ABSTRACT

The study design and methods have been described previ­ ously.1617 The study began in 1986; this report includes data collected until June 1,1996. All patients were recruited from Hillside Hospital, Glen Oaks, NY; the study was conducted according to guidelines of the Long Island Jewish Medical Center, Glen Oaks, institutional review board. Written in­ formed consent for the study was obtained from patients and, if available, from family members. Inclusion criteria were (1) a Research Diagnostic Criteria,8-defined diagnosis of schizophrenia or schizoaffective disorder based on a Sched­ ule for Affective Disorders and Schizophrenia19 interview, (2) total lifetime exposure to antipsychotic medications of 12 weeks or less, (3) a rating of 4 (moderate) or more on at least 1 psychotic symptom item on the Schedule for Affec­ tive Disorders and Schizophrenia Change Version With Psy­ chosis and Disorganization Items rating scale (SADS-C+PD),20 (4) no medical contraindications to treatment with antipsy­ chotic medications, and (5) no neurologic or endocrine dis­ order or neuromedical illness that could affect diagnosis or the biological variables in the study.