Psychopharmacologic treatment of in-patients with schizophrenia: comparing forensic and general psychiatry
| Autor: | Markus Jäger, Nenad Vasic, Stefanie Otte, Manuela Dudeck, Judith Streb, Thomas Becker, Felix Rees, Felix Segmiller, Norbert Ormanns |
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| Rok vydání: | 2017 |
| Předmět: |
Polypharmacy
medicine.medical_specialty Movement disorders medicine.medical_treatment Relapse prevention medicine.disease 030227 psychiatry 03 medical and health sciences Psychiatry and Mental health Clinical Psychology 0302 clinical medicine Schizophrenia Forensic psychiatry medicine Apathy medicine.symptom Antipsychotic Psychology Psychiatry 030217 neurology & neurosurgery Psychopathology Clinical psychology |
| Zdroj: | The Journal of Forensic Psychiatry & Psychology. 29:1-15 |
| ISSN: | 1478-9957 1478-9949 |
| Popis: | Patients with schizophrenia constitute a substantial proportion of patients hospitalized in forensic psychiatry. Antipsychotic medication is an essential part of evidence-based treatment and can significantly improve both the medical and legal prognosis. In this study, we compared psychopathological features, psychopharmacological treatment, and the neurologic and metabolic side effects of treatment in demographically comparable in-patients with schizophrenia being treated in either forensic or general psychiatry. Megalomanic ideations, animosity, affect flattening, weak will, social passivity, apathy, uncooperative behavior, and poor impulse control were more pronounced in the forensic psychiatry sample. Nevertheless, patients in the forensic setting were prescribed less antipsychotic medication than the general psychiatry patients. Polypharmacy was pronounced in both samples. There were no significant differences in prescription rates of depot antipsychotics, movement disorders, or metabolic par... |
| Databáze: | OpenAIRE |
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