Format

Send to

Choose Destination
See comment in PubMed Commons below
PLoS One. 2014 Jan 23;9(1):e86826. doi: 10.1371/journal.pone.0086826. eCollection 2014.

Psychiatrists' attitudes toward metabolic adverse events in patients with schizophrenia.

Author information

1
Department of Neuropsychiatry, Hirosaki University School of Medicine, Hirosaki, Japan ; Japanese Society of Clinical Neuropsychopharmacology, Tokyo, Japan.
2
Japan Psychiatric Hospitals Association, Tokyo, Japan.
3
Japanese Society of Clinical Neuropsychopharmacology, Tokyo, Japan ; Department of Psychiatry, Dokkyo Medical University School of Medicine, Mibu, Japan.
4
Japanese Society of Clinical Neuropsychopharmacology, Tokyo, Japan ; Department of Psychiatry, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.

Abstract

BACKGROUND:

There is growing concern about the metabolic abnormalities in patients with schizophrenia.

AIMS:

The aim of this study was to assess the attitudes of psychiatrists toward metabolic adverse events in patients with schizophrenia.

METHOD:

A BRIEF QUESTIONNAIRE WAS CONSTRUCTED TO COVER THE FOLLOWING BROAD AREAS: the psychiatrists' recognition of the metabolic risk of antipsychotic therapy, pattern of monitoring patients for physical risks, practice pattern for physical risks, and knowledge of metabolic disturbance. In March 2012, the questionnaire was mailed to 8,482 psychiatrists who were working at hospitals belonging to the Japan Psychiatric Hospitals Association.

RESULTS:

The overall response rate was 2,583/8,482 (30.5%). Of the respondents, 85.2% (2,200/2,581) reported that they were concerned about prescribing antipsychotics that have a risk of elevating blood sugar; 47.6% (1,201/2,524) stated that their frequency of monitoring patients under antipsychotic treatment was based on their own experiences; and only 20.6% (5,22/2,534) of respondents answered that the frequency with which they monitored their patients was sufficient to reduce the metabolic risks.

CONCLUSIONS:

Psychiatrists practicing in Japan were generally aware and concerned about the metabolic risks for patients being treated with antipsychotics. Although psychiatrists should monitor their patients for metabolic abnormalities to balance these risks, a limited number of psychiatrists answered that the frequency with which they monitored patients to reduce the metabolic risks was sufficient. Promotion of the best practices of pharmacotherapy and monitoring is needed for psychiatrists treating patients with schizophrenia.

PMID:
24466260
PMCID:
PMC3900677
DOI:
10.1371/journal.pone.0086826
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Public Library of Science Icon for PubMed Central
    Loading ...
    Support Center