Psychiatria pre prax 1/2019
Vnímanie depotnej antipsychotickej liečby slovenskými psychiatrami. Porovnanie zmeny názorov medzi rokmi 2015 a 2018
We focused on finding the differences in opinion of Slovak psychiatrists on the use of this cure in some specific situations in the therapy of schizophrenia. We realized our research via questionnaire presented to psychiatrists in hospitals and/or outpatient practice in June 2015 (n=47) and subsequently in June 2018 (n=43). Depot/LAI medication was preferred by psychiatrists (in more than 85 % of cases) when low compliance, poor insight or frequent episodes. In contrast, oral form of antipsychotic medication was preferred if patient was of young age, economically active. It is not suitable in first episode of schizophrenia (74 % of respondents), on the other hand in second or third episode it wouldn’t be indicated only by 7 % of respondents. Within the comparison of opinion on the indication of depot/LAI medication between the years 2015-2018, the most significant change was found in preferences in young patients (increase from 13 % to 44 %) and in economically active people (from 23 % to 48 %). Very significant move happened also in decision-making between the types of depot antipsychotics. In every explored situation, the secondgeneration agent was preferred.
