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. 2018 Mar 16;8(3):47. doi: 10.3390/brainsci8030047

Table 3.

Observational studies and case reports comparing schizophrenic patients with HPPD (SCZ+HPPD) and schizophrenic patients without HPPD (SCZ) (* p > 0.05, ** p < 0.05).

Authors Study Number of Patients Substances Symptoms Description Onset Perceptual Disorders Recurrence of Perceptual Disorders Treatment
Lev-Ran, 2015 [57] Observational, cross-sectional, control study 80 hospitalized SCZ patient with past use of LSD
43 SCZ (DSM-IV-TR)
37 SCZ+HPPD (DSM-IV-TR)
Onset of illness: 22.9 SCZ, 23.4 SCZ+HPPD *
Cannabis: 100% SCZ, 92% SCZ+HPPD *
MDMA: 60% SCZ, 46% SCZ+HPPD *
Opioids: 26% SCZ, 30% SCZ+HPPD 30% *
Cocaine: 16% SCZ, 14% SCZ+HPPD *
LSD initiation use: SCZ 17.9y, SCZ+HPPD 19.3y *
Adversive LSD experience (bad trip): 28% SCZ, 89% SCZ+HPPD **
PANSS: Positive symptoms: SCZ = SCZ+HPPD **
Negative symptoms: SCZ > SCZ+HPPD **
General psychopathology: SCZ > SCZ+HPPD **
Total score: SCZ > SCZ+HPPD **
Treatment ineffective in SCZ+HPPD Antipsychotic medication
Lev-Ran, 2014 [58] Observational 26 patients
14 SCZ (DSM-IV-TR)12 SCZ+HPPD (DSM-IV-TR)
Demographic characteristic did not differ between the two groups
Past use of
:LSD (100%)
cannabis (100%)
MDMA (7%)
No differences between the two groups in age at onset of drug use and in number of incidences of hallucinogen use
67% SCZ+HPPD could distinguish HPPD symptoms from hallucination related to a psychotic state 9 SCZ+HPPD patients recognized precursory cues for perceptual distortion (7 substance-induced, 5 situational, and 2 mental cues) 12 patients experienced perceptual distortion (SCZ+HPPD) Antipsychotic treatment.
No significant differences in response to APS and adverse effects between the two groups
Lauterbach, 2000 [60] Case report 1 psychotic patient No reported substance abuse and hallucinogen exposure
Risperidone
Clonazepam
Trazodone
HPPD-like symptoms: palinopsia, illusions, and visual disturbances After risperidone treatment Weekly recurrence.
Remission in 48 h each time