenia, new research shows. This ability to curb aggressiveness seems to be separate from the drug's antipsychotic effect.

Schizophrenia is a severe psychiatric disorder in which patients experience distorted thinking, hallucinations and abnormal emotions. The disease is classified as a psychotic disorder, meaning that patients are often not completely in touch with reality. Therefore, the disease is treated with antipsychotic drugs, including the newer, "atypical" drugs clozapine and olanzapine as well as the older drug haloperidol.

"There had been evidence in the literature that the atypical antipsychotics have some specific anti-aggressive effects," but a lot of the supporting data came from studies that didn't focus on violent patients, lead author Dr. Menahem I. Krakowski, from the Nathan Kline Institute for Psychiatric Research in Orangeburg, New York, told Reuters Health.

The study, which is reported in the Archives of General Psychiatry, involved 110 patients at state psychiatric facilities who were randomly selected to receive clozapine, olanzapine or haloperidol for 12 weeks.

To be eligible for the study, the subjects had to have a documented episode of physically assaulting another person while hospitalized and display persistence of their aggression in the form of other aggressive events.

In terms of reducing both overall and physical aggression, clozapine was significantly better than olanzapine, which, in turn, was significantly better than haloperidol. By contrast, the agents were comparable in their ability to improve psychiatric symptoms.

"Clozapine was better than the other drugs at reducing physical assaults, threats, and insults and in preventing patients from destroying property and throwing objects," Krakowski said.

While clozapine is the most effective drug, Krakowski warned that the drug also has some important side effects and regular blood monitoring is critical. For this reason, olanzapine might be a better initial choice, he added, unless the patient has hard-to-control aggressive behavior.

SOURCE: Archives of General Psychiatry,

Copyright © 2006 Reuters Limited. All rights reserved. Republication or redistribution of Reuters content, including by framing or similar means, is expressly prohibited without the prior written consent of Reuters. Reuters shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon. Reuters and the Reuters sphere logo are registered trademarks and trademarks of the Reuters group of companies around the world.

 

Brain May Be Hard-Wired to Track Team Sports

When soccer fans gather Sunday to watch France and Italy do battle in Berlin during the World Cup finals, new research suggests the enraptured audience will be better able to follow every artful pass and blistering shot on goal because of the brilliant, crisp colors each team will wear.

Fact is, without the help of color, the human brain can't pay attention to more than three moving objects at once, concluded a team of neurological researchers reporting in the July issue of Psychological Science.

Grouping even a vast number of objects or people together by color makes all the difference, the researchers said.

"That's a new finding -- that humans can attend to more than three items if those items form a single set," said study co-researcher Justin Halberda, an assistant professor of psychological and brain sciences at Johns Hopkins University. "The set itself can then function as an individual," he added.

According to Halberda, a variety of tests have proven over and over that humans of all ages, as well as other primates, can't keep their attention fixed on more than three items at once in a given visual field. "We've never seen a case where that wasn't true," he said.

So, that finding begged the question: How can humans follow and enjoy team sports, which often contain dozens of players running in various directions at once? Halberda and his colleagues suspected the answer lay in the fact that societies have historically clothed opposing teams -- even opposing soldiers -- in different colors.

"Color is processed very early [by the brain]," Halberda said, so it makes sense that it would function as a nearly immediate cue to who belongs to what.

In their study, the Hopkins scientists had undergraduate volunteers view a series of colored dots that flashed before their eyes on a computer screen for just a half-second -- too short a time for counting.

The dots were arranged randomly, but some shared a color -- say, red or green. The researchers would sometimes warn the volunteers ahead of time to "watch for the red dots," for example. But in other experiments, the volunteers were given no such warning and were simply told to pay attention to the screen.

The researchers then asked the participants to recall how many dots of a specific color they thought they had seen.

The result: Participants did well at estimating the number of dots when told in advance which colors they should pay attention to, demonstrating they could pay attention to large numbers of items based on color alone. In fact, participants were accurate in estimating the number of color-specific dots even when the total collection consisted of a wide spectrum of colors.

Participants did less well when they weren't told beforehand which color they should fix their attention on. They were still able to recall, with some accuracy, the number of dots of a certain color -- but only when the whole array was comprised of dots of three colors or less.

Translating these findings from the computer screen to the playing field isn't a great leap, Halberda said.

"If you consider something like the World Cup, you have this big green field, and you're not so much tracking the items as they move, in terms of color -- it's just seeing them all in the first place," Halberda said. "So, England's bright white jerseys jump out from the green background and that makes them easier to pay attention to."

But humans also have an upper limit when it comes to paying attention to sets, Halberda said, and it's the same as their tolerance for tracking individual objects -- three.

That could explain why, throughout history, people have stuck to games with just two opposing teams. "Our research suggests that if a game was devised with four teams playing simultaneously, it would just be too many for any spectator, coach or player to pay attention to," Halberda said.

 

He said his team is now trying to find out whether other qualities are as easily gathered into sets as is color. Already, orientation -- objects that stand up vertically rather than lie horizontally -- looks promising, he said. Other characteristics, such as shape or gender, take longer for the brain to process and may be less useful, Halberda said.

Color does seem to be especially useful, he said, not just in sports but for a host of everyday challenges, such as playing cards, scanning the TV guide, or arranging filing cabinets at the office.

The ability of the human mind to supersede the "three-object rule" and clump together many similarly colored items into sets could have evolutionary roots, Halberda added.

"Let's say you were a hunter-gatherer, and you wanted to compare which tree had the most oranges," he said. If primitive man could only pay attention to three oranges at a time, that task would have been enormously difficult.

"But we have this system, and now you can look up at a tree and simultaneously attend to all 70 oranges," Halberda said. "Then, you could say, 'Yeah, that's a good tree, I'll climb that one.' It's a radical increase in efficiency," he said.

More information

Learn more about the brain at the American Association of Neurological Surgeons.

 
 
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