2008 issue 3


Volume 24, issue 3

Original article

Influence of antipsychotics on scholastic/academic difficulties after 1 year from the first episode of schizophrenia

Jolanta Rabe-Jabłońska1, Tomasz Pawełczyk1, Kamila Wojtczak2
1. Klinika Zaburzeń Afektywnych i Psychotycznych, Katedra Psychiatrii Uniwersytetu Medycznego w Łodzi
2. Poradnia Zdrowia Psychicznego NZOZ „NOWA” w Łodzi
Farmakoterapia w Psychiatrii i Neurologii, 2008, 3, 141–148
Keywords: I episode of schizophrenia, antipsychotics quality of, scholastic/academic functioning


Aim: The aim of the study was to establish relationship between kind of antipsychotic used in the treatment of I episode of schizophrenia, number of antipsychotic treatment necessary for improvement of mental state, time of uninterrupted treatment and quality of school/ academic functioning after 1 year from I episode of schizophrenia.
Method: 114 patients (14-23 years) after the I episode of schizophrenia diagnosed acc. to ICD-10 were consecutively enrolled in the study. Participants were recrruited among patients of the Department of Affective and Psychotic Disorders, Outpatient Department of Medical University of Lodz, and from the private psychiatric practice. Information regarding the kind, numer , and the uninterrupted duration of antipsychotic treatment were obtained by a thorough analysis of the medical records and questionnaire filled by patients anf his family.
Results: It was shown that the majority of patients demonstrated learning difficulties 1 year after I episode of schizophrenia. According to the subjective assessment nearly 90% of patients complained of learning difficulties, and theese were also observed objectively as educational results deterioration in nearly 80% of participants. Statistically significant relationships were found for the duration of uninterrupted treatment and the occurrence of the objective learning difficulties and indirectly for the farther and the treatment with second generation antipsychotics.
Conclusions: The results indicate the necessity for planning the suitable care for the group of patients with the first episode of schizophrenia.

Address for correspondence:
Jolanta Rabe-Jabłońska
Katedra Psychiatrii Uniwersytetu Medycznego w Łodzi
ul. Czechosłowacka 8/10, 92-216 Łódź
tel. 042 675 73 42; fax. 042 675 74 03
e-mail: Jabl@csk.am.lodz.pl