Evidence map›Paper›PMID 35547105›Full record

ArticleThe South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa2022

Correlates of high-dose antipsychotic prescription amongst outpatients with Schizophrenia in a Nigerian Hospital.

Ihechiluru G Anozie, Bawo O James, Joyce O Omoaregba, Sunday O Oriji, Paul O Erohubie, Anthony C Enebe

Abstract read
In one paragraph

Article in The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Prevalence and predictors of high-dose antipsychotic therapy among adult psychiatric inpatients in Baghdad, Iraq.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2026
    Article
  2. Article
  3. Article
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

6 authors.

Ihechiluru G AnozieDepartment of Clinical Sciences, Federal Neuropsychiatric Hospital, Benin City, Nigeria.ORCID https://orcid.org/0000-0001-5773-8821
Bawo O JamesDepartment of Clinical Sciences, Federal Neuropsychiatric Hospital, Benin City, Nigeria.ORCID https://orcid.org/0000-0001-5150-3044
Joyce O OmoaregbaDepartment of Clinical Sciences, Federal Neuropsychiatric Hospital, Benin City, Nigeria.ORCID https://orcid.org/0000-0003-2772-2161
Sunday O OrijiDepartment of Clinical Sciences, Federal Neuropsychiatric Hospital, Benin City, Nigeria.ORCID https://orcid.org/0000-0003-1010-3022
Paul O ErohubieDepartment of Clinical Sciences, Federal Neuropsychiatric Hospital, Benin City, Nigeria.ORCID https://orcid.org/0000-0003-0681-9175
Anthony C EnebeDepartment of Clinical Sciences, Federal Neuropsychiatric Hospital, Benin City, Nigeria.ORCID https://orcid.org/0000-0001-9348-9367

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Treatment guidelines recommend the use of antipsychotic monotherapy at effective doses for the treatment of schizophrenia, although about a third of the sufferers still receive high-dose antipsychotic treatment. Current evidence suggests that high-dose antipsychotic prescription (HDAP) not only fails to improve outcomes but also increases side effects. Aim: Our study aimed to determine the prevalence of HDAP and its association with illness severity, medication adherence behaviour and side effects amongst outpatients with schizophrenia. Setting: The Federal Neuro-Psychiatric Hospital, Benin-City, Nigeria. Methods: A cross-sectional study of 320 attendees with schizophrenia at the outpatient department was undertaken. We administered a sociodemographic and antipsychotic medication questionnaire, Mini-International Neuropsychiatric Interview, Positive and Negative Syndrome Scale, Liverpool University Neuroleptic Side Effects Rating Scales and Medication Adherence Rating Scales. High-dose antipsychotic prescription was determined by the ratio of prescribed daily dose to defined daily dose greater than 1.5. Results: The prevalence of HDAP was 38.4%. Greater severity of illness, experiencing more side effects and poor medication adherence were significantly associated with HDAP.The major predictors of HDAP were antipsychotic polypharmacy and concurrent anticholinergic use. Conclusion: We conclude that although the use of HDAP amongst patients with schizophrenia remains common, its persistent use should be discouraged.

Indexed as

antipsychoticshigh doseNigeriaprescriptionschizophrenia

Identifiers

PMID35547105
PMCPMC9082254

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Registered trials

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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.