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Long-term depot maintenance of chronic schizophrenic out-patients: the seven year follow-up of the Medical Research Council fluphenazine/placebo trial. II. The incidence of compliance problems, side-effects, neurotic symptoms and depression.
Author: BamberR W, BarnesT R, CursonD A, DuffyJ C, HirschS R, PlattS D
Original Abstract of the Article :
Seven years after the completion of the original trial, over 73% of patients were maintained on depot neuroleptics, and 70% had received such medication for over seven years. About 40% had presented with a problem of compliance at some time, and there was a significant correlation between poor compl...See full text at original site
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引用元:
https://doi.org/10.1192/bjp.146.5.469
データ提供:米国国立医学図書館(NLM)
Fluphenazine Decanoate: A Seven-Year Odyssey Through the Desert of Schizophrenia
The desert of schizophrenia is a challenging landscape, demanding long-term treatments and careful management to navigate its complexities. This research embarks on a seven-year follow-up study of patients receiving fluphenazine decanoate, a depot antipsychotic, exploring the long-term impact on compliance, side effects, and overall well-being.
The authors meticulously analyzed data from a large cohort of patients, revealing that while over 70% were maintained on depot neuroleptics for an extended period, nearly 40% experienced compliance issues, often leading to hospital admissions and relapses. The study also shed light on the prevalence of neurological side effects, finding low rates of parkinsonian symptoms, akathisia, and tardive dyskinesia. Notably, the authors observed a significant prevalence of non-psychotic symptoms, including depression, which seemed to be part of the schizophrenic illness rather than a consequence of antipsychotic treatment.
Navigating the Desert of Long-Term Treatment: Understanding Compliance and Side Effects
This research provides valuable insights into the long-term management of schizophrenia, highlighting the importance of addressing compliance challenges and monitoring for potential side effects. The authors' findings underscore the need for ongoing support and individualized treatment plans to optimize patient outcomes. This knowledge empowers healthcare professionals to provide more effective and compassionate care for individuals navigating the desert of chronic mental illness.
Finding an Oasis of Stability: A Seven-Year Journey Through Schizophrenia
This study offers a valuable perspective on the long-term management of schizophrenia, emphasizing the importance of maintaining therapeutic levels of medication, addressing compliance challenges, and monitoring for potential side effects. The authors' findings encourage us to view schizophrenia as a complex and evolving condition, requiring a tailored and individualized approach to care.
Dr. Camel's Conclusion
This seven-year journey through the desert of schizophrenia treatment provides a wealth of insights into the long-term management of this complex condition. The authors' meticulous exploration of compliance, side effects, and overall well-being reminds us that even in the vast and challenging desert of mental illness, there are oases of knowledge to guide us towards more effective and compassionate care.
Date :
- Date Completed 1985-08-27
- Date Revised 2019-07-05
Further Info :
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