Patient’s Subjective Well-being with Antipsychotic Treatment


Authors: J. Masopust 1;  J. Libiger 1;  R. Köhler 1;  A. Urban 1;  E. Čermáková 2
Authors‘ workplace: Psychiatrická klinika LF UK a FN, Hradec Králové ;  přednosta prof. MUDr. J. Libiger, CSc. Katedra lékařské biofyziky LF UK, Hradec Králové 1;  přednosta doc. Ing. J. Hanuš, CSc. 2
Published in: Čes. a slov. Psychiat., 105, 2009, No. 1, pp. 12-19.
Category: Original Article

Overview

Objectives:
The factors that influence compliance with antipsychotic treatment in schizophrenia are related to the patient, the patient’s environment, the attending physician, and the treatment itself. Important causes of nonadherence are adverse effects (AEs) of antipsychotics. Initial dysphoric reaction, sedation, extrapyramidal symptoms, akathisia, sexual dysfunction and obesity belong to the most frequent AEs. The patient’s subjective well-being and attitude toward antipsychotic medication are considered to be important for compliance.

Methods:
Severity of symptoms was estimated using the PANSS (Positive and Negative Symptoms of Schizophrenia) and CGI (Clinical Global Impression) scales. Self-rating Well-being Neuroleptic Scale (SWN) was applied to evaluate the patients´ subjective well-being. We also administered the Drug Attitude Inventory (DAI) to evaluate the attitude of the study subjects toward antipsychotic medication.

Results:
Seventy-five outpatients (women N = 25) at the average age of 34.6 years (median 32 years) with the diagnosis of schizophrenia were included into the study. The patients with the most pronounced subjective well-being were in remission, treated with monotherapy, and low doses of antipsychotic drugs.

Conclusion:
Subjective well-being is increasingly being accepted as a valid and important measure of antipsychotic treatment outcomes and tolerability. Meaningful way of antipsychotic treatment in monotherapy with minimal AEs can increase the patient’s subjective well-being and compliance.

Key words:
subjective well-being, attitude toward medication, monotherapy, remission, adverse events of antipsychotic drugs, adherence.


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Addictology Paediatric psychiatry Psychiatry
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