QEEG alpha 1 changes after a single dose of high-potency neuroleptics as a predictor of short-term response to treatment in schizophrenic patients

Biol Psychiatry. 1994 Mar 15;35(6):367-74. doi: 10.1016/0006-3223(94)90002-7.

Abstract

Baseline quantitative electroencephalographic (QEEG) characteristics and their changes after a single test dose of either haloperidol or clopenthixol were investigated in a group of 29 schizophrenics as possible predictors of short-term response to those drugs. On baseline QEEG assessment, responders (R) to subsequent treatment showed fewer slow and more fast activities than nonresponders (NR). A large overlap between R and NR with respect to these measures was observed, however, revealing their practical inadequacy to predict short-term response in individual patients. On the contrary, changes in alpha 1, observed 6 hr after the administration of a single test dose of either haloperidol or clopenthixol, discriminated to a very large extent between R and NR, correctly identifying 17 out of 18 R and 8 out of 10 NR. The QEEG test dose procedure might be used in the selection of the most appropriate antipsychotic drug for individual schizophrenic patients.

MeSH terms

  • Adolescent
  • Adult
  • Brain / drug effects
  • Clopenthixol / administration & dosage
  • Clopenthixol / pharmacology
  • Clopenthixol / therapeutic use*
  • Dose-Response Relationship, Drug*
  • Electroencephalography*
  • Female
  • Haloperidol / administration & dosage
  • Haloperidol / pharmacology
  • Haloperidol / therapeutic use*
  • Humans
  • Male
  • Middle Aged
  • Psychiatric Status Rating Scales
  • Schizophrenia / diagnosis
  • Schizophrenia / drug therapy*
  • Treatment Outcome*

Substances

  • Clopenthixol
  • Haloperidol