Abstract
Background: Schizophrenia is a chronic mental disorder that affects approximately 1% of the world’s population. Particularly, negative symptoms are frequently resistant and are the main contributors to the disability on schizophrenia patients. Folic acid and vitamin B12 supplementation is the safe and affordable approach, which can significantly improve the outcome on the patients with residual symptoms.
Objectives: We aimed to understand the difference of negative subscale of Positive and Negative Syndrome Scale (PANSS) Score on patients with schizophrenia who receive risperidone with the addition folic acid and Vitamin B12 and patients who receive only risperidone after 6 weeks. Methods: This study is a quasi experimental pre-test and post-test designs that are divided into two groups, they are group receiving risperidone with the addition of folic acid and vitamin B12 and the group receiving only risperidone. Diagnosis of schizophrenia according to the International Classification of Diseases (ICD-10) criteria and negative symptoms assessed by using negative subscale of PANSS Scores are observed. Statistical analysis is conducted using Statistical Package for the Social Sciences (SPSS) software. Results: There was a significant difference in the mean score of negative-scale PANSS scores at the end of week 6 between the group receiving folic acid and vitamin B12 supplementation and the group receiving only risperidone with p = 0.002; p <0.05. Conclusion: Folic acid and vitamin B12 Supplementation provide benefits to patients schizophrenia.Keywords: Folic acid, homocysteine, negative symptom, risperidone, schizophrenia, vitamin B12.
Graphical Abstract
[http://dx.doi.org/10.1007/s40263-014-0172-4] [PMID: 24846474]
[http://dx.doi.org/10.9740/mhc.n99731]
[http://dx.doi.org/10.1093/schbul/sbq104] [PMID: 20861151]
[http://dx.doi.org/10.1093/schbul/sbu170] [PMID: 25528757]
[http://dx.doi.org/10.1159/000325912] [PMID: 21847001]
[http://dx.doi.org/10.3371/CSRP.5.4.5] [PMID: 22182458]
[http://dx.doi.org/10.3389/fnbeh.2014.00343] [PMID: 25339876]
[http://dx.doi.org/10.9734/BJMMR/2014/10473]
[http://dx.doi.org/10.1016/j.psychres.2015.11.045] [PMID: 26652840]
[http://dx.doi.org/10.1007/s11064-012-0707-3] [PMID: 2270909]
[http://dx.doi.org/10.1016/j.pnpbp.2007.05.011] [PMID: 17597277]
[http://dx.doi.org/10.1016/j.schres.2010.12.006]
[PMID: 22247731]
[http://dx.doi.org/10.1001/jamapsychiatry.2013.900] [PMID: 23467813]
[http://dx.doi.org/10.5498/wjp.v5.i4.352] [PMID: 26740926]
[http://dx.doi.org/10.3389/fpsyt.2014.00047] [PMID: 24904434]
[http://dx.doi.org/10.1016/j.pharmthera.2015.06.008] [PMID: 26116809]
[http://dx.doi.org/10.1016/j.schres.2016.05.014] [PMID: 27242069]
[http://dx.doi.org/10.1007/s40501-016-0075-8] [PMID: 27376016]
[http://dx.doi.org/10.17532/jhsci.2013.78]
[http://dx.doi.org/10.4306/pi.2011.8.2.134] [PMID: 21852990]
[http://dx.doi.org/10.1007/s00228-014-1762-2] [PMID: 25291992]
[http://dx.doi.org/10.2165/00003088-200948030-00001] [PMID: 19385708]
[PMID: 23440536]
[http://dx.doi.org/10.1016/j.eplepsyres.2012.07.003] [PMID: 22824326]
[http://dx.doi.org/10.4172/2329-6488.1000263]
[http://dx.doi.org/10.1093/jn/138.8.1456] [PMID: 18641191]
[http://dx.doi.org/10.1176/appi.ajp.161.9.1705] [PMID: 15337665]
[http://dx.doi.org/10.1016/j.biopsych.2005.10.009] [PMID: 16412989]
[http://dx.doi.org/10.1016/j.mrfmmm.2011.11.003] [PMID: 22093367]
[http://dx.doi.org/10.1016/j.psychres.2016.03.003] [PMID: 27521746]
[http://dx.doi.org/10.1093/schbul/sbt154] [PMID: 24535549]
[http://dx.doi.org/10.4161/epi.24621] [PMID: 23774737]
[http://dx.doi.org/10.1016/j.ymgme.2014.10.002] [PMID: 25456743]