Antipsychotic-Induced Somnolence in Mothers with Schizophrenia

Antipsychotic-Induced Somnolence in Mothers with Schizophrenia Although it is known that many antipsychotic drugs, at the doses prescribed for schizophrenia, are sedative and cause daytime drowsiness, the effect of potentially diminished vigilance on parenting parameters has not been studied. The aim of this paper is to advise clinicians about sedative load in mothers who are prescribed antipsychotic medication. A Medline search was conducted into the sedative effects of antipsychotics, with the following search terms: sleep; sedation; somnolence; wakefulness; antipsychotics; schizophrenia, parenting, maternal behavior, and custody. The results showed that antipsychotic drugs differ in their propensity to induce sedation and do so via their effects on a variety of neurotransmitter systems. It is important to note that mothers with schizophrenia risk losing custody of their infants if they are perceived as potentially neglectful because of excessive daytime sleepiness. Clinicians must choose antipsychotic medications carefully and monitor for sedative effects whenever the patient has important responsibilities that require the maintenance of vigilance. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Psychiatric Quarterly Springer Journals

Antipsychotic-Induced Somnolence in Mothers with Schizophrenia

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Publisher
Springer US
Copyright
Copyright © 2011 by Springer Science+Business Media, LLC
Subject
Medicine & Public Health; Psychiatry; Public Health; Sociology, general
ISSN
0033-2720
eISSN
1573-6709
D.O.I.
10.1007/s11126-011-9185-z
Publisher site
See Article on Publisher Site

Abstract

Although it is known that many antipsychotic drugs, at the doses prescribed for schizophrenia, are sedative and cause daytime drowsiness, the effect of potentially diminished vigilance on parenting parameters has not been studied. The aim of this paper is to advise clinicians about sedative load in mothers who are prescribed antipsychotic medication. A Medline search was conducted into the sedative effects of antipsychotics, with the following search terms: sleep; sedation; somnolence; wakefulness; antipsychotics; schizophrenia, parenting, maternal behavior, and custody. The results showed that antipsychotic drugs differ in their propensity to induce sedation and do so via their effects on a variety of neurotransmitter systems. It is important to note that mothers with schizophrenia risk losing custody of their infants if they are perceived as potentially neglectful because of excessive daytime sleepiness. Clinicians must choose antipsychotic medications carefully and monitor for sedative effects whenever the patient has important responsibilities that require the maintenance of vigilance.

Journal

Psychiatric QuarterlySpringer Journals

Published: Jul 8, 2011

References

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    Roth, T; Roehrs, TA
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    Miller, LJ
  • Wakefulness and arousal in neonates born to women with schizophrenia: diminished arousal and its association with neurological deviations
    Schubert, EW; Blennow, G; McNeil, TF
  • Effects of typical and atypical antipsychotic drugs on maternal behavior in postpartum female rats
    Li, M; Davidson, P; Budin, R
  • The biopsychology of maternal behavior in nonhuman mammals
    Kristal, MB
  • Dopaminergic control of sleep-wake states
    Dzirasa, K; Ribeiro, S; Costa, R
  • Essential role of dopamine D2 receptor in the maintenance of wakefulness, but not in homeostatic regulation of sleep, in Mice
    Qu, W-M; Xu, X-H; Yan, M–M
  • Sedative load among long-term care facility residents with and without dementia: a cross-sectional study
    Bell, JS; Taipale, HT; Soini, H
  • Sleep quality and daytime sleepiness in schizophrenia spectrum disorders during antipsychotic treatment
    Wichniak, A; Waliniowska, E; Wierzbicka, A

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