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Research Article| Volume 32, ISSUE 7, P580-594, October 01, 1992

Predictors of the course of tardive dyskinesia in patients receiving neuroleptics

  • Jenny Bergen
    Correspondence
    Address reprint request to Dr. Jenny Bergen, The Rozelle Hospital, P.O. Box 1, Rozelle New South Wales 2039, Australia.
    Affiliations
    From the Department of Community Medicine, Royal Prince Alfred Hospital, Australia

    Department of Public Health, University of Sydney, Australia
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  • Rowena Kitchin
    Affiliations
    From the Department of Community Medicine, Royal Prince Alfred Hospital, Australia

    Department of Public Health, University of Sydney, Australia
    Search for articles by this author
  • Geoffrey Berry
    Affiliations
    From the Department of Community Medicine, Royal Prince Alfred Hospital, Australia

    Department of Public Health, University of Sydney, Australia
    Search for articles by this author
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      Abstract

      As many patients still require maintenance neuroleptic medication, it is important to determine what factors affect the course of tardive dyskinesia (TD) during ongoing neuroleptic treatment. In this study the data are from a series of annual examinations using the Abnormal Involuntary Movement Scale (AIMS) in a cohort of outpatients. Average neuroleptic exposure at the commencement of the examinations was 10 yr. The data on AIMS scores at successive visits are analysed using autoregressive modeling. Two hundred thirty-five patients contributed the 678 pairs of examinations. Separate analyses are reported for orofacial, limb-truncal, and total AIMS scores. Different predictor variables emerged as important for orofacial and limb-truncal dyskinesia. Age, sex, being on anticholinergic medication, and two variables describing duration of neuroleptic exposure contributed to the outcome score for total AIMS score after 1 yr.
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