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Experience of Psychotropic Medication - An Interview Study of Persons with Psychosis
Stockholm University, Faculty of Social Sciences, Department of Social Work. Research and Development Unit, Psychiatry South Stockholm, Sweden.
Stockholm University, Faculty of Social Sciences, Department of Social Work. Research and Development Unit, Psychiatry South Stockholm, Sweden; University of Agder, Norway.
Number of Authors: 4
2016 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 37, no 11, 820-828 p.Article in journal (Refereed) Published
Abstract [en]

Psychotropic drugs, particularly antipsychotic types, are a cornerstone of the treatment of people with psychosis. Despite numerous studies showing that drug treatment with psychotropic drugs initially alleviates psychiatric symptoms, the proportion of people with mental health problems and symptoms that do not follow doctors' prescriptions, thus exhibiting so-called non-adherence, is considerable. Non-adherence is predominantly seen as a clinical feature and as a patient characteristic that is especially due to patients' poor understanding that they are ill. There is also a widespread notion that non-adherence is of great disadvantage to the patient. This article is based on interviews with 19 persons diagnosed with psychosis. It challenges the notion of patients being either adherent or non-adherent to the doctor's orders. The findings show that persons with psychosis are active agents when it comes to adjusting medication. The interviewees created their own strategies to gain power over treatment with psychotropic drugs. The most common strategies were to adjust the doses or take breaks of varying lengths from the medication. These deviations from prescriptions were important to conceal, not only from their own psychiatrists, but from all psychiatric staff.

Place, publisher, year, edition, pages
2016. Vol. 37, no 11, 820-828 p.
National Category
Sociology Psychiatry Nursing
Identifiers
URN: urn:nbn:se:su:diva-137764DOI: 10.1080/01612840.2016.1224283ISI: 000389820600005OAI: oai:DiVA.org:su-137764DiVA: diva2:1063967
Available from: 2017-01-11 Created: 2017-01-10 Last updated: 2017-01-11Bibliographically approved

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