Bjornestad Jone, Davidson Larry, Joa Inge, Larsen Tor Ketil, Hegelstad Wenche Ten Velden, Langeveld Johannes, Veseth Marius, Melle Ingrid, Johannessen Jan Olav, Bronnick Kolbjorn
a TIPS - Centre for Clinical Research in Psychosis, Stavanger University Hospital , Stavanger , Norway.
b Yale University, School of Medicine and Institution for Social and Policy Studies , New Haven , CT , USA.
J Ment Health. 2017 Jun;26(3):264-270. doi: 10.1080/09638237.2017.1294735. Epub 2017 Mar 1.
There is lack of long-term controlled studies evaluating treatment effects of antipsychotic medication. A complete investigation should include the service user perspective.
To investigate experiences of clinically recovered service users of antipsychotic medications during and after a first episode of psychosis.
We used a thematic analytic approach within an interpretative-phenomenological framework. 20 clinically recovered service users were interviewed.
Themes: (1) Antipsychotic drugs reduce mental chaos during the acute phase, (2) Non-stigmatizing environments were perceived to increase chances of successful use, (3) Antipsychotic drugs beyond the acute phase - considered to compromise the contribution of individual effort in recovery, (4) Prolonged use - perceived to reduce likelihood of functional recovery, (5) Antipsychotic medication was considered as a supplement to trustful relationships.
Acute phase antipsychotic treatment was mostly perceived as advantageous by this sample, who was in clinical recovery. However, costs were often seen as outweighing benefits beyond the acute stage. Findings clearly emphasize the need for a collaborative approach to be integrated across all phases of care. This study underscores the need to investigate sub-group differences with regard to long-term antipsychotic treatment.
缺乏评估抗精神病药物治疗效果的长期对照研究。完整的调查应包括服务使用者的观点。
调查首次精神病发作期间及之后临床康复的抗精神病药物服务使用者的经历。
我们在解释现象学框架内采用主题分析法。对20名临床康复的服务使用者进行了访谈。
主题：（1）抗精神病药物在急性期减少精神混乱，（2）无污名化环境被认为增加成功使用的机会，（3）急性期后的抗精神病药物——被认为会损害个人康复努力的作用，（4）长期使用——被认为会降低功能恢复的可能性，（5）抗精神病药物被视为信任关系的补充。
该临床康复样本大多认为急性期抗精神病治疗是有益的。然而，在急性期之后，成本往往被视为超过收益。研究结果明确强调在护理的所有阶段都需要采用协作方法。本研究强调有必要调查长期抗精神病治疗方面的亚组差异。
