Petrovic Aleksandra D, Barjaktarevic Ana M, Kostic Olivera Z, Mijailovic Sara S, Jankovic Slobodan M, Andjelkovic Marija V, Stanojevic Pirkovic Marijana S, Parezanovic Ilic Katarina D, Janjic Vladimir S, Mojsilovic Jana, Arsenijevic Jana, Jovanovic Danijela B, Knezevic Sanja, Folic Nevena, Stevic Milovan, Ruzic Zecevic Dejana, Petrovic Nemanja Z, Kostic Marina J
Department of Pharmacology and Toxicology, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.
Department of Pharmacy, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.
Pharmaceuticals (Basel). 2025 May 23;18(6):777. doi: 10.3390/ph18060777.
: Adverse effects of antipsychotics represent a significant limiting factor in achieving favorable therapeutic outcomes in the treatment of schizophrenia, and may contribute to a diminished quality of life among affected individuals. The primary objective of this study was to identify and evaluate the adverse effects of antipsychotics in patients diagnosed with schizophrenia who were treated at the social welfare institution, as well as to analyze the impact of these adverse effects on patients' overall quality of life. : A clinical, observational cross-sectional study was conducted, involving a sample of 278 patients diagnosed with schizophrenia. The patients were assessed in terms of their sociodemographic and clinical characteristics. Adverse effects of antipsychotics were evaluated using The Udvalg for Kliniske Undersøgelser (UKU) Side Effect Rating Scale, while quality of life was assessed in the previous study. : The average number of adverse effects per patient with schizophrenia was 3.56 for psychiatric, 1.18 for neurological, 2.62 for autonomic, and 7.12 for other side effects. The average UKU score was 17.22 ± 11.04, with significant differences based on accommodation, antipsychotic type, and dosing regimen. UKU scores were negatively correlated with the EuroQoL 5-Dimension 5-Level (EQ-5D-5L) index, Visual Analog Scale (VAS) score, the Quality-of-Life Enjoyment and Satisfaction Questionnaire-Short Form (Q-LES-Q-SF) score, and the scores of physical and psychological domains of the World Health Organization Quality-of-Life Scale (WHOQOL-BREF). : The findings of this study suggest that the presence of antipsychotic-related adverse effects is a significant determinant that can negatively influence the quality of life in patients with schizophrenia. These results underscore the importance of an individualized approach when determining pharmacological treatment strategies in the management of schizophrenia.
抗精神病药物的不良反应是精神分裂症治疗中实现良好治疗效果的一个重要限制因素,可能导致患者生活质量下降。本研究的主要目的是识别和评估在社会福利机构接受治疗的精神分裂症患者中抗精神病药物的不良反应,并分析这些不良反应对患者整体生活质量的影响。:进行了一项临床观察性横断面研究,样本包括278例诊断为精神分裂症的患者。对患者的社会人口统计学和临床特征进行了评估。使用临床研究不良反应评定量表(UKU)评估抗精神病药物的不良反应,而生活质量则在前一项研究中进行评估。:精神分裂症患者每人的平均不良反应数量为:精神方面3.56项、神经方面1.18项、自主神经方面2.62项、其他副作用方面7.12项。UKU平均得分为17.22±11.04,根据住宿情况、抗精神病药物类型和给药方案存在显著差异。UKU得分与欧洲五维健康量表(EQ-5D-5L)指数、视觉模拟量表(VAS)得分、生活质量享受与满意度问卷简表(Q-LES-Q-SF)得分以及世界卫生组织生活质量量表(WHOQOL-BREF)的身体和心理领域得分呈负相关。:本研究结果表明,抗精神病药物相关不良反应的存在是一个重要决定因素,可对精神分裂症患者的生活质量产生负面影响。这些结果强调了在确定精神分裂症管理中的药物治疗策略时采用个体化方法的重要性。