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Cited by 309

The DOI matches its Crossref record; 89 of the 89 references it cites were found in a registry or an index.

A systematic review of the effects of antipsychotic drugs on brain volume

Moncrieff, J., Leo, J.·2010·Psychological Medicine
DOI 10.1017/s0033291709992297
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Abstract

Background: People with schizophrenia are often found to have smaller brains and larger brain ventricles than normal, but the role of antipsychotic medication remains unclear. Method: We conducted a systematic review of magnetic resonance imaging (MRI) studies. We included longitudinal studies of brain changes in patients taking antipsychotic drugs and we examined studies of antipsychotic-naive patients for comparison purposes. Results: Fourteen out of 26 longitudinal studies showed a decline in global brain or grey-matter volume or an increase in ventricular or cerebrospinal fluid (CSF) volume during the course of drug treatment, including the largest studies conducted. The frontal lobe was most consistently affected, but overall changes were diffuse. One large study found different degrees of volume loss with different antipsychotics, and another found that volume changes were associated with taking medication compared with taking none. Analyses of linear associations between drug exposure and brain volume changes produced mixed results. Five out of 21 studies of patients who were drug naive, or had only minimal prior treatment, showed some differences from controls in volumes of interest. No global differences were reported in three studies of drug-naive patients with long-term illness. Studies of high-risk groups have not demonstrated differences from controls in global or lobar brain volumes. Conclusions: Some evidence points towards the possibility that antipsychotic drugs reduce the volume of brain matter and increase ventricular or fluid volume. Antipsychotics may contribute to the genesis of some of the abnormalities usually attributed to schizophrenia.

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Metadata

Authors
Moncrieff, J., & Leo, J.
Venue
Psychological Medicine
Publisher
Cambridge University Press (CUP)
Published
2010-01-20
Volume
40
Issue
9
Pages
1409-1422
ISSN
  • 0033-2917 (ISSN-L)
  • 1469-8978
DOI
10.1017/s0033291709992297
OpenAlex
W2131287696
Cited by
309
References
89
FWCI
3.55
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: A systematic review of the effects of antipsychotic drugs on brain volume. https://app.cochat.ai/papers/10.1017/s0033291709992297
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Moncrieff, J., & Leo, J. (2010). A systematic review of the effects of antipsychotic drugs on brain volume. Psychological Medicine. https://doi.org/10.1017/s0033291709992297

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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