Journal Article

Short Report: Comparison of Patient Satisfaction and Burden of Adverse Effects With Novel and Conventional Neuroleptics: A Naturalistic Study

Jonathan Rabinowitz, Evelyn J. Bromet and Michael Davidson

in Schizophrenia Bulletin

Published on behalf of Maryland Psychiatric Research Center

Volume 27, issue 4, pages 597-600
Published in print January 2001 | ISSN: 0586-7614
Published online January 2001 | e-ISSN: 1745-1701 | DOI: http://dx.doi.org/10.1093/oxfordjournals.schbul.a006899
Short Report: Comparison of Patient Satisfaction and Burden of Adverse Effects With Novel and Conventional Neuroleptics: A Naturalistic Study

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Converging evidence indicates that, in controlled drug trials, individuals receiving novel antipsychotic medications have fewer adverse effects than those receiving conventional antipsychotic medications. This in turn may lead to greater patient treatment satisfaction. This study examines patient satisfaction and burden of adverse effects in a county-wide epidemiologic study of first admission psychotic persons with psychosis who were receiving novel antipsychotic drugs (n = 42). Comparisons were made within this group, and between 25 of these persons and 25 others with the same diagnosis and sex, from the same epidemiologic study, who were receiving a comparable regimen of conventional antipsychotic drugs. Patients receiving novel antipsychotics were significantly more satisfied and were significantly less burdened by adverse effects than those receiving conventional antipsychotics. Among the group receiving novel antipsychotics, dosage was not related to satisfaction or burden of adverse effects. For those treated with risperidone (n = 27), there was a difference, approaching statistical significance, for greater satisfaction and less adverse effect burden among those persons with dosages less than 5 mg daily as compared to higher dosages.

Keywords: Novel neuroleptics; conventional neuroleptics; patient satisfaction; subjective response; atypical antipsychotics

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Subjects: Child and Adolescent Psychiatry

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