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©The Author(s) 2024.
World J Psychiatry. Nov 19, 2024; 14(11): 1735-1745
Published online Nov 19, 2024. doi: 10.5498/wjp.v14.i11.1735
Published online Nov 19, 2024. doi: 10.5498/wjp.v14.i11.1735
Table 1 Characteristics of the patients with schizophrenia (n = 3306)
Variates | mean ± SD |
Sex (male), n (%) | 1342 (40.6) |
Age (years) | 34.5 ± 14.18 |
Height (cm) | 165.6 ± 7.66 |
Weight (kg) | 64.5 ± 12.44 |
Duration of illness (month) | 89.1 ± 111.09 |
Baseline BPRS total score | 48.8 ± 15.03 |
Baseline BPRS factor scores | |
Anxiety/depression | 9.8 ± 4.11 |
Anergia | 10.2 ± 3.69 |
Thought disturbance | 12.1 ± 4.30 |
Activation | 6.7 ± 3.26 |
Hostility/suspiciousness | 10.0 ± 3.89 |
Table 2 Brief psychiatric rating scale: Total score and 5-factor model scores from the baseline to 12 weeks after initiation of blonanserin treatment (mean ± SD)
BPRS | Baseline (n = 3306) | 2-4 weeks (n = 3188) | 6-8 weeks (n = 2957) | 12 weeks (n = 2775) | F value | P value |
Total score | 48.8 ± 15.03 | 38.5 ± 13.32 | 32.3 ± 11.78 | 27.7 ± 10.08 | 1574 | < 0.001 |
Anxiety/depression | 9.8 ± 4.11 | 8.2 ± 3.46 | 7.1 ± 3.07 | 6.2 ± 2.67 | 638.5 | < 0.001 |
Anergia | 10.2 ± 3.69 | 8.4 ± 3.14 | 7.2 ± 2.74 | 6.3 ± 2.38 | 898.3 | < 0.001 |
Thought disturbance | 12.1 ± 4.30 | 9.4 ± 3.80 | 7.6 ± 3.33 | 6.4 ± 2.85 | 1410 | < 0.001 |
Activation | 6.7 ± 3.26 | 5.3 ± 2.61 | 4.5 ± 2.17 | 4.0 ± 1.74 | 695.5 | < 0.001 |
Hostility/suspiciousness | 10.0 ± 3.89 | 7.3 ± 3.17 | 5.8 ± 2.63 | 4.8 ± 2.16 | 1700 | < 0.001 |
Table 3 Major adverse drug reactions involving systematic and clinical manifestations
ADRs | Mild patients, n (%) | Mild cases | Moderate patients, n (%) | Moderate cases | Severe patients, n (%) | Severe cases |
Total ADRs | 443 (13.4) | 656 | 164 (5.0) | 219 | 15 (0.5) | 16 |
Neurological disorders | 352 (10.6) | 420 | 127 (3.8) | 159 | 7 (0.2) | 8 |
Akathisia | 170 (5.1) | 174 | 66 (2.0) | 68 | 4 (0.1) | 4 |
Tremor | 97 (2.9) | 100 | 27 (0.8) | 27 | 0 (0) | 0 |
Dystonia | 54 (1.6) | 54 | 23 (0.7) | 24 | 2 (0.1) | 2 |
Parkinsonism | 43 (1.3) | 44 | 22 (0.7) | 22 | 1 (0.0) | 1 |
Investigations | 74 (2.2) | 85 | 23 (0.7) | 25 | 3 (0.1) | 3 |
Elevated transaminase level | 6 (0.2) | 6 | 0 (0) | 0 | 0 (0) | 0 |
Weight gain | 34 (1.0) | 34 | 5 (0.2) | 5 | 0 (0) | 0 |
Increased blood prolactin | 20 (0.6) | 20 | 12 (0.4) | 12 | 1 (0.0) | 1 |
Increased blood glucose | 2 (0.1) | 2 | 1 (0.0) | 1 | 1 (0.0) | 1 |
Decreased white blood cell count | 2 (0.1) | 2 | 1 (0.0) | 1 | 0 (0) | 0 |
Prolonged electrocardiogram QT | 2 (0.1) | 2 | 0 (0) | 0 | 1 (0.0) | 1 |
Gastrointestinal disorders | 48 (1.5) | 50 | 11 (0.3) | 11 | 0 (0) | 0 |
Eye disorders | 8 (0.2) | 10 | 1 (0.0) | 1 | 0 (0) | 0 |
Psychiatric disorders | 16 (0.5) | 18 | 4 (0.1) | 5 | 0 (0) | 0 |
Kidney and urinary disorders | 2 (0.1) | 2 | 4 (0.1) | 4 | 1 (0.0) | 1 |
Table 4 Multivariate analysis of the influencing factors of brief psychiatric rating scale score reduction in general population
Characteristic | β | 95%CI | P value |
Current episode duration (month) | -0.03 | -0.05 to -0.01 | < 0.001 |
Whether in acute phase | |||
No | 0.00 | N/A | N/A |
Yes | 5.42 | 4.0 to 6.9 | < 0.001 |
Previous episodes | -0.22 | -0.41 to -0.03 | 0.024 |
Baseline BPRS score | 0.51 | 0.47 to 0.56 | < 0.001 |
Mean daily dose of concomitant anti-psychiatrics1 | -0.01 | -0.01 to 0.00 | < 0.001 |
Number of types of sedative-hypnotic agents | -1.22 | -2.00 to -0.44 | 0.002 |
Table 5 Multivariate analysis of the influencing factors of brief psychiatric rating scale: Score reduction in non-acute phase patients with prominent negative symptoms at baseline
Characteristic | β | 95%CI | P value |
Baseline blunted affect score | N/A | N/A | 0.061 |
≤ 3 | 0.00 | N/A | N/A |
≥ 4 | 2.45 | -0.12 to 5.01 | N/A |
Disease duration (months) | -0.02 | -0.04 to 0.01 | 0.217 |
Previous onset | -0.38 | -0.63 to -0.13 | 0.003 |
Mean daily dose of concomitant anti-psychiatrics1 | -0.01 | -0.01 to 0.00 | 0.011 |
Baseline BPRS score | 0.34 | 0.27 to 0.41 | < 0.001 |
Number of types of sedative-hypnotic agents | -2.53 | -4.17 to -0.90 | 0.003 |
- Citation: Xu BY, Jin K, Wu HS, Liu XJ, Wang XJ, Sang H, Li KQ, Sun MJ, Meng HQ, Deng HL, Xun ZY, Yang XD, Zhang L, Li GJ, Zhang RL, Cai DF, Liu JH, Zhao GJ, Liu LF, Wang G, Zhao CL, Guo B, Jin SC, Huang LY, Yang FD, Zheng JM, Zhan GL, Fang MS, Meng XJ, Zhang GY, Li HM, Liu XL, Li JH, Wu B, Li HY, Chen JD. Who can benefit more from its twelve-week treatment: A prospective cohort study of blonanserin for patients with schizophrenia. World J Psychiatry 2024; 14(11): 1735-1745
- URL: https://www.wjgnet.com/2220-3206/full/v14/i11/1735.htm
- DOI: https://dx.doi.org/10.5498/wjp.v14.i11.1735