How important are informed consent, informed choice, and patient-doctor relationships, when prescribing antipsychotic medication?
Article
Read, J. 2022. How important are informed consent, informed choice, and patient-doctor relationships, when prescribing antipsychotic medication? Journal of Mental Health. https://doi.org/10.1080/09638237.2022.2069708
Authors | Read, J. |
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Abstract | Background: Antipsychotic medications (APs) are used for people with psychosis diagnoses and, increasingly for other problems and groups. Aims: This study examines how APs are prescribed, from the perspective of recipients. Methods: 757 people, from 30 countries, responded to questions about their experiences with APs in an online survey. Results: Most (70%) were told nothing about adverse effects. Fewer than 2% recall being told about the risks of diabetes, suicidality, sexual dysfunction or reduced life span. None recalled being told about reduced brain volume or withdrawal effects. Only 28% recalled being offered other treatments; with only 14% offered talking therapies. 46% were not told how long to take the APs; and, of those, 48% were told to take them forever. Most respondents (76%) were not told how APs work. Only 19% were satisfied with the prescribing process, and only 25% reported a good, or very good, relationship with the prescriber. Information, satisfaction with the process and prescriber relationship were all positively related to three self-reported outcomes: reduction of problems the drugs were prescribed for, general helpfulness, and quality of life. Conclusions: Steps need to be taken to ensure people prescribed antipsychotics are fully informed, especially about adverse effects and alternatives. |
Journal | Journal of Mental Health |
ISSN | 1360-0567 |
Year | 2022 |
Publisher | Taylor & Francis |
Accepted author manuscript | License File Access Level Anyone |
Digital Object Identifier (DOI) | https://doi.org/10.1080/09638237.2022.2069708 |
Publication dates | |
Online | 10 May 2022 |
Publication process dates | |
Accepted | 05 Mar 2022 |
Deposited | 08 Mar 2022 |
Copyright holder | © 2022 Taylor & Francis |
Additional information | This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Mental Health on 10 May 2022, available online: http://www.tandfonline.com/10.1080/09638237.2022.2069708 |
https://repository.uel.ac.uk/item/8q5xx
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Accepted author manuscript
AP PRESCRIBING PROCESS 2022 JMH Accepted 7.3.22.pdf | ||
License: All rights reserved | ||
File access level: Anyone |
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