Department of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea.
Int Clin Psychopharmacol. 2013 Mar;28(2):80-6. doi: 10.1097/YIC.0b013e32835d30ae.
The current prescription rate of long-acting injectable antipsychotics (LAI) is less than 1% in Korea. This study aimed to investigate the reason for LAI underuse by surveying the attitudes toward LAI among psychiatrists and patients receiving LAI. A total of 173 psychiatrists and 99 patients receiving LAI participated in the survey. Participating psychiatrists were divided into two groups according to experience with prescribing LAI to at least 10 patients. The two psychiatrist groups did not differ significantly in terms of sociodemographic characteristics and clinical practice patterns. However, the group with higher experience more frequently provided explanations of LAI to their patients and was more satisfied with the use of LAI than the group with less experience. Acceptance rates of patients to the recommendation for LAI treatment and satisfaction of psychiatrists with the outcome of LAI were also significantly higher in the group with higher experience. Psychiatrists with less experience with LAI were more negative toward LAI than patients receiving LAI as well as psychiatrists with higher experience. In conclusion, attitudes of psychiatrists toward LAI were closely related to the use of LAI. The negative attitude and reluctance of psychiatrists, rather than patient resistance, may contribute toward the underuse of LAI.
韩国目前长效注射抗精神病药（LAI）的处方率不足 1%。本研究旨在通过调查接受 LAI 治疗的精神科医生和患者对 LAI 的态度，探讨 LAI 使用率低的原因。共有 173 名精神科医生和 99 名接受 LAI 的患者参与了这项调查。参与调查的精神科医生根据至少为 10 名患者开具 LAI 的经验分为两组。两组精神科医生在社会人口统计学特征和临床实践模式方面没有显著差异。然而，经验更丰富的组更频繁地向患者解释 LAI，并比经验较少的组对 LAI 的使用更满意。经验更丰富组的患者对 LAI 治疗建议的接受率和精神科医生对 LAI 治疗结果的满意度也显著更高。与接受 LAI 治疗的患者以及经验更丰富的精神科医生相比，经验较少的精神科医生对 LAI 的态度更为消极。总之，精神科医生对 LAI 的态度与 LAI 的使用密切相关。精神科医生的消极态度和不情愿，而不是患者的抵触，可能是导致 LAI 使用率低的原因。
