Movement disorders induced by antipsychotic drugs: implications of the CATIE schizophrenia trial.
Open accessAbstract
Drug-induced movement disorders have dramatically declined with the widespread use of second-generation antipsychotics, but remain important in clinical practice and for understanding antipsychotic pharmacology. The diagnosis and management of dystonia, parkinsonism, akathisia, catatonia, neuroleptic malignant syndrome, and tardive dyskinesia are reviewed in relation to the decreased liability of the second-generation antipsychotics contrasted with evidence from the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) Schizophrenia Trial. Data from the CATIE trial imply that advantages of second-generation antipsychotics in significantly reducing extrapyramidal side effects compared with haloperidol may be diminished when compared with modest doses of lower-potency first-generation drugs.
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Overall, the prevalence of antipsychotic-induced akathisia ranges from 14% to 35% based on studies involving patients treated with antipsychotics.
“Overall, the prevalence of AIA ranges from 14% to 35% based on studies involving patients treated with antipsychotics.3,4,5,6,7”
From Drug Efficacy in the Treatment of Antipsychotic-Induced Akathisia: A Systematic Review and Network Meta-Analysis (2024) · cites this paper as [3]
The Akathisia section estimates prevalence in routine practice at at least 20% to 35% and reports CATIE rates of 26% to 35%. It supports the general prevalence claim, but not the stated 14% lower bound. Page numbers were not provided in our copy. (LLM, conf=0.88)
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References 131 · Cited by 188
Research works printed but not linked: 2
- [61]Jaspers K General Psychopathology Manchester, England Manchester University Press 1963
- [92]Casey DE Gerlach J Tardive dyskinesia: what is the long-term outcome? Casey DE Gardos G Tardive Dyskinesia and Neuroleptics: From Dogma to Reason Washington, D.C. American Psychiatric Press, Inc. 1986 76 97
- Authors
- Caroff, S. N., Hurford, I., Lybrand, J., & Campbell, E. C.
- Affiliations
- Philadelphia VA Medical Center (US)
- Venue
- Neurologic Clinics
- Publisher
- Elsevier BV
- Published
- 2011-02
- Volume
- 29
- Issue
- 1
- Pages
- 127-148
- ISSN
- 0733-8619 (ISSN-L)
- PMC
- PMC3018852
- OpenAlex
- W2149950019
- Cited by
- 188
- References
- 131
- Citations by year
- 2026: 15 · 2025: 12 · 2024: 12 · 2023: 6 · 2022: 27 · 2021: 12 · 2020: 15 · 2019: 18 · 2018: 15 · 2017: 20 · 2016: 9 · 2015: 7 · 2014: 8 · 2013: 4 · 2012: 3
- FWCI
- 2.41
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Neurologic Clinics (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (n01mh90001-21-0-0)
- National Institute of Mental Health (N01 MH090001)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Electroconvulsive Therapy Studies
- Keywords
- drug-induced movement disorders, atypical antipsychotics, typical antipsychotics, haloperidol, extrapyramidal symptoms, tardive dyskinesia, neuroleptic malignant syndrome, parkinsonism, akathisia, dystonia, catatonia, schizophrenia
- MeSH terms
- Clinical Trials as Topic, Humans, Movement Disorders, Schizophrenia, Antipsychotic Agents
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