Abstract • Twenty-five schizophrenic inpatients receiving antipsychotic medications were evaluated as informed and/or consenting drug consumers by means of a structured interview, in comparison with a matched group of medical inpatients receiving nonpsychotropic drugs. Medical patients were better informed about positive aspects of medication, such as name, dose, and relationship of drug treatment to a specific diagnosis. Schizophrenic patients, however, were significantly better informed about both side effects and risks. Although both groups felt that their medication had helped them, 93% of the medical patients but only 56% of the schizophrenic patients said they would take the medication if they had the choice. The fact that schizophrenic inpatients readily shared their reluctance to take medication with an interviewer may offer an avenue for detection and intervention to improve prospects for outpatient compliance. References 1. Tozer FL, Kasik JE: Medical-legal aspects of adverse drug reactions . Clin Pharmacol Ther 8:637-646, 1967. 2. Hare EH, Willcox DRC: Do psychiatric inpatients take their pills? Br J Psychiatry 113:1435-1439, 1967.Crossref 3. Renton CA, Affleck JW, Carstairs GM, et al: A follow-up of schizophrenic patients in Edinburgh . Acta Psychiatr Scand 39:548-581, 1963.Crossref 4. Willcox DR, Gillan R, Hare EH: Do psychiatric outpatients take their drugs? Br Med J 2:790-792, 1965.Crossref 5. Blackwell B: Drug therapy: Patient compliance . N Engl J Med 289:249-252, 1973.Crossref 6. Serban G, Thomas A: Attitudes and behaviors of acute and chronic schizophrenic patients regarding ambulatory treatment . Am J Psychiatry 131:991-995, 1974. 7. Small IF, Messina JA, Small JG: The meaning of hospitalization: A comparison of attitudes of medical and psychiatric patients . J Nerv Ment Dis 139:575-580, 1964.Crossref 8. Lipman RS, Park LC, Rickels K: Paradoxical influence of a therapeutic side-effect interpretation . Arch Gen Psychiatry 15:462-474, 1966.Crossref
Archives of General Psychiatry – American Medical Association
Published: May 1, 1978
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