Information on antidepressants for psychiatric inpatients: the divide between patient needs and professional practice

Desplenter, Franciska; Laekeman, Gert; Coster, Sandra De; Simoens, Steven

doi:10.4321/s1886-36552013000200004

Cited by 3 publications

(3 citation statements)

References 24 publications

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“…New Zealand nurses only gained prescribing rights in 2015 (Ministry of Health, ), but with or without prescribing rights nurses can play an important role in ensuring their patients are fully informed when making choices (Desplenter et al . ) and in supporting people who choose to withdraw.…”

Section: Relevance For Clinical Practicementioning

confidence: 99%

How many of 1829 antidepressant users report withdrawal effects or addiction?

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Cartwright

Gibson

2018

Int J Mental Health Nurs

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More than 10% of adults are prescribed antidepressants annually in some countries. Recent increases in prescribing can be explained more by repeat prescriptions than new patients. This raises the question of whether antidepressants are addictive. A total of 1829 New Zealanders who had been prescribed antidepressants completed an online survey; 44% had been taking antidepressants for more than 3 years and were still taking them. Withdrawal effects when stopping medication were reported by 55%, and addiction by 27%. Paroxetine had particularly high rates of withdrawal symptoms. Only 1% of participants recalled being told about withdrawal effects when prescribed the drugs. Such high rates of withdrawal symptoms suggest that all concerned, including mental health nurses, need to help people considering antidepressants to understand that it can be difficult to withdraw from them. It will also be beneficial to closely monitor people already taking antidepressants and who are at risk of long-term usage.

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Section: Relevance For Clinical Practicementioning

confidence: 99%

How many of 1829 antidepressant users report withdrawal effects or addiction?

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Cartwright

Gibson

2018

Int J Mental Health Nurs

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“…Frequent use of inaccessible language and jargon was a barrier to effective communication. 53, 62, 70 Participants reported a lack of information-sharing by staff. 16, 18, 25, 26, 33, 46, 55, 61, 62, 68, 71–74 Lack of involvement in decision-making processes was viewed as highly distressing, impacting personal autonomy and inherently limiting the therapeutic nature of inpatient care.…”

Section: Resultsmentioning

confidence: 99%

Adverse mental health inpatient experiences: Qualitative systematic review of international literature and development of a conceptual framework

Hallett,

Dickinson,

Eneje

et al. 2023

Preprint

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Background Trauma is increasingly linked to poor health outcomes. Adverse experiences in mental health inpatient settings can be traumatic and contribute to long-lasting negative effects like post-traumatic stress disorder. However, the full range of relevant experiences is often unaddressed in service design and delivery. Aim To describe the spectrum of negative experiences that people identify while they are inpatients in adult mental health services. Method A systematic literature review was conducted to identify qualitative studies that included people's subjective negative reports of their inpatient admissions. CINAHL, MEDLINE and PsycINFO were searched from 2000 onwards, alongside a search of Google Scholar. The quality of studies was assessed using the Critical Appraisal Skills Programme qualitative checklist. Data were synthesised using the best fit framework synthesis approach. A patient and public involvement reference group contributed to the review. Results Studies (111) from 25 countries were included. Adverse mental health inpatient experiences can be conceptualised under three headings: the ecosystem (the physical environment and the resources available, and other people within or influential to that environment ); systems (processes and transitions); and the individual (encroachments on autonomy and traumatisation). Conclusions Improved patient experience is associated with improved patient outcomes, and addressing negative experiences could significantly impact patient care. Mental health professionals should strive to create inpatient environments that are supportive, respectful, and safe for patients, which consideration of the adversity framework developed from this review can facilitate.

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“…Para Ieto e Cunha, a demanda subjacente à queixa é um aspecto a avaliar no atendimento fonoaudiológico, 13 enquanto para Desplenter et al profissionais fornecem informações sobre antidepressivos a pacientes internados de acordo com a demanda destes. 54 Costa et al destacam que identificar a demanda do paciente é parte da avaliação psicológica de obesos. 55 Dois estudos debatem o sofrimento psíquico de pacientes policonsultantes e dos profissionais que os atendem.…”

Section: Metodologiaunclassified

Como se estuda o que não se diz: uma revisão sobre demanda oculta

Modesto¹,

Couto²

2016

Rev Bras Med Fam Comunidade

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Objetivos: Pessoas com demandas aparentemente bem delimitadas podem, muitas vezes, ter queixas ou preocupações ocultas ou tardiamente apresentadas, chamadas em inglês de hidden agenda, by the way syndrome ou doorknob syndrome (“síndrome da maçaneta”). Poucos trabalhos abordam o fenômeno em contexto clínico discutindo seus aspectos ou consequências sobre o cuidado do ponto de vista sociocultural. Uma pesquisa qualitativa sobre saúde dos homens realizada pelos autores exigiu estudar a produção científica relacionada à hidden agenda de forma descritiva e interpretativa. Métodos: Esta revisão, do tipo estado da questão, abarcou artigos que tratassem da hidden agenda (ou expressões similares) no contexto clínico geral ou especializado, médico ou multiprofissional, em português, inglês ou espanhol, no período de 2000 a 2014. Partindo de 210 resultados iniciais em 3 bases de dados internacionais, foram selecionadas 39 publicações, que foram avaliadas quanto a características objetivas e subjetivas. Resultados: Identificando os temas predominantes nas pesquisas, notamos que hidden agenda é a expressão mais específica, sendo demanda oculta sua melhor tradução. Quase todos os estudos relacionavam a atenção a demandas ocultas a melhores desfechos ou desdobramentos do atendimento, embora nenhum avaliasse essas consequências de forma aprofundada. Conclusão: A revisão deixa claro que a demanda oculta é um elemento problematizador para pensar a prática médica e potencializador para a clínica, especialmente ao buscar-se um cuidado integral e um diálogo efetivo entre profissional e usuário(a). São necessários estudos que articulem o fenômeno a aspectos socioculturais ou tecnoassistenciais e que contemplem alguma discussão sobre construção da demanda, ausente nos artigos revisados.

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Information on antidepressants for psychiatric inpatients: the divide between patient needs and professional practice

Cited by 3 publications

References 24 publications

How many of 1829 antidepressant users report withdrawal effects or addiction?

How many of 1829 antidepressant users report withdrawal effects or addiction?

Adverse mental health inpatient experiences: Qualitative systematic review of international literature and development of a conceptual framework

Como se estuda o que não se diz: uma revisão sobre demanda oculta

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