Hostname: page-component-586b7cd67f-2plfb Total loading time: 0 Render date: 2024-11-26T11:36:46.687Z Has data issue: false hasContentIssue false
  • English
  • Français

Early detection of antipsychotic side-effects

Published online by Cambridge University Press:  02 January 2018

Robert Chaplin ,
Julie Gordon  and
Tom Burns
Julie Gordon
Affiliation:
South West London & St George's Mental Health Service, Springfield Hospital 61 Glenburnie Road, London SW17 7DJ
Tom Burns
Affiliation:
Department of Psychiatry, St George's Hospital London
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Aims and methods

Staff from five community mental health teams (CMHTs) were trained to use structured rating scales for akathisia, tardive dyskinesia and Parkinsonism. Detection rates of these side-effects were compared for the six months before and after the intervention.

Results

Fifty-seven per cent of the target professionals participated, screening 200 (52%) eligible patients. This resulted in significant increases in the recording of all three side-effects as positive but no increase in their formal diagnosis.

Clinical implications

Detection rates of these side-effects can be increased to those predicted by research with significant reductions in drug dose and non-adherence and without clinical deterioration.

Type
Original Papers
Information
Psychiatric Bulletin , Volume 23 , Issue 11: The Journal of Trends in Psychiatric Practice , November 1999 , pp. 657 - 660
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1999 Royal College of Psychiatrists

References

American Psychiatric Association (1992) Tardive Dyskinesia: A Task Force Report of the American Psychiatric Association. Washington, DC: APA.Google Scholar
Barnes, T. R. E. (1989) A rating scale for drug-induced akathisia. British Journal of Psychiatry, 154, 672 676.Google Scholar
Clinical Standards Advisory Group (1995) Report of a Clinical Standards Advisory Committee on Schizophrenia. Volumes 1 & 2. London: HMSO.Google Scholar
Dillon, N. B. (1992) A screening system for tardive dyskinesia: development and implementation. Journal of Psychosocial Nursing and Mental Health Services, 30, 3 7.CrossRefGoogle ScholarPubMed
Dixon, L., Weiden, P. J., Frances, A. J., et al (1989) Management of neuroleptic induced movement disorders: effects of physician training. American Journal of Psychiatry, 146, 104 106.Google Scholar
Fleischhacker, W. W., Meise, U., Gunther, V., et al (1994) Compliance with antipsychotic drug treatment: influence of side effects. Acta Psychiatrica Scandinavica, 89 (suppl. 382), 11 15.Google Scholar
Guy, W. (1976) ECDEU. Assessment Manual for Psychopathology. Washington, DC: US Department of Health and Welfare.Google Scholar
Halstead, S. M., Barnes, T. R. E. & Speller, J. C. (1994) Akathisia: prevalence and associated dysphoria in an in-patient population with chronic schizophrenia. British Journal of Psychiatry, 164, 177 183.Google Scholar
Lader, M. H. (1994) Lundbeck Guidelines for the Management of Schizophrenia. London: Lundbeck.Google Scholar
Lishman, W. A. (1998) Organic Psychiatry: The Psychological Consequences of Cerebral Disorder (3rd edn). Oxford: Blackwell Science.Google Scholar
Norusis, M. J. (1986) SPSS/PC+ Statistics. Chicago. IL: SPSS.Google Scholar
Simpson, G. M. & Angus, J. W. S. (1970) A rating scale for extrapyramidal side-effects. Acta Psychiatrica Scandinavica Supplementum, 212, 11 19.Google Scholar
Weiden, P. J., Mann, J. J., Haas, G., et al (1987) Clinical non-recognition of neuroleptic-induced movement disorders: a cautionary study. American Journal of Psychiatry, 144, 1148 1153.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.