Page last updated: 2024-11-03

risperidone and Combat Disorders

risperidone has been researched along with Combat Disorders in 8 studies

Risperidone: A selective blocker of DOPAMINE D2 RECEPTORS and SEROTONIN 5-HT2 RECEPTORS that acts as an atypical antipsychotic agent. It has been shown to improve both positive and negative symptoms in the treatment of SCHIZOPHRENIA.
risperidone : A member of the class of pyridopyrimidines that is 2-methyl-6,7,8,9-tetrahydropyrido[1,2-a]pyrimidin-4-one carrying an additional 2-[4-(6-fluoro-1,2-benzoxazol-3-yl)piperidin-1-yl]ethyl group at position 2.

Combat Disorders: Neurotic reactions to unusual, severe, or overwhelming military stress.

Research Excerpts

ExcerptRelevanceReference
"DSM-IV PTSD diagnoses were made by using the Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Nonpatient Edition."2.82Sleep disturbance in chronic military-related PTSD: clinical impact and response to adjunctive risperidone in the Veterans Affairs cooperative study #504. ( Collins, J; Cramer, JA; Huang, GD; Jones, KM; Krystal, AD; Krystal, JH; Pietrzak, RH; Rosenheck, RA; Vertrees, JE; Vessicchio, J, 2016)
"T-tests showed that the PTSD sample had more severe symptoms on the Depressive factor, and the schizophrenia sample on the Positive, Negative, and Disorganized factors, with no significant difference on the Excited factor."2.79Symptom structure and severity: a comparison of responses to the positive and negative syndrome scale (PANSS) between patients with PTSD or schizophrenia. ( Krystal, JH; Rosenheck, RA; Stefanovics, EA, 2014)
"Treatment with risperidone for either 3 or 6 weeks in an open trial significantly reduced total and subscales scores on the PANSS and on the PTSD-I and CGI-S when compared to baseline scores in patients with psychotic PTSD."2.71Risperidone in psychotic combat-related posttraumatic stress disorder: an open trial. ( Kozarić-Kovacić, D; Mück-Seler, D; Pivac, N; Rothbaum, BO, 2005)

Research

Studies (8)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's1 (12.50)18.2507
2000's3 (37.50)29.6817
2010's4 (50.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Stefanovics, EA1
Krystal, JH2
Rosenheck, RA2
Pietrzak, RH1
Cramer, JA1
Vessicchio, J1
Jones, KM1
Huang, GD1
Vertrees, JE1
Collins, J1
Krystal, AD1
Khachiyants, N2
Ali, R2
Kovesdy, CP1
Detweiler, JG2
Kim, KY2
Detweiler, MB2
David, D2
De Faria, L2
Lapeyra, O1
Mellman, TA2
Kozarić-Kovacić, D1
Pivac, N1
Mück-Seler, D1
Rothbaum, BO1
Monnelly, EP1
Ciraulo, DA1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
CSP #504 - Risperidone Treatment for Military Service Related Chronic Post-Traumatic Stress Disorder[NCT00099983]Phase 2296 participants (Actual)Interventional2006-10-31Completed
Characterization of the Use of Antipsychotics in PTSD During the Past Seven Years[NCT00230893]99 participants Observational2005-07-31Completed
Characterization of the Use of Antipsychotics in Posttraumatic Stress Disorder During the Past Decade[NCT00233467]0 participants (Actual)Observational2005-09-01Withdrawn (stopped due to Funding expired; no subjects enrolled as this was a retrospective chart review)
A Double-Blind, Placebo-Controlled Random Order Crossover Study of Iloperidone for Symptoms of Arousal in PTSD Including Insomnia and Irritability.[NCT01917318]Phase 21 participants (Actual)Interventional2013-07-31Terminated (stopped due to Enrollment challenges - Single participant discontinued after placebo, no relevant outcome measure data was recorded.)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in CAPS Score From Baseline to Week 24

