[Does contemporary pharmacotherapy limit coercion in psychiatry? Preliminary results].
OBJECTIVE
The goal of the present study was to examine whether contemporary psychopharmacotherapy (atypic neuroleptics) can have an impact on the patient's compliance and limit coercion (involuntary admission to hospital, coercive measures).


METHODS
71 adult inpatients with diagnoses of the schizophrenia spectrum (F20 group according to ICD-10) admitted to psychiatric hospital were observed. 41 of them were treated with atypic neuroleptics before hospitalization and 30 with typical ones. Data about their pharmacotherapy before hospitalization, compliance, history of disease and coercion used during hospitalization were gathered and analysed by means of chi square Pearson's and Mann-Whitney's tests.


RESULTS
There were no significant differences in non-compliance, the type of admission to hospital and frequency of coercion measures used during hospitalization between groups of patients receiving atypic and typical antipsychotics. However, the group with atypic neurolepitics was nearly significantly more adherent to therapy than the typical ones.


CONCLUSIONS
Results of the study did not confirm the impact of atypic neuroleptics on compliance and coercion connected with admission to hospital. A long-term study with an increased number of patients is needed to confirm the results of this study.
Dobrzyńska
Ewelina
E
Katedra i Klinika Psychiatrii AM we Wroclawiu.
Rymaszewska
Joanna
J
Pawłowski
Tomasz
T
Adamowski
Tomasz
T
Hadryś
Tomasz
T
Kiejna
Andrzej
A
D000328:Adult; D000368:Aged; D003068:Coercion; D004358:Drug Therapy / Q000592:standards*; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000188:drug therapy / Q000628:therapy*; D008875:Middle Aged; D011570:Psychiatry / Q000379:methods*; D012189:Retrospective Studies; D013997:Time Factors