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Neuroleptic Associated Tardive Dyskinesias in Young People with Psychoses

Published online by Cambridge University Press:  02 January 2018

Emmanuelle Pourcher*
Affiliation:
Centre de Recherche Université Laval Robert-Giffard, Beauport (Québec), Canada
Philippe Baruch
Affiliation:
Centre de Recherche Université Laval Robert-Giffard, Beauport (Québec), Canada
Roch Hugo Bouchard
Affiliation:
Centre de Recherche Université Laval Robert-Giffard, Beauport (Québec), Canada
Marie-Josée Filteau
Affiliation:
Centre de Recherche Université Laval Robert-Giffard, Beauport (Québec), Canada
Danielle Bergeron
Affiliation:
Centre de Recherche Université Laval Robert-Giffard, Beauport (Québec), Canada
*
Dr Pourcher, Centre hospitalier Robert-Giffard, 2601, de la Canardière, Beauport (Qué.), G1J 2G3, Canada.

Extract

Background

Apart from ageing, the factors associated with vulnerability to the emergence of tardive dyskinesia are poorly defined.

Method

Risk factors associated with the presence of a chronic choreic or dystonic disorder were assessed in a cross-sectional comparison of anamnestic and clinical data in a homogeneous group of 64 young psychotic patients (under 40 years of age) on chronic low to moderate doses of neuroleptics.

Results

Dyskinetic subjects presented more indirect indicators of occult brain damage, such as a perinatal event or traumatic brain injuries in infancy and early childhood; neurological examination showed more anomalies in dyskinetic patients than in non-dyskinetics, with a higher prevalence of facial release reflexes.

Conclusion

These data may support the hypothesis that occult acquired brain damage is important in the genesis of this ‘drug-induced’ disorder.

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1995 

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References

American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM–III–R). Washington, DC: APA.Google Scholar
Chouinard, G., Annable, L., Mercier, P., et al (1986) A five-year followup study of tardive dyskinesia. Psychopharmacological Bulletin, 22, 259263.Google ScholarPubMed
Chouinard, G., Annable, L., & Ross-Chouinard, A. (1982) Fluphenazine enanthate and decanoate in the treatment of schizophrenic outpatients: extrapyramidal symptoms and therapeutic effects. American Journal of Psychiatry, 139, 312318.Google Scholar
Guy, W. (1976) ECDEU Assessment Manual for Psychopharmacology, pp. 534537. Washington, DC: US Department of Health.Google Scholar
Juncos, J. L., Engber, T. M., Raisman, R., et al (1989) Continuous and intermittent levodopa differentially affect basal ganglia function. Annals of Neurology, 25, 473478.Google Scholar
Kane, J. M., Woerner, M., Weinhold, P., et al (1984) Incidence of tardive dyskinesia. Five-year data from a prospective study. Psychopharmacological Bulletin, 20, 3940.Google Scholar
King, D. J., Wilson, S. J., Cooper, J., et al (1991) The clinical correlates of neurological soft signs in chronic schizophrenia. British Journal of Psychiatry, 158, 770775.Google Scholar
McCreadie, R. G., Hall, D. J., Berry, I. J., et al (1992) The Nithsdale schizophrenia surveys X: Obstetric complications, family history and abnormal movements. British Journal of Psychiatry, 161, 799805.Google Scholar
O'Callaghan, E., Larkin, C., Kinsella, A., et al (1990) Obstetric complications, the putative familial-sporadic distinction, and tardive dyskinesia in schizophrenia. British Journal of Psychiatry, 157, 578584.CrossRefGoogle ScholarPubMed
Schooler, N. & Kane, J. M. (1982) Research diagnoses for tardive dyskinesia (RD-TD). Archives of General Psychiatry, 39, 486487.Google Scholar
Waddington, J. L., Youssef, H. A., Dolphin, C., et al (1987) Cognitive dysfunction, negative symptoms, and tardive dyskinesia in schizophrenia: Their association in relation to topography of involuntary movements andcriterion of their abnormality. Archives of General Psychiatry, 44, 907912.CrossRefGoogle ScholarPubMed
Wegner, J. T., Catalano, F., Gibralter, J., et al (1985) Schizophrenics with tardive dyskinesia. Archives of General Psychiatry, 42, 860865.CrossRefGoogle ScholarPubMed
Yassa, R., Ghadirian, A. M., & Schwartz, G. (1985) Tardive dyskinesia; developmental factors. Canadian Journal of Psychiatry, 30, 344347.Google Scholar
Youssef, H. A. & Waddington, J. L. (1988) Primitive (developmental) reflexes and diffuse cerebral dysfunction in schizophrenia and bipolar affective disorder: overrepresentation in patients with tardive dyskinesia. Biological Psychiatry, 23, 791796.CrossRefGoogle ScholarPubMed
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