71 (95% confidence interval 0.63-0.8), demonstrating a reasonable discriminatory power. This study is the first to present a model using prediction to estimate the probability of treatment response to antidepressants in OCD patients. Stip et al20 studied 25 schizophrenic patients as they switched from a typical to an atypical, antipsychotic (risperidone, clozapine, or quctiapine) with a computerized Inhibitors,research,lifescience,medical cognitive assessment at baseline and at end point.
The symptomatic response criterion was a 20% reduction in Brief Psychiatric Rating Scale (BPRS) or Positive and Negative Syndrome Scale (PANSS). It was shown that changes in semantic fluency and orthographic fluency predicted response. Biological markers Measures may be relevant at baseline or during the course of treatment. Plasma levels are an example of a biological measure that predicts response. Other biological predictors are obtained from brain imaging techniques. For instance, Hendler et ai found that Inhibitors,research,lifescience,medical brain PET measures of untreated OCD patients during specific symptom provocation could predict response to a 6-month course of treatment by sertraline.21 The relevance of genetic parameters for pharmacodynamics, pharmacokinetics,
Inhibitors,research,lifescience,medical and the genetic prediction of treatment response are detailed in this volume by Ackenheil and Weber,22 Morris-Rosendahl and Fiebich,23 and Hoehe and Kroslak.24 Neuroendocrine Inhibitors,research,lifescience,medical parameters might differentiate clinical subgroups and predict response to treatment. Sorafenib concentration Depressed patients with anger attacks had blunted prolactin response to thyrotropin-releasing hormone (TRH) stimulation compared with those without anger attacks. Treatment with fluoxetine was followed by an overall increase in prolactin Inhibitors,research,lifescience,medical response to TRH among the depressed patients with anger attacks.25 Prolactin response to TRH also tended to predict the degree of response to treatment. A study by Correa et al26 showed that a blunted growth hormone response to clonidine challenge
in depressed patients predicted a better antidepressant response to amitryptiline than fluoxetine. The significance of polysomnographic sleep parameters in depression – in particular REM sleep latency – has been extensively studied.27 P300 event-related potentials have been shown to be useful for the evaluation of cholinesterase inhibitor (ChEI) treatment in demented patients.20 Methisazone Centrally acting ChEIs improve cognitive function in Alzheimer’s disease (AD) and other forms of dementia. Evaluation of treatment efficacy in dementia is based mainly on subjective assessment methods such as standardized neuropsychological tests. An additional objective tool for the evaluation of drug response would be most helpful. In a study by Werber et al,28 32 patients suffering from dementia of several etiologies were treated with ChEIs (tacrine in 19 patients, donepezil in 5 patients, and rivastigmine in 8 patients).