Previous research has suggested that high doses of conventional neuroleptics may induce neurocognitive deficits when assessed with standard tasks. However, little is known about the effects of high doses of neuroleptics (conventional or atypical) on subjective cognitive dysfunction. Recent research stresses the putative importance of self-reported cognitive deficits for both symptomatic outcome and medication compliance. The aim of the present study was to investigate the impact of neuroleptic medication on subjective cognition in patients treated with either conventional or atypical agents (clozapine, risperidone, olanzapine). Patients were asked to endorse the items of a questionnaire entitled 'Subjective Well-Being under Neuroleptic Treatment' prior to discharge. Subjective impairment, as assessed with the subscale 'mental functioning', was significantly correlated with greater conventional neuroleptic dosage after controlling for psychopathology (P < 0.05). The difference between patients medicated with higher doses of conventional neuroleptics and those with lower doses was highly significant (P < 0.001). In contrast, higher atypical neuroleptic doses were not associated with impairment.
aUniversity of British Columbia, Department of Psychology, Vancouver, BC, Canada, bUniversity Hospital Hamburg-Eppendorf, Hospital for Psychiatry and Psychotherapy, Hamburg, Germany and cDepartment of Medicine and Research, Riverview Hospital, Port Coquitlam, BC, Canada
Correspondence to Steffen Moritz, University of British Columbia, Department of Psychology, West Mall 2136, V6T 1Z4 Vancouver, BC, Canada Tel: +604 822 2755; fax: +604 822 6923; e-mail: firstname.lastname@example.org
Received 21 August 2001; accepted 13 November 2001