J Hamann

..Little is known about the desire of patients with schizophrenia to be involved in medical decisions affecting their treatment...

..Participants were requested to judge which patient behaviours they find helpful and which behaviours detrimental for SDM...

..This shift towards more patient engagement by health professionals and towards more desire by patients for participation may be partly based on socio-political factors...

..This study evaluated a new intervention...

..Studies in somatic medicine have demonstrated delays in the implementation of new drugs, but data on psychiatric drugs are scarce. This study examined psychiatrists' adoption of a new antipsychotic...

..In the present study, the feasibility and effects of SDM for in-patients with schizophrenia should be evaluated...

..The aim of the present analysis was to study whether shared decision making (SDM) in antipsychotic drug choice would influence long-term outcome...

..There is little knowledge as to whether the chronicity of a disease affects patients' desire for participation...

..To describe and characterize the work of independent complaint offices for users of psychiatric services and of ombudsmen in psychiatric hospitals...

..This is especially true of those being treated involuntarily...

..This study explored psychiatrists' views of shared decision making in schizophrenia treatment...

..Other psychiatrist-related factors (e.g. age, gender, and work experience) did not influence attitudes toward depot...

..More attention in the consultation should be paid to patients' preferences...

..When working with patients exhibiting poor insight and negative drug attitudes, psychiatrists use authoritative decision-making styles despite the patient's desire to participate...

..Our goal was to determine why some patients want to participate in medical decision making and others do not...

..Accordingly, patients' knowledge of the optimal duration of maintenance therapy was poor...

..We attempted to determine the decision rules psychiatrists use in the choice of antipsychotic drugs for inpatients with schizophrenia...

..Only a few studies, of highly selected urologic procedures, have been reported, and all showed an astonishingly low percentage of patients with this distressing condition...

..This has been criticized on the grounds that the higher acquisition costs of the new antipsychotics might be more than outweighed by savings in other fields, e. g., through a reduction in rehospitalizations or indirect costs...

..This report provides a survey of this shared decision making model and a discussion of its implications in the fields of mental health and neurology...

..Rather, there is an urgent need to encourage and empower patients to claim their rights to information and participation...

..In other medical fields, 'shared decision making' (a strategy for including patients in therapeutic decision processes) has been studied for several years now. This survey presents the potential of shared decision making for psychiatry...

..It is important to raise awareness among non-specialists about the indications, efficacy and side-effects of the antipsychotics because these physicians account for the majority of antipsychotic prescriptions...

..They estimate that only about 10- 30 % of all patients with schizophrenia receive second-generation antipsychotics, a figure that lies significantly below the international average...

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..Our study aims to investigate whether psychiatrists actually do conduct such a balanced information search and presentation...

..The influence of patient and physician variables on antipsychotic drug choice for patients with schizophrenia was assessed...

..Despite the widespread use of the Brief Psychiatric Rating Scale (BPRS), the clinical meaning of its total score and cut-off values used to define treatment response are unclear...

..Despite good clinical evidence, depot antipsychotics are only seldom prescribed to patients with first episode schizophrenia. The present study aims at investigating psychiatrists' reasons for this reservation...

..While most "atypicals" have a high affinity for both dopamine and serotonin receptors, amisulpride has only dopamine receptor action...

..We aimed to establish whether the new drugs induce fewer EPS than low-potency conventional antipsychotics...

..In a first step to highlight this contradiction we aimed at identifying attributes of patients that indicate their qualification for depot treatment in the eyes of the psychiatrists...

..g. at least 20% or 50% reduction of the baseline score) are as yet unclear. We therefore compared the PANSS with simultaneous ratings of Clinical Global Impressions (CGI)...

..Clinicians seem to base CGI ratings on relative change rather than on absolute change of symptoms...

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..Nevertheless, long-acting injectable formulations are seldom prescribed in the treatment of schizophrenia...

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..The authors present practical examples to highlight the current problems and propose a concrete series of suggestions on how to further optimize antipsychotic drug trials in the future...

..A comprehensive review of the present state and new approaches of patient participation in German psychiatry was conducted...

..In the neurosciences a similar trend was seen but the findings were not statistically significant. The reason for this inconclusive finding might be the low number of RCTs published in German...