The primary outcome measure for this study was the total score on the 34-item Clinician-Administered PTSD Scale (CAPS). This study was the intent-to-treat analysis of the improvement in PTSD symptoms from baseline to week-24 follow-up as measured by the CAPS. Total score range for the CAPS is 0-136 with higher values representing a worse outcome. This study was powered initially to detect a 9-point difference between the treatment groups in the CAPS change score. (NCT00099983)
Timeframe: 24 Weeks

Interventionunits on a scale (Least Squares Mean)
Risperidone-16.3
Sugar Pill-12.5

Intensity of Suicidal Ideation

"Intensity of Suicidal Ideation was monitored over the course of the trial by the second section of the Columbia Suicide Severity Rating Scale (CSSRS). This section is only administered if the patient answers yes to the first section. The section consists of 5 questions that refer to the most severe level of ideation endorsed in the first section of the CSSRS. The total score ranges from 2 to 25, with a higher number indicating more intense ideation and greater risk.~Only lifetime intensity of suicidal ideation was explored as the patient had no suicidal ideation from the month prior to beginning the study to the completion of the study" (NCT01917318)
Timeframe: Baseline

Interventionscore on a scale (Number)
Placebo / Iloperidone16

Aggression

Aggression was measured by the Modified Overt Aggression Scale (MOAS).This assessment measures four types of aggressive behavior (verbal, aggression against property, autoaggression, and physical aggression) . Total scores on the MOAS range from 0-40, with a higher score indicating more aggressive behavior. (NCT01917318)
Timeframe: Randomization and 8 weeks of treatment, during both treatment periods

Interventionunits on a scale (Number)
MOAS at randomization 1MOAS after 8 weeks with placeboMOAS at randomization 2MOAS after 2 weeks with iloperidone treatment
Placebo / Iloperidone1000

Change in Clinician Administered PTSD Scale (CAPS) Part B and D

"The Clinician-Administered PTSD Scale (CAPS) is a structured interview used to diagnose and assess PTSD. Part B of CAPS evaluates symptoms of re-experiencing. Part D evaluates avoidance and numbing.~CAPS-B scores range from 0 to 40 where higher scores indicate more symptoms. A score 0 means no re-experiencing symptoms.~CAPS-D scores range form 0 to 56 and higher scores indicate more symptoms. A score 0 means no avoidance or numbing symptoms.~The primary endpoint was changes in CAPS part B and D after 8 weeks of treatment." (NCT01917318)
Timeframe: Randomization and at the end of each treatment period. Placebo treatment lasted 8 weeks. Iloperidone treatment lasted 2 weeks.

Interventionunits on a scale (Number)
CAPS part B at randomization 1CAPS part B after 8 weeks with placeboCAPS part B at randomization 2CAPS part B after 2 weeks with iloperidoneCAPS part D at randomization 1CAPS part D after 8 weeks with placeboCAPS part D at randomization 2CAPS part D after 2 weeks with iloperidone
Placebo / Iloperidone204406270

Suicidal Behavior

The presence and severity os suicidal behavior was monitored over the course of the trial by the third section of the Columbia Suicide Severity Rating Scale (CSSRS). This sections consists of questions about 5 suicidal behaviors and non-suicidal self injurious behavior and it can be answered yes or no. The number of participants who experienced suicidal behavior is reported. (NCT01917318)
Timeframe: Total course of the study. CSSRS was administered during each study visit. Suicidal ideation during lifetime and during the month prior to screening were also explored

Interventionparticipants (Number)
Lifetime suicidal behavior1 month prior ro screeningDuring the course of the study
Placebo / Iloperidone000

Suicidal Ideation

The presence of suicidal ideation was monitored over the course of the trial by the first section of the Columbia Suicide Severity Rating Scale (CSSRS). This first section of the scale consists of 5 questions that can be answered yes or no. The number of participants who reported experiencing suicidal ideation is reported. (NCT01917318)
Timeframe: Total course of the study. CSSRS was administered during each study visit. Suicidal ideation during lifetime and during the month prior to screening were also explored

