Effectiveness of antipsychotic treatment for schizophrenia: 6-month results of the Pan-European Schizophrenia Outpatient Health Outcomes (SOHO) study

Acta Psychiatr Scand. 2005 Mar;111(3):220-31. doi: 10.1111/j.1600-0447.2004.00450.x.

Abstract

Objective: To present the 6-month outcomes associated with antipsychotic treatment of patients participating in the Schizophrenia Outpatient Health Outcomes (SOHO) study.

Method: SOHO is a 3-year, prospective, observational study of the health outcomes associated with antipsychotic treatment in 10 European countries. The study included over 10,000 out-patients who were initiating or changing their antipsychotic medication.

Results: Clinical Global Impression (CGI)-severity and quality of life (QOL) scores improved in all treatment cohorts. There was a higher response in the CGI-overall symptoms and in the CGI-schizophrenia positive, negative, cognitive and depressive symptom scales in the olanzapine (Olz) and clozapine (Cloz) cohorts compared with other treatment cohorts. Changes were associated with an improvement in QOL.

Conclusion: Patients starting Olz and Cloz tend to have better outcomes at 6 months than patients who start other antipsychotics in actual out-patient clinical practice. The results should be interpreted conservatively because of the non-randomized study design.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Ambulatory Care
  • Antipsychotic Agents / therapeutic use*
  • Benzodiazepines / therapeutic use*
  • Clozapine / therapeutic use*
  • Cohort Studies
  • Demography
  • Female
  • Humans
  • Male
  • Observation
  • Olanzapine
  • Outcome Assessment, Health Care*
  • Prospective Studies
  • Psychiatric Status Rating Scales
  • Quality of Life
  • Schizophrenia / diagnosis
  • Schizophrenia / drug therapy*
  • Severity of Illness Index

Substances

  • Antipsychotic Agents
  • Benzodiazepines
  • Clozapine
  • Olanzapine