In order to examine the effects of risperidone on cognitive impairment in schizophrenia,
event-related potentials (ERPs) were recorded before and after switching from conventional
neuroleptics to risperidone in schizophrenic patients. ERPs were recorded during two
auditory discrimination tasks (an oddball task and a distraction task) in 10 medicated
schizophrenic patients during conventional neuroleptic and risperidone treatments.
The amplitudes and latencies of N 100 and P 300 component were measured in ERPs for
target stimuli in the oddball task and in ERPs for target and novel stimuli in the
distraction task. Although N 100 amplitude and latency and P 300 amplitude did not
change significantly after switching the drug compared to that during conventional
neuroleptic treatment, P 300 latency for target stimuli shortened significantly during
risperidone treatment in both tasks, accompanied by the shortening of the reaction
time in the distraction task. The P 300 latency change did not correlate with the
change of the severity of psychopathology. These findings suggest that risperidone
may speed the information processing in schizophrenic patients, contributing to the
improvement of cognitive functions.
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Dr. Akira Iwanami
Department of Neuropsychiatry
Faculty of Medicine, University of Tokyo
7-3-1 Hongo
Bunkyoku, Tokyo 113-8655
Japan
Phone: +81-3-3815-5411
Fax: +81-3-5800-6894
Email: iwanami-tky@umin.ac.jp)