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Orofacial Dyskinesia, Cognitive Function and Medication

Published online by Cambridge University Press:  29 January 2018

Philip Thomas*
Affiliation:
Department of Psychiatry, The Royal Edinburgh Hospital
Ralph McGuire
Affiliation:
Royal Edinburgh Hospital, Morningside Park, Edinburgh EH 10 SHF
*
Correspondence

Abstract

The presence of tardive dyskinesia in a sample of 43 patients with schizophrenia and 37 psychopaths who had been hospitalised for many years and exposed to large amounts of medication was assessed while testing their cognitive function. Subjects who showed no evidence of abnormal movements performed significantly better on the test of delayed recall, but there were no differences in performance on any of the other tests of cognitive function used. Multiple regression analysis revealed that age and the total lifetime dose of neuroleptic medication received (in chlorpromazine equivalents) were the only variables to predict the Abnormal Involuntary Movement Scale score, although a large amount of variance in this variable was unaccounted for. The duration of treatment with neuroleptics did not predict AIMS score.

Type
Papers
Copyright
Copyright © 1986 The Royal College of Psychiatrists 

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Footnotes

Present address: Consultant Psychiatrist, Manchester Royal Infirmary, York Place, off Hathersage Road, Manchester 13.

References

Crane, G. E. (1968) Tardive dyskinesia in patients treated with major neuroleptics: a review of the literature. American Journal of Psychiatry (Supplement), 124, 4048.CrossRefGoogle ScholarPubMed
Davis, J. M. (1974) Dose equivalence of the anti-psychotic drugs. Journal of Psychiatric Research, 11, 6569.Google Scholar
Famuyiwa, O. O., Eccleston, D., & Donaldson, A. A. (1979) Tardive dyskinesia and dementia. British Journal of Psychiatry, 135, 500504.Google Scholar
Guy, W. (1976) Assessment Manual for Psychopharmacology, 534537. US Department of Health, Education and Welfare.Google Scholar
Inglis, J. (1959) A paried associate learning test for use with elderly psychiatric patients. Journal of Mental Science, 105, 440443.Google Scholar
Jeste, D., Wagner, R. L., Weinberger, D., Rieth, K. & Wyatt, R. J. (1980) Evaluation of CT scans in tardive dyskinesia. American Journal of Psychiatry, 137, 247248.Google ScholarPubMed
Kane, J. M. & Smith, J. M. (1982) Tardive dyskinesia—prevalence and risk factors, 1959 to 1979. Archives of General Psychiatry, 39, 473481.Google Scholar
Klawans, H. L. (1973) The pharmacology of tardive dyskinesia. American Journal of Psychiatry, 130, 8286.Google Scholar
Mettler, F. A. & Crandell, A. (1959) Neurological disorders in psychiatric institutions. Journal of Nervous and Mental Diseases, 128, 148159.CrossRefGoogle ScholarPubMed
Mukherjee, S., Rosen, A. M., Cardenas, C., Varia, V. & Orlarte, S. (1982) Tardive dyskinesia in psychiatric outpatients: a study of prevalence and association with demographic clinical and drug history variables. Archives of General Psychiatry, 39, 466469.CrossRefGoogle ScholarPubMed
Overall, J. E. & Gorham, D. R. (1962). The Brief Psychiatric Rating Scale. Psychological Reports, 10, 799812.Google Scholar
Raven, J. C. (1960) Guide to the Progressive Standard Matrices. London: H. K. Lewis.Google Scholar
Spitzer, R. & Endicott, J. (1978) Research Diagnostic Criteria (3rd ed.). New York: New York State Psychiatric Institute.Google Scholar
Smith, R. C., Strizich, M. & Klass, D. (1978) Drug history and tardive dyskinesia. American Journal of Psychiatry, 135, 14021403.Google Scholar
Wiles, D. H. (1976) Brief Psychiatric Rating Scale—glossaries and rating instructions. Psychological Medicine, 6, 407415.CrossRefGoogle Scholar
Graham-White, J. (1969) Williams' scale for the measurement of memory: test reliability and validity in a psychiatric population. British Journal of Social and Clinical Psychology, 8, 141151.Google Scholar
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