Systematic review of patient and nurse attitudes to depot antipsychotic medication

Br J Psychiatry. 2001 Oct:179:300-7. doi: 10.1192/bjp.179.4.300.

Abstract

Background: Depot antipsychotic medication is used widely in the treatment and prophylaxis of severe mental illness.

Aims: To review the literature on patient and nurse satisfaction with, and attitudes towards, depots.

Method: A systematic search of Medline, Embase, PsycINFO, CINAHL and The Cochrane Library was undertaken, along with citation searches. Studies were selected if satisfaction/attitude data were described in the title or abstract and original data were included. Study quality was rated.

Results: The search produced 1374 articles; 22 articles met the inclusion criteria, 18 of which were cross-sectional surveys. Of the 12 studies with relevant data, 10 conveyed a positive opinion of depot medication. Five out of six studies comparing depot with oral medication showed patient preference for depot.

Conclusions: High-quality data examining patient and nurse attitudes regarding depot antipsychotics are sparse. What data there are show a positive attitude to depots from patients. Future randomised controlled trials should include satisfaction as an outcome.

Publication types

  • Comparative Study
  • Meta-Analysis
  • Research Support, Non-U.S. Gov't
  • Systematic Review

MeSH terms

  • Administration, Oral
  • Antipsychotic Agents / administration & dosage*
  • Attitude of Health Personnel*
  • Cross-Sectional Studies
  • Databases, Bibliographic
  • Delayed-Action Preparations
  • Humans
  • Patient Satisfaction*
  • Schizophrenia / drug therapy*
  • Schizophrenia / nursing*

Substances

  • Antipsychotic Agents
  • Delayed-Action Preparations