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Focus

  • Volume 18
  • Number 4
  • October 2020

From the Guest Editor

Clinical Synthesis

Publication date: 01 October 2020

Pages364–367

Although, gratifyingly, research on the treatment of schizophrenia has increasingly focused on first-episode and prodromal patient populations, it is still recognized that many patients with more chronic illnesses exhibit a suboptimal response to ...

https://doi.org/10.1176/appi.focus.20200025

Publication date: 01 October 2020

Pages368–374

The brain is no doubt the “organ” of psychiatry; yet, over the years, few evidence-based classifications of psychiatric disorders have been based on brain mechanisms. The National Institute of Mental Health notably proposed one such system, known as ...

https://doi.org/10.1176/appi.focus.20200022

Publication date: 01 October 2020

Pages375–385

Physicians who treat patients with schizophrenia frequently encounter complex clinical situations not fully addressed by published treatment guidelines. Some of these situations lead to antipsychotic polypharmacy, often prescribed when clinical and social ...

https://doi.org/10.1176/appi.focus.20190047

Publication date: 01 October 2020

Pages386–390

Schizophrenia is a complex psychiatric disorder that affects cognitive, perceptual, and emotional functioning. The currently available evidence suggests heterogenous intertwining of biological and psychosocial etio-pathogeneses. Clinical and research ...

https://doi.org/10.1176/appi.focus.20200026

Publication date: 01 October 2020

Pages391–401

The investigation of immune system abnormalities in schizophrenia, although ongoing for decades, has become a popular area of research. The authors present a selected review of studies informing on schizophrenia as a potential inflammatory disorder, ...

https://doi.org/10.1176/appi.focus.20200015

Improvement in Medical Practice

Publication date: 01 October 2020

Pages402–423

Schizophrenia is associated with significant health, social, occupational, and economic burdens, including increased mortality. Despite extensive and robust research on the treatment of individuals with schizophrenia, many individuals with the illness do ...

https://doi.org/10.1176/appi.focus.20200034

Communication Commentary

Ethics Commentary

21st-Century Psychiatrist

Publication date: 01 October 2020

Pages432–435

More than 11 million adults in the United States have a serious mental illness. Outcomes for these illnesses are good when appropriate treatments are received; however, rates of delivery and utilization of evidence-based care for this population are ...

https://doi.org/10.1176/appi.focus.20200023

Ask the Expert

Bibliography

Influential Publications

Publication date: 01 October 2020

Pages443–455

Background: Schizophrenia is one of the most common, burdensome, and costly psychiatric disorders in adults worldwide. Antipsychotic drugs are its treatment of choice, but there is controversy about which agent should be used. We aimed to compare and rank ...

https://doi.org/10.1176/appi.focus.18306

Publication date: 01 October 2020

Pages456–465

Treatment-resistant schizophrenia (TRS), the persistence of positive symptoms despite ≥2 trials of adequate dose and duration of antipsychotic medication with documented adherence, is a serious clinical problem with heterogeneous presentations. TRS can ...

https://doi.org/10.1176/appi.focus.18309

Publication date: 01 October 2020

Pages482–492

Background: There is conflicting evidence on the association between antipsychotic polypharmacy and metabolic syndrome in schizophrenia. We conducted a review of published systematic reviews to evaluate evidence on the association between metabolic ...

https://doi.org/10.1176/appi.focus.18307

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