The prevalence of treatment‐resistant schizophrenia (TRS) among patients with schizophrenia remains insufficiently characterized using nationwide data and standardized diagnostic criteria.
Abstract
Schizophrenia is characterized by positive symptoms, negative symptoms, and cognitive impairment and is primarily treated with antipsychotic medications. However, a subset of patients responds inadequately to treatment and is classified as having treatment‐resistant schizophrenia (TRS). The prevalence of TRS among patients with schizophrenia remains insufficiently characterized. This study aimed to determine the prevalence of TRS using nationwide data and standardized diagnostic criteria.
A proposal to expand the definition of treatment‐resistant schizophrenia (TRS) could help clinicians identify patients earlier and improve access to effective interventions, according to authors of new commentary published in the American Journal of Psychiatry (AJP). The authors argue that current definitions may not f...
Valerie A. Canady· Mental Health Weekly· 0 citations
Clozapine is the only evidence-based treatment for treatment-resistant schizophrenia (TRS); however, up to 70% of patients have an inadequate response, leading to clozapine-resistant schizophrenia (CRS) and, in its most severe form, ultra-treatment-resistant schizophrenia (UTRS). Because evidence-based treatment algori...
M. Peraire, A. Moreno-Beltrán, Aitana Fillol et al.· Journal of Clinical Medicine· 0 citations
Clozapine is the most effective treatment for treatment-resistant schizophrenia, yet it is often introduced late. This article proposes a critical period hypothesis, arguing that clozapine is most effective when started during a stage of illness in which network plasticity and synaptic substrate are still partially pre...
R. Krishnadas, I. L. Leong, Joanna Fraczek et al.· Journal of Psychopharmacolog...· 0 citations
Abstract Background Antipsychotic monotherapy is the guideline-supported mainstay of treatment for schizophrenia. However, approximately 40% of patients fail to achieve an adequate response in randomized controlled trials, highlighting the significant clinical challenge of treatment-resistant schizophrenia (TRS). Despi...
M. Samara· International Journal of Neu...· 0 citations
A systematic literature search was conducted across four databases utilizing the treatment response and resistance in psychosis criteria to standardize the definition of resistance, finding concordant genetic findings in key dopaminergic and glutamatergic pathways related to TRS.
M.T. Moreno-Calle, Silvia Iñiguez-Barrio, Maria Aurora Arrue et al.· American Journal of Medical...· 0 citations
Clozapine remains the most effective treatment for treatment-resistant schizophrenia (TRS), yet clinicians are frequently faced with situations where discontinuation must be considered due to adverse effects, patient preference, or lack of effectiveness. This article proposes an eight-step, clinically informed approach...