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Drug Therapy01:28

Drug Therapy

The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Psychosis: Goals of Pharmacotherapy01:26

Psychosis: Goals of Pharmacotherapy

Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation. For...
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches01:23

Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches

Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast, controlled...
Effect of Hepatic Disease on Pharmacokinetics: Dose Adjustments Due to Hepatic Impairment01:08

Effect of Hepatic Disease on Pharmacokinetics: Dose Adjustments Due to Hepatic Impairment

Hepatic impairment, characterized by decreased liver function, does not uniformly mandate adjustments in drug dosage. Whether dosage modifications are necessary depends on various factors related to the drug's metabolism and elimination pathways. If a drug is primarily excreted via the kidneys and bypasses significant hepatic processing, if it undergoes minimal metabolic transformation in the liver, or if it is volatile and primarily expelled through the lungs, dose adjustments may not be...
Psychosis and Antipsychotic Drugs: Overview01:28

Psychosis and Antipsychotic Drugs: Overview

The term "psychosis" refers to a spectrum of mental disorders characterized by abnormal thoughts, perceptions, and behaviors. It can manifest as mood disorders, dementia, delirium with psychotic features, substance-induced psychosis with psychotic features, brief psychotic disorder, delusional disorder, schizoaffective disorder, and schizophrenia. Among all these disorders, schizophrenia is the most common psychotic disorder, affecting 1% of the worldwide population. Psychotic symptoms in all...
Blind Procedures02:07

Blind Procedures

Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which child was...

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Related Experiment Video

Updated: Jun 22, 2026

Development of a Virtual Reality Assessment of Everyday Living Skills
10:32

Development of a Virtual Reality Assessment of Everyday Living Skills

Published on: April 23, 2014

Methodological issues in assessing changes in costs pre- and post-medication switch: a schizophrenia study example.

Douglas E Faries1, Allen W Nyhuis, Haya Ascher-Svanum

  • 1Lilly USA, LLC, Indianapolis, Indiana, USA. d.faries@lilly.com

Cost Effectiveness and Resource Allocation : C/E
|May 29, 2009
PubMed
Summary

Switching antipsychotics for schizophrenia may appear costly due to crisis events, but sensitivity analyses reveal potential cost savings. Careful analysis of acute care costs is crucial for accurate treatment cost comparisons.

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Area of Science:

  • Health Economics
  • Psychiatric Research
  • Pharmacoeconomics

Background:

  • Schizophrenia is a severe, chronic, and costly illness impacting patients and healthcare budgets.
  • Cost comparisons of schizophrenia treatment regimens are vital for payers and researchers.
  • Pre-Post analyses are common but may not accurately attribute costs around medication switches.

Purpose of the Study:

  • To investigate the impact of acute care costs on Pre-Post analyses of medication switching in schizophrenia.
  • To assess the sensitivity of cost-effectiveness findings to the handling of crisis-related expenditures post-medication change.

Main Methods:

  • Utilized medical resource data from a 1-year randomized schizophrenia trial (n=105) involving antipsychotic switches.
  • Calculated within-patient daily cost changes during pre- and post-medication switch periods.
  • Conducted sensitivity analyses to evaluate the attribution of acute care costs following medication failure.

Main Results:

  • Standard Pre-Post analysis indicated a $2.40/day increase in costs post-switch.
  • Fifty-six percent of first-week costs on new antipsychotics were linked to previous treatment failure.
  • Sensitivity analyses, excluding crisis costs, showed a decrease in costs from $4.77 to $9.69 per day post-switch.

Conclusions:

  • Pre-Post cost analyses are highly sensitive to the methodology for handling acute service costs after medication changes.
  • Thorough sensitivity analyses are essential to accurately determine the economic impact of switching antipsychotic treatments.
  • Understanding crisis event costs is critical for quality economic research in schizophrenia treatment.