A descriptive retrospective study of the treatment and outpatient service use in a clinical group of delusional disorder patients
| Autor: | Rosa Catalán Campos, Oriol Molina-Andreu, Alexandre González-Rodríguez, Miquel Bernardo Arroyo, María Luisa Imaz Gurrutxaga |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Pediatrics medicine.medical_treatment Administration Oral Outpatient service Injections Treatment and control groups Sex Factors medicine Ambulatory Care Humans Antipsychotic Psychiatry Aged Retrospective Studies Risperidone Schizophrenia Paranoid Delusional disorder Attendance Retrospective cohort study General Medicine Middle Aged medicine.disease Hospitalization Logistic Models Treatment Outcome Delayed-Action Preparations Patient Compliance Female Psychology Psychopathology medicine.drug Antipsychotic Agents Follow-Up Studies |
| Zdroj: | Revista de psiquiatria y salud mental. 7(2) |
| ISSN: | 1989-4600 |
| Popis: | Introduction Gender differences in attendance rates for appointments in delusional disorder have been poorly studied. Furthermore, delusional disorder is traditionally considered a treatment-resistant disorder. Material and methods We conducted a longitudinal retrospective study with a one-year follow-up, including 78 delusional disorder patients (DSM- IV -TR), consecutively admitted over a period of 10 years. We performed a follow-up for one year in order to describe demographic and clinical variables, and to compare the therapeutic effectiveness. In this study, due to the non-interventional nature of this study, indirect measures were used to measure treatment effectiveness. The sample was divided into three groups according to the antipsychotic received at the first admission. Results Twenty-three patients received Risperidone Long-Acting Injection (RILD), 30 oral risperidone, and 25 patients received other oral atypical antipsychotics. Delusional disorder women had a later age at onset and needed a longer duration of hospitalisation. No statistically significant differences were found between the three treatment groups as regards demographic data, social and personal functioning, and psychopathology at admission. The RILD group showed higher maintenance rates at the end of the follow-up period. Furthermore, the RILD group required treatment with antidepressants and benzodiazepines less often. Conclusions We concluded that treatment with RLAI may increase maintenance rates at follow-up in DD patients when compared with other oral atypical antipsychotics. |
| Databáze: | OpenAIRE |
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