Combining depot antipsychotic with an assertive monitoring programme for treating first-episode schizophrenia in a resource-constrained setting.

Journal: Early intervention in psychiatry

Volume: 10

Issue: 1

Year of Publication: 2016

Affiliated Institutions:  Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa. Department of Psychiatry, College of Medicine, University of Ibadan, Ibadan, Nigeria. Centre for Statistical Consultation, Stellenbosch University, Stellenbosch, South Africa.

Abstract summary 

To assess the feasibility and effectiveness of depot antipsychotic (flupenthixol decanoate) combined with an assertive monitoring programme (AMP) in first-episode schizophrenia.This was a prospective, non-comparative, longitudinal study conducted over 12 months assessing patient acceptance, adherence, outcome in domains of psychopathology, functionality and quality of life, and tolerability.Of 207 participants, 149 (72%) completed 12 months of treatment. Acceptance of and adherence to depot was good. Treatment response was achieved by 170 (82%) participants and remission by 124 (60%). Thirty-three (19%) responders relapsed and 10 (5%) participants met a priori criteria for treatment resistance. Treatment was generally well tolerated.Combination of depot antipsychotic with an AMP may be an effective and safe intervention in early phases of schizophrenia, and may be particularly suitable for resource-constrained settings.

Authors & Co-authors:  Chiliza Bonginkosi B Ojagbemi Akin A Esan Oluyomi O Asmal Laila L Oosthuizen Piet P Kidd Martin M Gureje Oye O Emsley Robin R

Study Outcome 

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Statistics
Citations : 
Authors :  8
Identifiers
Doi : 10.1111/eip.12141
SSN : 1751-7893
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
antipsychotic;developing country;psychotic disorder;schizophrenia
Study Design
Longitudinal Study,Cross Sectional Study
Study Approach
Country of Study
Publication Country
Australia