Evidence map›Paper›PMID 33441112›Full record

ArticleBMC psychiatry2021

Daily functioning and symptom factors contributing to attitudes toward antipsychotic treatment and treatment adherence in outpatients with schizophrenia spectrum disorders.

J Leijala, O Kampman, J Suvisaari, S Eskelinen

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  3. Review
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  5. Observational
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  11. Long-acting antipsychotic treatments: focus on women with schizophrenia.Therapeutic advances in psychopharmacology · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 1 country.

J LeijalaDepartment of Psychiatry, South Ostrobothnia Hospital District, Huhtalantie 53, 60220, Seinäjoki, Finland. juhani.leijala@gmail.com.ORCID 0000-0003-1542-3746
O KampmanFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
J SuvisaariFinnish Institute for Health and Welfare, Mental Health Unit, Helsinki, Finland.
S EskelinenPsychiatry, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Finnish Institute for Health and Welfare · FISeinäjoki University of Applied Sciences · FITampere University · FIUniversity of Helsinki · FI

Funding

Etelä-Pohjanmaan Sairaanhoitopiiri 6107
6 · The paper itself

Abstract

backgroundPoor adherence and negative attitudes to treatment are common clinical problems when treating psychotic disorders. This study investigated how schizophrenia core symptoms and daily functioning affect treatment adherence and attitudes toward antipsychotic medication and to compare patients using clozapine or other antipsychotics.

methodA cross-sectional study with data from 275 patients diagnosed with schizophrenia spectrum disorder. Patients adherence, attitudes, insight and side-effects were evaluated using the Attitudes toward Neuroleptic Treatment scale. Overall symptomology was measured using the Brief Psychiatric Rating Scale (BPRS), the Health of the Nation Outcome Scale (HoNOS). The functioning was assessed using activities of daily living scale, instrumental activities of daily living scale and social functioning of daily living scale.

resultsSelf-reported treatment adherence was high. Of the patients, 83% reported using at least 75% of the prescribed medication. Having more symptoms was related with more negative attitude towards treatment. There was a modest association with functioning and treatment adherence and attitude toward antipsychotic treatment. Attitudes affected on adherence in non-clozapine but not in clozapine groups.

conclusionEarly detection of non-adherence is difficult. Systematic evaluation of attitudes toward the treatment could be one way to assess this problem, along with optimized medication, prompt evaluation of side effects and flexible use of psychosocial treatments.

Indexed as

Antipsychotic AgentsSchizophreniaActivities of Daily LivingAttitude to HealthCross-Sectional StudiesHumansMedication AdherenceOutpatientsSchizophrenic PsychologyAntipsychotic AgentsAdherenceAttitudes toward neuroleptic treatment scaleClozapineCompliancePsychotic disorder

Identifiers

PMID33441112
PMCPMC7805157
OpenAlexW3120804447

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.