在年轻成年人处方抗精神病药物时,共享决策的体验:一种定性访谈研究
1School of Pharmacy, Newcastle University, Newcastle upon Tyne, UK.
International journal of clinical pharmacy
|February 24, 2026
概括
患有严重精神疾病的年轻人希望与他们分享关于抗精神病治疗的决策. 医疗保健专业人员必须改善关于药物副作用的沟通,以提高生活质量和治疗坚持.
科学领域:
- 精神病学是一个精神病学.
- 心理健康研究 心理健康研究
- 患者体验 患者体验
背景情况:
- 严重的精神疾病 (精神分裂症,精神分裂情绪,双相情感障碍) 通常在青春晚期/成年早期出现.
- 在这个人口群体中,抗精神病治疗的坚持往往很差.
- 涉及临床医生和服务用户的共享决策 (SDM) 改善了结果和遵守.
研究的目的:
- 探索年轻成年人与医疗保健专业人员参与抗精神病药物决定的实践经验.
- 了解SDM如何影响严重精神疾病的年轻成年人的治疗坚持和生活质量.
主要方法:
- 与被诊断患有精神分裂症,精神分裂情绪或双相情感障碍的年轻成年人 (18-30岁) 进行了15次半结构化的在线访谈.
- 参与者通过患者平台,支持小组和社交媒体招募.
- 使用诱导编码和主题分析来分析采访数据.
主要成果:
- 出现在四个主题:与抗精神病药物生活,家庭/朋友的影响,获得自主权和年轻成年后果.
- 抗精神病药物的副作用显著影响年轻人的生活.
- 医疗保健专业人员的决定直接影响共同决策和生活质量的质量.
结论:
- 医疗保健专业人员对抗精神病药物的副作用提供了有限的支持,对年轻人产生了负面影响.
- 年轻人希望获得关于药物和副作用的全面信息,尽管家庭/朋友的支持可能是一个障碍.
- 需要改变实践,包括调整临床语言,心理病后信息传递和医疗保健专业人员的SDM培训.
相关概念视频
01:28Drug Therapy
322
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
Antianxiety Medications
322
01:26Psychosis: Goals of Pharmacotherapy
639
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.
639
01:28Psychosis and Antipsychotic Drugs: Overview
1.0K
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...
1.0K
01:21Antipsychotic Drugs: Typical and Atypical Agents
1.1K
Antipsychotic drugs are classified into first-generation (typical) drugs including phenothiazines; and second-generation (atypical) drugs. Chlorpromazine hydrochloride (Thorazine), a phenothiazine derivative, broadly impacts the central, autonomic, and endocrine systems. This drug, along with typical agents like haloperidol (Haldol), primarily works by antagonizing D2 receptors, thus reducing dopaminergic neurotransmission. However, typical antipsychotics can cause side effects such as sedation...
1.1K
01:17Schizophrenia
1.3K
Schizophrenia, a term introduced by Swiss psychiatrist Eugen Bleuler in 1911, describes a severe psychological disorder marked by profound disruptions in attention, thought processes, language, emotion, and interpersonal relationships. The core feature of schizophrenia is psychosis — a state characterized by a fundamental detachment from reality. This disconnection manifests through distorted logic, impaired perception, and atypical behavior, severely affecting the lives of those...
1.3K
01:24Revisionist Views of Adolescent and Adult Cognition
344
A revisionist approach to Jean Piaget's theory of cognitive development has brought new insights that challenge and reinterpret his established ideas. Piaget proposed that the formal operational stage, emerging in adolescence, represents the culmination of cognitive maturity. During this stage, individuals are said to develop abstract thinking, engage in systematic problem-solving, and show a form of egocentrism, believing others are as preoccupied with their behavior as they are...
344