Skip to main content
Log in

Somatosensory evoked potential changes during thiothixene treatment in schizophrenic patients

  • Original Investigations
  • Human Pharmacology
  • Published:
Psychopharmacologia Aims and scope Submit manuscript

Abstract

The effect of thiothixene, a thioxanthene derivate, on the somatosensory evoked response was studied in a group of 9 chronic schizophrenic patients. It was found that the drug induces significant changes in the latency and amplitude of the SEP, predominantly in the later peaks. The latency of several peaks increased markedly in the first three weeks of treatment (during the low dosage period), whereas a further latency increase in the high dosage treatment period was only slight. After the discontinuation of drug administration a decrease in latency was observed. The amplitude revealed itself to be a sensitive indicator of the drug effect on the central nervous system, as the decrease in amplitude which occurred during the low dosage drug period ceased during high dosage treatment, indicating an adaptation effect on the patient population. In the post-treatment placebo period the amplitude increased, suggesting a rebound phenomenon. Schizophrenics who exhibited a marked latency increase in evoked response with thiothixene treatment, also experienced an improvement in psychopathology, whereas patients showing only a small latency increase, or even a decrease, revealed themselves as psychopathologically therapy resistant. It was found that thiothixene also produced significant EEG changes, determined by analog power spectrum and period analysis. During the drug treatment periods an increase in theta and alpha activity and a decrease in beta activity was observed. As in the SEP, eight weeks after discontinuation of the drug a rebound phenomenon was seen.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Bickford, R. G.: Physiology and drug action: an electroencephalographic analysis. Fed. Proc. 19, 619–625 (1960).

    Google Scholar 

  • Borenstein, P., Cujo, Ph., Chiva, M.: A propos de la classification des substances psychotropes selon leurs effets sur l'electroencephalogramme. Ann. méd. psychol. 2, 429–452 (1965).

    Google Scholar 

  • Burch, N. R., Nettleton, W. H., Sweeney, J., Edwards, R. J.: Period analysis of the electroencephalogram on a general purpose digital computer. Ann. N.Y. Acad. Sci. 155, 827–943 (1964).

    Google Scholar 

  • Callaway, E., Jones, R. T., Layne, R. S.: Evoked responses and segmental set of schizophrenia. Arch. gen. Psychiat. 12, 83–89 (1965).

    PubMed  Google Scholar 

  • Ciganek, L.: The effect of Largactil on the electroencephalographic response evoked potential to light stimulus in man. Electroenceph. clin. Neurophysiol. 11, 65–71 (1959).

    Article  Google Scholar 

  • Corssen, G., Domino, E. F.: Visually evoked responses in man: A method for measuring cerebral effects of preanesthetic medication. Anesthesiology 25, 330–341 (1964).

    PubMed  Google Scholar 

  • Dawson, G. D.: Cerebral responses to electrical stimulation of peripheral nerve in man. J. Neurol. Neurosurg. Psychiat. 10, 134–140 (1947).

    Google Scholar 

  • Fink, M.: Quantitative electroencephalography in human psychopharmacology. Drug patterns. In G. Glaser (Ed.): EEG and Behavior, pp. 177–197. New York: Basic Books 1963.

    Google Scholar 

  • Goff, W. R., Rosner, B. S., Allison, T.: Distribution of cerebral somatosensory evoked responses in normal man. Electroenceph. clin. Neurophysiol. 14, 697–713 (1962).

    Article  Google Scholar 

  • Heninger, G., Speck, L. B.: Visual evoked responses and mental status of schizophrenics. Arch. gen. Psychiat. 15, 419–426 (1966).

    PubMed  Google Scholar 

  • Itil, T. M.: Elektroencephalographische Befunde zur Klassifikation neuro- und thymoleptischer Medikamente. Med. exp. (Basel) 5, 347–363 (1961).

    Google Scholar 

  • —: Electroencephalography and pharmacopsychiatry. In F. A. Freyhan, N. Petrilowitsch and P. Pichot (Eds.): Clinical Psychopharmacology, Modern Problems of Pharmacopsychiatry, Vol. I. Basel-New York: S. Karger 1968.

    Google Scholar 

  • Jones, R. T., Blacker, K. H., Callaway, E., Layne, R. S.: The auditory evoked response as a diagnostic and prognostic measure in schizophrenia. Amer. J. Psychiat. 122, 33–41 (1965).

    Google Scholar 

  • Köknel, Ö.: Clinical trials with thiothixene. Dis. nerv. Syst. 29, 754–759 (1969).

    Google Scholar 

  • Levonian, E.: Evoked potential in relation to subsequent alpha frequency. Science 152, 1280–1282 (1966).

    Google Scholar 

  • Loeffel, R. G., Ulett, G. A.: A new resonator-integrator unit for the automatic brain wave analyzer. Electroenceph. clin. Neurophysiol. 5, 113–115 (1953).

    Article  Google Scholar 

  • Overall, J. E., Hollister, L. E., Shelton, J., Kimball, I., Pennington, V.: Broad spectrum screening of psychotherapeutic drugs. Thiothixene as an antipsychotic and antidepressant. Clin. Pharmacol. Ther. 10, 36–43 (1969).

    PubMed  Google Scholar 

  • Rodin, E. A., Grisell, J. L., Gudobba, R. D., Zachary, G.: Relationship of EEG background rhythms to photic evoked response. Electroenceph. clin. Neurophysiol. 19, 301–304 (1965).

    Article  PubMed  Google Scholar 

  • Shagass, C.: Pharmacology of evoked potentials in man. In: D. H. Efron, J. O. Cole, J. Levine, and R. O. Wittenborn (Eds.): Psychopharmacology: A review of progress 1957–1967. Washington: U.S. Govt. Printing Office 1968a.

    Google Scholar 

  • —: Averaged somatosensory evoked responses in various psychiatric disorders. In: J. Wortis (Ed.): Recent Advances in Biological Psychiatry, Vol. X. New York: Plenum Press 1968b.

    Google Scholar 

  • —, Schwartz, M.: Visual cerebral evoked response characteristics in a psychiatric population. Amer. J. Psychiat. 112, 979–987 (1965).

    Google Scholar 

  • — —, Amadeo, M.: Some drug effects on evoked cerebral potentials in man. J. Neuropsychiat. 3, 49–58 (1962).

    Google Scholar 

  • Shapiro, D. M., Fink, M.: Quantitative analysis of the electroencephalogram by digital computer methods. Psychiatric Research Foundation of Missouri, Publication No. 1, St. Louis 1966.

Download references

Author information

Authors and Affiliations

Authors

Additional information

Supported by the Psychiatric Research Foundation of Missouri.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Saletu, B., Saletu, M., Itil, T. et al. Somatosensory evoked potential changes during thiothixene treatment in schizophrenic patients. Psychopharmacologia 20, 242–252 (1971). https://doi.org/10.1007/BF00402100

Download citation

  • Received:

  • Revised:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00402100

Key-Words

Navigation