[Treatment oriented to subjective well- being rather than symptom amelioration "at all costs"--paradigm change in treatment with antipsychotics].
Modern antipsychotics differ from the classical drugs mainly in their improved efficacy in combating affective, negative and cognitive symptoms and by a modified side effect profile. The variability range of such substances enable a more differentiated approach to treatment to be adopted. Patients treated with typical antipsychotics report a more pronounced improvement in subjective well-being. In view of the increasing numbers of atypical antipsychotics, the involvement of the patients in the selection of the most appropriate drug is a must. Apart from symptom amelioration - the formerly predominant goal of treatment - greater emphasis is now placed on the well-being of the individual patient on antipsychotic therapy. With this approach, the physician-patient relationship, compliance and the long-term prognosis can all be appreciably improved.
Karow
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Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Hamburg-Eppendorf. karow@uke.uni-hamburg.de
Naber
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D000223:Adaptation, Psychological; D014150:Antipsychotic Agents / Q000008:administration & dosage / Q000009:adverse effects*; D004409:Dyskinesia, Drug-Induced / Q000523:psychology; D004644:Emotions / Q000187:drug effects*; D006801:Humans; D010358:Patient Participation / Q000523:psychology; D017060:Patient Satisfaction; D011788:Quality of Life / Q000523:psychology*; D012803:Sick Role
D014150:Antipsychotic Agents