Satisfaction with antipsychotics as a medication: the role of therapeutic alliance and patient-perceived participation in decision making in patients with schizophrenia spectrum disorder

Torrecilla-Olavarrieta, Rocío; Pérez-Revuelta, José; García-Spínola, Edgar; Martín, Angela López; Mongil-SanJuan, José María; Rodríguez-Gómez, Carmen; Villagrán-Moreno, José María; González‐Sáiz, Francisco

doi:10.1080/13651501.2020.1804942

Cited by 3 publications

(3 citation statements)

References 49 publications

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“…Torrecilla‐Olavarrieta et al (2021) concluded that the perception of being part of the decision‐making process regarding their treatment, together with a higher age of onset, led to higher satisfaction scores. Furthermore, Nordon et al (2012) stated that more recent use of antipsychotic agents and psychosocial therapy was related to higher treatment satisfaction.…”

Section: Introductionmentioning

confidence: 99%

Personal preferences for treatment and care during and after a First Episode Psychosis: A qualitative study

van der Heijden‐Hobus,

Rosema,

Vorstman

et al. 2023

Early Intervention Psych

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AimA first episode of psychosis (FEP) is a stressful, often life‐changing experience. Scarce information is available about personal preferences regarding their care needs during and after a FEP. Whereas a more thorough understanding of these preferences is essential to aid shared decision‐making during treatment and improve treatment satisfaction.MethodsFace‐to‐face interviews with participants in remission of a FEP were set up, addressing personal preferences and needs for care during and after a FEP. The interviews were conducted by a female and a male researcher, the latter being an expert with lived experience.ResultsTwenty individuals in remission of a FEP were interviewed, of which 16 had been hospitalized. The distinguished themes based on personal preferences were tranquillity, peace and quietness, information, being understood, support from significant others, and practical guidance in rebuilding one's life. Our findings revealed that the need for information and the need to be heard were often not sufficiently met. For 16/20 participants, the tranquillity of inpatient treatment of the FEP was predominantly perceived as a welcome safe haven. The presence and support of family and close friends were mentioned as an important factor in the process of achieving remission.ConclusionsThe current exploratory study showed that patients were able to indicate their personal needs. Important findings are the need for information and the need to be heard. Interestingly, hospitalization was mostly seen as an opportunity to achieve tranquillity. More lived experience expertise is needed to elucidate the needs of individuals in the early phase of a FEP to aid people who are recovering from their first psychosis in rebuilding their lives again.

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Section: Introductionmentioning

confidence: 99%

Personal preferences for treatment and care during and after a First Episode Psychosis: A qualitative study

van der Heijden‐Hobus,

Rosema,

Vorstman

et al. 2023

Early Intervention Psych

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“…When viewed based on the methodology it is known that the definition of compliance is from 20% to 70% (García-pérez et al, 2020). Adherence is a key issue because poor adherence to antipsychotics is associated with worse symptomatic outcomes and higher relapse rates in patients with first-episode psychosis (Torrecilla-olavarrieta et al, 2020). Several subjective, patient-rated determinants of adherence to antipsychotic treatment have been identified, including attitudes towards medication, well-being, confidence in the medication, acceptability, and satisfaction with the medication (Torrecilla-olavarrieta et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

“…Adherence is a key issue because poor adherence to antipsychotics is associated with worse symptomatic outcomes and higher relapse rates in patients with first-episode psychosis (Torrecilla-olavarrieta et al, 2020). Several subjective, patient-rated determinants of adherence to antipsychotic treatment have been identified, including attitudes towards medication, well-being, confidence in the medication, acceptability, and satisfaction with the medication (Torrecilla-olavarrieta et al, 2020). Nevertheless, the disease still represents a significant burden for patients as well as family members and caregivers (usually family members) responsible for those with schizophrenia (Bravo-ortiz et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

Influence of Family Support for Antipsychotic Treatment Adherence in Schizophrenic Patients

Hidayati

Fitrianidiah

Pristianty

2021

Pharm. : j. farm. Indones.

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Schizophrenia is a psychosis disorder characterized by confusion in mind and personality in form of regression, hallucinations, delusions and withdrawal from the environment. One of the managements of schizophrenia is antipsychotic treatment. Antipsychotic treatment must be regular and given for long-term to provide a therapeutic effect and prevent relapses. This study used an analytic observational method with cross-sectional approach, questionnaire was used as an instrument. Sampling was done by purposive sampling method based on inclusion criteria, then the data were analyzed using the Chi-Square method to determine the influence of family support and treatment adherence by SPSS program. The results showed from 30 respondents, 21 respondents (70%) obtained good support and 9 respondents (30%) had poor support. And the result on adherence, 16 respondents (53.33%) adherent, while 14 respondents (46.67%) did non-adherent. Based on the results of this study, it was concluded that there was an influence between family support and adherence to antipsychotic treatment in schizophrenic patients at Bantur Health Center, Malang Regency. The results of the Chi-Square test analysis with a df value of 3,841 (df = 1) obtained P - Value 10,049> 3,841 or a significance value of 0.004 <0.05 (5%).

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Patient Participation in Pro Re Nata Medication in Forensic Psychiatric Care: Interview Study with Patients and Nurses

Hipp

Kangasniemi

2021

International Journal of Forensic Mental Health

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Pro re nata (PRN, as-needed) medication is commonly used in forensic psychiatric inpatient care, but little is known about the participation of patients in its prescription and administration. This study describes patient participation in PRN medication treatment in forensic psychiatric inpatient care. Data were collected during interviews with 34 inpatients and 19 registered nurses in a Finnish forensic psychiatric hospital. The data underwent inductive content analysis. We found that patient participation in PRN was related to patients' individual needs and health conditions, and the use of PRN involved private decisions made in the social context of the ward. PRN was an integrated part of daily care, and it involved three stakeholders, namely patients, nurses, and physicians; however, the role of patients in this collaboration was undefined. The administration events for PRN were multiform, and depended on the level of agreement between patients and nurses on the need for PRN. In the future, more attention should be paid to how to motivate patients and provide them with equal opportunities to be involved in the planning of PRN, and to optimize shared decision making so that the expertise of both patients and nurses is utilized in the administration and evaluation of PRN.

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Satisfaction with antipsychotics as a medication: the role of therapeutic alliance and patient-perceived participation in decision making in patients with schizophrenia spectrum disorder

Cited by 3 publications

References 49 publications

Personal preferences for treatment and care during and after a First Episode Psychosis: A qualitative study

Personal preferences for treatment and care during and after a First Episode Psychosis: A qualitative study

Influence of Family Support for Antipsychotic Treatment Adherence in Schizophrenic Patients

Patient Participation in Pro Re Nata Medication in Forensic Psychiatric Care: Interview Study with Patients and Nurses

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