Review Article

Prolactin and Psychopathology in Schizophrenia: A Literature Review and Reappraisal

Table 2

Studies examining the relationship between symptom profile and prolactin in schizophrenia.

Study and authorsPatient sampleResults

Segal et al., 2007 [12]57 unmedicated male patients with schizophrenia (off medication for at least 3 months); 32 controlsSignificantly lower prolactin levels in patients with the paranoid subtype of schizophrenia

Segal et al., 2004 [32]48 first-episode and 38 recurrent patients with schizophreniaSignificantly lower prolactin levels in paranoid schizophrenia compared to schizoaffective and disorganized subtypes; no effect of illness duration on levels

Segal et al., 2007 [68]45 male patients with schizophrenia, receiving risperidoneSignificantly greater elevation of prolactin in patients with the paranoid subtype of schizophrenia

Otani et al., 1996 [69]56 unmedicated patients with schizophrenia (28 male, 28 female)Weak negative correlation between prolactin and hostility scores; no relation with other measures of psychopathology on the Brief Psychiatric Rating Scale

Newcomer et al., 1992 [70]24 patients with schizophrenia on maintenance treatment with haloperidolSignificant positive correlation between prolactin levels and negative symptoms

Akhondzadeh et al., 2006 [71]54 male patients with schizophrenia on maintenance treatment with haloperidol or risperidone; 25 healthy male controlsSignificant positive correlation between prolactin levels and negative symptoms

Rinieris et al., 1985 [72]Male patients with paranoid schizophrenia with or without “homosexual delusions”; healthy heterosexual controlsLower prolactin levels associated with delusions having a homosexual content

Johnstone et al., 1977 [73]16 unmedicated male patients with “chronic schizophrenia”Serum prolactin was negatively correlated with both speech incoherence and total positive symptoms

Kleinman et al., 1982 [74]17 drug-free patients with “chronic schizophrenia”Inverse relationship between prolactin and total psychotic symptoms but only in those patients who did not show ventricular enlargement on computed tomography

Csernansky et al., 1986 [75]33 male patients with schizophrenia on treatment; 8 off treatment; 18 normal male controls“Prolactin index” (plasma prolactin divided by plasma neuroleptic activity) was negatively correlated with paranoid symptoms in younger patients receiving treatment

Prasad, 1986 [76]13 patients off medication for 12 months: 4 with positive symptoms, 9 with negative symptomsHigher prolactin levels in the group with positive symptoms

Luchins et al., 1984 [77]23 patients with schizophreniaNo relationship between prolactin levels and psychopathology