Effect of hormone replacement therapy on cognitive function in women with chronic schizophrenia

Young Hoon Ko, Sook Haeng Joe, Woong Cho, Jeong Hyun Park, Jung Jae Lee, In Kwa Jung, Leen Kim, Seung Hyun Kim

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Objective. The purpose of this investigation was to assess the cognitive effects of adjuvant hormone replacement therapy (HRT) when used to treat premenopausal women with chronic schizophrenia using an 8-week, double-blind, placebo-controlled, randomized trial. Method. Women of childbearing age with chronic schizophrenia were recruited and randomized into placebo and HRT groups, the latter of which was administered 0.625 mg of conjugated oestrogen with 2.5 mg of medroxyprogesterone acetate daily. Each group contained 14 subjects. The principal outcome measure was a cognitive function assessment comprised of the following; the Immediate Visual Recognition Scale, List Recall Scale, Oral Fluency Test, Trail-Making Tests A and B, and Digit Symbol Test. Psychopathology was measured using the Scale for the Assessment of Negative Symptoms (SANS) and the Calgary Depression Scale for Schizophrenia. Extrapyramidal symptoms were evaluated using the Drug-Induced Extra-Pyramidal Symptoms Scale. Results. Improvements in SANS and in cognitive function as assessed using the List Recall Scale, Oral Fluency Test, and Trail-Making Test A, were significantly greater in the HRT group than in the placebo group. Conclusion. The results of this study suggest that short-term HRT is an effective adjuvant modality for improving cognitive function in women of childbearing age with chronic schizophrenia.

Original languageEnglish
Pages (from-to)97-104
Number of pages8
JournalInternational Journal of Psychiatry in Clinical Practice
Volume10
Issue number2
DOIs
Publication statusPublished - 2006 Jun 1

Keywords

  • Cognitive function
  • Negative symptoms
  • Oestrogen
  • Schizophrenia
  • Women

ASJC Scopus subject areas

  • Psychiatry and Mental health

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