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Risperidone augmentation in treatment-resistant obsessive–compulsive disorder: a double-blind, placebo-controlled study
Open accessAbstract
This double-blind, placebo-controlled trial was performed to determine the efficacy and tolerability of 8 wk of risperidone augmentation of serotonin reuptake inhibitor (SRI) treatment in adult subjects with treatment-resistant obsessive-compulsive disorder (OCD) (failure of at least two SRI trials). Sixteen adult treatment-resistant OCD patients were randomly assigned to augmentation with 8 wk of either risperidone (n=10) (0.5-3.0 mg/d) or placebo (n=6) following at least 12 wk of SRI treatment. Four patients on risperidone (40%) and none (0%) on placebo were responders with both a Clinical Global Impression - Improvement (CGI-I) score of 1 or 2 and a Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) decrease >/=25%. Risperidone was generally well tolerated: there were 3 dropouts, 1 on risperidone and 2 on placebo. Better Y-BOCS insight score at baseline significantly correlated with a greater CGI-I score at endpoint on risperidone augmentation. Risperidone may be an effective and well-tolerated augmentation strategy in treatment-resistant OCD subjects, but larger sample size studies are required to demonstrate this.
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“Recently, second-generation antipsychotic agents have shown benefit, either alone or as adjunctive therapy. Specifically, high-dose olanzapine [522], quetiapine [523], and risperidone [524] have all shown at least minimal clinical benefit relative to placebo treatment [525].”
From Reward circuitry dysfunction in psychiatric and neurodevelopmental disorders and genetic syndromes: animal models and clinical findings (2012) · cites this paper as [524]
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Metadata
- Authors
- Hollander, E., Rossi, N. B., Sood, E., & Pallanti, S.
- Affiliations
- Icahn School of Medicine at Mount Sinai (US)
- University of Pisa (IT)
- University of Florence (IT)
- Corresponding author
- Hollander, Eric
- Venue
- The International Journal of Neuropsychopharmacology
- Publisher
- Oxford University Press (OUP)
- Published
- 2003-12
- Volume
- 6
- Issue
- 4
- Pages
- 397-401
- ISSN
- 1461-1457 (ISSN-L)
- 1469-5111
- OpenAlex
- W1966161934
- Cited by
- 197
- References
- 19
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 5 · 2023: 3 · 2022: 3 · 2021: 3 · 2020: 3 · 2019: 7 · 2018: 8 · 2017: 7 · 2016: 5 · 2015: 16 · 2014: 10 · 2013: 7 · 2012: 10
- FWCI
- 17.49
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The International Journal of Neuropsychopharmacology (publishedVersion)
- PubMed (publishedVersion)
- INFM-OAR (INFN Catania) (submittedVersion, other-oa)
- Funders
- Janssen Pharmaceuticals
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- risperidone, treatment-resistant OCD, augmentation therapy, serotonin reuptake inhibitors, antipsychotic augmentation, drug tolerability, treatment response, insight, Yale-Brown Obsessive Compulsive Scale, Clinical Global Impression Scale
- MeSH terms
- Adult, Ambulatory Care, Dose-Response Relationship, Drug, Double-Blind Method, Drug Administration Schedule, Drug Resistance, Drug Therapy, Combination, Female, Humans, Male, Middle Aged, Obsessive-Compulsive Disorder, Personality Inventory, Antipsychotic Agents, Treatment Outcome, Selective Serotonin Reuptake Inhibitors, Risperidone
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