Département Médico-Psychologique du 14ème Arrondissement, Centre Hospitalier Sainte-Anne, Paris, France.
Int J Psychiatry Clin Pract. 2009;13(2):138-46. doi: 10.1080/13651500802570980.
Objective. To assess clinical development in patients with psychotic disorders who received risperidone long-acting injectable (RLAI) in combination with psychosocial interventions as part of daily clinical practice in France. Methods. In this 18-month survey, patients were started on bi-monthly RLAI injections and integrated in a psychosocial treatment programme. Clinical progression was evaluated using the Clinical Global Impression of Severity (CGI-S) and Global Assessment of Functioning (GAF) scales. In addition, data on patient characteristics, adherence, RLAI dosage, concomitant medications and rates and durations of hospitalization were collected. Results. Of the total of 120 patients included in the survey, 95 (79.2%) had previously received other treatments. Non-adherence was the most frequently reported reason for changing to RLAI (93 patients, 97.9%). With RLAI treatment, mean CGI-S scores improved from 5.6±0.5 at baseline to 3.6±1.1 at 18 months, whilst mean GAF scores increased from 34.0±12.7 to 67±13.5 (both P<0.0001). Furthermore, patients had fewer and shorter hospitalizations during the 18 months of RLAI treatment, compared to the preceding 18 months. Conclusions. Patients with psychotic disorders benefited from RLAI treatment in combination with psychosocial interventions, as shown by improvements in their clinical status and functioning and reduced hospitalization rates.
目的。评估在法国日常临床实践中,接受利培酮长效注射剂(RLAI)联合心理社会干预的精神障碍患者的临床进展情况。方法。在这项为期 18 个月的调查中,患者开始接受每两个月一次的 RLAI 注射,并纳入心理社会治疗计划。使用临床总体印象严重程度量表(CGI-S)和总体功能评估量表(GAF)评估临床进展情况。此外,还收集了患者特征、依从性、RLAI 剂量、伴随药物以及住院率和住院时间的数据。结果。在参与调查的 120 名患者中,有 95 名(79.2%)之前接受过其他治疗。更换为 RLAI 的最常见原因是不依从(93 名患者,97.9%)。接受 RLAI 治疗后,CGI-S 评分从基线时的 5.6±0.5 改善至 18 个月时的 3.6±1.1,GAF 评分从 34.0±12.7 增加至 67±13.5(均 P<0.0001)。此外,与 RLAI 治疗前的 18 个月相比,患者在 RLAI 治疗期间的住院次数和时间均减少。结论。患有精神障碍的患者从 RLAI 联合心理社会干预治疗中获益,其临床状况和功能得到改善,住院率降低。