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Aspirin Inclusion in Antipsychotic Treatment on Severity of Symptoms in Schizophrenia: A Randimized Clinical Trial Publisher



Attari A1 ; Mojdeh A2 ; Soltani FASK3 ; Najarzadegan MR4
Authors
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Authors Affiliations
  1. 1. Behavioral Sciences Research Center, Department of Psychiatry, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Psychiatry, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Behavioral Sciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  4. 4. Department of Psychiatry, Iran University of Medical Sciences, Tehran, Iran

Source: Iranian Journal of Psychiatry and Behavioral Sciences Published:2017


Abstract

Background: Previous studies have suggested inflammation as the pathogenesis of schizophrenia. Objectives: In this study, we evaluated the effect of adding aspirin to antipsychotic treatment on severity of symptoms in schizophrenia. Materials and Methods: This was a triple-blind, prospective clinical trial study that was conducted at Noor hospital of Isfahan University of Medical Science during year 2015. The patients were randomly, through anumbertable, were divided to three groups of 20 members labeled intervention 1, intervention 2 and control. Patients in each group were initially evaluated through the positive andnegative syndrome scale (PANSS) scale in terms of severity of schizophrenia symptoms. In addition to antipsychotic medication, the intervention 1 group received daily aspirin for six weeks at a dose of 325 mg, while intervention 2, in addition to antipsychotic medication, received daily aspirin with a dose of 500mgfor six weeks. Then PANSS scale was evaluated at the end of the intervention and the results were compared through repeated measure and logistic regression. Results: The results showed that the effect of adding aspirin to antipsychotic treatment was greater regarding the final outcome, positive and negative symptoms and general psychopathology in four weeks after discontinuation of the intervention compared to the other time points (P < 0.001). Conclusions: Regarding the effectiveness of aspirin in reducing the severity of positive, negative and general psychopathology of schizophrenia, results of our study reinforce the role of inflammation in the etiology of schizophrenia. © 2016, Mazandaran University of Medical Sciences.