Table 4.
Double-Blind Controlled Trials Investigating Antipsychotic Effects on PS in Schizophrenia
| Study | Diagnosis | Subjects | Mean Age (y) | Sample Size | Trial Duration (wk) | Medication Groups + Mean Dose Ranges | Psychomotor Measures | Main Findings | 
| Kern et al102 | Schizophrenia | Treatment resistant | 40 | 56 | 8 | Risperidone (6–7 mg/d) and haloperidol (15–19 mg/d) | Pin test and pursuit rotor | Patients on risperidone performed significantly better on pin test. No significances on pursuit-rotor task. | 
| Purdon et al108 | Schizophrenia | Within 5 y of first neuroleptic exposure | 29 | 65 | 52 | Olanzapine (5–20 mg), haloperidol (5–20 mg), and risperidone (4–10 mg) | Grooved Pegboard and FTT | Within group: improvement with olanzapine on pegboard. Between group: olanzapine > haloperidol on both tasks, olanzapine > risperidone on pegboard. | 
| Purdon et al132 | Schizophrenia | Chronic patients | 34 | 25 | 26 | Quetiapine (468.2 mg/d) and haloperidol (15.5 mg/d) | FTT and Grooved Pegboard | Only 11 patients completed the full study. No significant differences between and within groups on any of the psychomotor measures. | 
| Bilder et al30 | Schizophrenia and schizoaffective disorder | Treatment resistant | 41 | 101 | 14 | Clozapine (452 mg/d), haloperidol (19.6 mg/d), olanzapine (20.2 mg/d), and risperidone (8.3 mg/d) | FTT | Significant improvement over time for clozapine for fine motor functioning factor. No group × time interactions. | 
| Green et al133 | Schizophrenia and schizoaffective disorder | Stable outpatients | 43 | 62 | 104 | Risperidone (6.1–5.7 mg/d) and haloperidol (5.2–4.5 mg/d) | Pin test | Pin test was part of memory and fluency factor in analysis. No between-group differences in any of the cognitive cluster scores. | 
| Keefe et al134,135 | Schizophrenia, schizoaffective disorder, and schizophreniform disorder | First-episode patients | 24 | 167 | 52 | Olanzapine (9.6–11.3 mg/d) and haloperidol (4.6–4.8 mg/d) | FTT | No improvement in either medication group after 12 or 52 wk. | 
| Keefe et al136 | Schizophrenia and schizoaffective disorder | Chronic in- and outpatients | 39 | 414 | 52 | Olanzapine (n = 159), risperidone (n = 158), and haloperidol (n = 97) | Grooved Pegboard | Significant improvement in the risperidone and olanzapine groups but not in the haloperidol group at 52 wk. | 
Note: FTT = finger-tapping test and PS = psychomotor slowing.