Abstract

Psychopharmacology 2003 Conference, 10-13 September 2003

Highlights

  • Brain inflammation plays a role in diseases such as depression, Alzheimer's disease (AD) and multiple sclerosis (MS), culminating in lipid peroxidative damage to neuronal membranes

  • An early study on the rapid cycling variant of bipolar disorder conducted by Dunner and colleagues (1974) proposed that rapid cycling was a clinical factor in lithium prophylaxis failure and eventually led to interest in studying anticonvulsants as alternatives to lithium in the treatment of rapid cycling bipolar disorder

  • The incidences of obesity, dyslipidaemia, diabetes mellitus, smoking and death due to cardiovascular disease are all higher in patients with schizophrenia

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Summary

Introduction

Brain inflammation plays a role in diseases such as depression, Alzheimer's disease (AD) and multiple sclerosis (MS), culminating in lipid peroxidative damage to neuronal membranes. Aim: This study describes the establishment and functioning of a FirstEpisode Psychosis Clinic at the Department of Psychiatry, University of Stellenbosch and Stikland Hospital, Cape Town, South Africa and its effect on relapse rates for this group of patients. Methods: A group of 80 (n= 80) adult schizophrenia sib pairs, aged between 20 and 64 years (mean = 44, SD = 1.42), were recruited from in-patient and out-patient hospital services and community clinics throughout the Western and Eastern Cape Provinces, South Africa. Methods: Questionnaires will be completed by the clinician and control group It will comprise of demographic data, a research scale measuring anxiety and depressive symptoms, questions on substance use, healthcare and self-prescribing habits with regard to psycho-active substances. An 8-item scale designed to rate the patient's craving for alcohol Results: No significant differences were found between the placebo and sumatriptan groups and no significant cross over effects were found. Conclusion: The general lack of efficacy of sumatriptan in producing alcohol-like symptoms or a desire to drink alcohol may suggest that the 5HT1D receptor plays little role in the pathophysiology of alcoholism

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