Interventionparticipants (Number)
Lifetime suicidal ideation1 month prior to screeningSuicidal ideation during the study
Placebo / Iloperidone100

Trials

4 trials available for risperidone and Combat Disorders

ArticleYear
Symptom structure and severity: a comparison of responses to the positive and negative syndrome scale (PANSS) between patients with PTSD or schizophrenia.
    Comprehensive psychiatry, 2014, Volume: 55, Issue:4

    Topics: Adult; Aged; Aged, 80 and over; Antipsychotic Agents; Chronic Disease; Combat Disorders; Diagnosis,

2014
Sleep disturbance in chronic military-related PTSD: clinical impact and response to adjunctive risperidone in the Veterans Affairs cooperative study #504.
    The Journal of clinical psychiatry, 2016, Volume: 77, Issue:4

    Topics: Adult; Aged; Combat Disorders; Double-Blind Method; Female; Humans; Interview, Psychological; Male;

2016
Adjunctive risperidone treatment in combat veterans with chronic PTSD.
    Journal of clinical psychopharmacology, 2004, Volume: 24, Issue:5

    Topics: Antipsychotic Agents; Chronic Disease; Combat Disorders; Drug Therapy, Combination; Humans; Male; Mi

2004
Risperidone in psychotic combat-related posttraumatic stress disorder: an open trial.
    The Journal of clinical psychiatry, 2005, Volume: 66, Issue:7

    Topics: Adult; Akathisia, Drug-Induced; Antipsychotic Agents; Basal Ganglia Diseases; Combat Disorders; Croa

2005
Risperidone in psychotic combat-related posttraumatic stress disorder: an open trial.
    The Journal of clinical psychiatry, 2005, Volume: 66, Issue:7

    Topics: Adult; Akathisia, Drug-Induced; Antipsychotic Agents; Basal Ganglia Diseases; Combat Disorders; Croa

2005
Risperidone in psychotic combat-related posttraumatic stress disorder: an open trial.
    The Journal of clinical psychiatry, 2005, Volume: 66, Issue:7

    Topics: Adult; Akathisia, Drug-Induced; Antipsychotic Agents; Basal Ganglia Diseases; Combat Disorders; Croa

2005
Risperidone in psychotic combat-related posttraumatic stress disorder: an open trial.
    The Journal of clinical psychiatry, 2005, Volume: 66, Issue:7

    Topics: Adult; Akathisia, Drug-Induced; Antipsychotic Agents; Basal Ganglia Diseases; Combat Disorders; Croa

2005

Other Studies

4 other studies available for risperidone and Combat Disorders

ArticleYear
Effectiveness of risperidone for the treatment of nightmares in veterans with posttraumatic stress disorder.
    Journal of clinical psychopharmacology, 2010, Volume: 30, Issue:6

    Topics: Adult; Aged; Aged, 80 and over; Antipsychotic Agents; Combat Disorders; Dreams; Female; Humans; Male

2010
Risperidone for post-traumatic combat nightmares: a report of four cases.
    The Consultant pharmacist : the journal of the American Society of Consultant Pharmacists, 2011, Volume: 26, Issue:12

    Topics: Adult; Aged; Antipsychotic Agents; Combat Disorders; Dreams; Humans; Male; Middle Aged; Risperidone;

2011
Adjunctive risperidone treatment and sleep symptoms in combat veterans with chronic PTSD.
    Depression and anxiety, 2006, Volume: 23, Issue:8

    Topics: Aged; Antipsychotic Agents; Chronic Disease; Combat Disorders; Drug Therapy, Combination; Dyssomnias

2006
Risperidone effects on irritable aggression in posttraumatic stress disorder.
    Journal of clinical psychopharmacology, 1999, Volume: 19, Issue:4

    Topics: Aggression; Anger; Antipsychotic Agents; Combat Disorders; Dose-Response Relationship, Drug; Humans;

1999