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Clinical Profile of an Atypical Antipsychotic: Risperidone
John A. Davis and Nancy Chen

Schematic for the haloperidol-responsive, haloperidol-nonresponsive,
serotonin-sensitive, and dopamine-sensitive scales

Scale
Criteria
Haloperidol-responsive Haloperidol better than Placebo, p < 0.05
Haloperidol-nonresponsive All others
Dopamine-sensitive* Haloperidol better than Placebo, p < 0.01
Serotonin-sensitive* Risperidone 6-16 mg better than Haloperidol, p< 0.01

* On PANSS item 7 (hostility) the haloperidol-placebo and risperidone-haloperidol differences were both statistically significant. We therefore calculated the respective size effects of the difference: mean improvement on haloperidol (or risperidone) minus mean improvement on placebo (or haloperidol) over the pooled standard deviation. In both the dopamine-sensitive and the serotonin-sensitive scales, the effect sizes were approximately equal (0.5). We therefore weighted the item 7 score by a size effect of 0.5 for both scales.

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