modifying schizophrenia- antipsychotics evaluation

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  • Created by: Elyseee
  • Created on: 29-01-21 14:06
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  • antipsychotics evaluation
    • Ineffectiveness - Non-compliance
      • Non compliance of patients in taking the medication makes it difficult to assess the efficacy of the treatment
      • Rettenbacher 2004 found that only 54.2% of individuals with schizophrenia fully complied with the dosage requirements
      • This may be because people who suffer from schizophrenia lack insight into their condition and may not understand that they have a problem which requires medication
    • Ethical issues - Side effects
      • Side effects such as tardive dyskinesia ( uncontrollable tics) and parkinsonism ( tremors and instability) and seizures may not be explained or understood by a patient
      • Furthermore if someone is experiencing an acute episode the drug may be administered without consent
    • Social implications - Risk of violence
      • One serious consequence of non compliance with drug treatment is that individuals who are suffering from schizophrenia may be at serious risk of harming themselves or others
      • Tihonen 2006 noted a 37 fold increase in suicide amongst those who stopped taking their medication
      • The NICSH 2015 report that 346 homicides were committed in England by people with a history of schizophrenia between 2003 and 2013 with 29% of these individuals not adhering to their treatment regime in the previous month
    • Effectiveness - research support
      • Cole et al ( 1964) found that 75% of those given a conventional antipsychotic were considered to be much improved compared with 25% of those given a placebo
      • In addition none of the patients given antipsychotics appear to “get worse” whereas 48% of those given the placebo did

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