A Comparison of Attitudes, Comfort, and Knowledge of Clozapine Among Two Diverse Samples of US Psychiatrists.

A Comparison of Attitudes, Comfort, and Knowledge of Clozapine Among Two Diverse Samples of US Psychiatrists.
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DOI:
10.1007/s10597-021-00847-0
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发表时间:
2022-04
影响因子:
2.7
通讯作者:
Goldsmith, David R.
Goldsmith, David R.
中科院分区:
医学4区
文献类型:
--
作者:
Cotes, Robert O.;Janjua, A. Umair;Broussard, Beth;Lazris, David;Khan, Ayesha;Jiao, Yunshen;Kopelovich, Sarah L.;Goldsmith, David R.

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在美国,氯氮平的使用存在着相当大的差异,在氯氮平使用率低的州,精神科医生的观点鲜为人知。为了更好地了解氯氮平的做法,态度和障碍,一项调查管理一组东南部国家会议的与会者(SSCA; N = 86)。同样的调查管理属于一个国家社区精神病学组织(AACP; N = 57)的精神科医生,并在两个样本之间的差异进行了分析。与AACP相比,SSCA组感觉不太舒适,认为氯氮平的安全性和有效性较低,使用氯氮平的患者较少,并且更倾向于使用抗精神病药物而不是氯氮平。在整个样本中,使用心肌炎筛查方案的情况很少见(N = 14/76; 18%),不到一半使用血浆抗精神病药物水平来指导剂量(N = 60/129; 47%)。继续专业教育氯氮平精神科医生谁看到个人与精神疾病。
Considerable variation in clozapine utilization exists across the United States, and little is known about the perspective of psychiatrists in states with low clozapine use. To better understand clozapine practices, attitudes, and barriers, a survey was administered to a group of southeastern state conference attendees (SSCA; N = 86). The same survey was administered to psychiatrists belonging to a national community psychiatry organization (AACP; N = 57), and differences were analyzed across the two samples. In comparison to the AACP, the SSCA group felt less comfortable, perceived clozapine as less safe and effective, had fewer patients on clozapine, and were more likely to prefer antipsychotic polypharmacy to clozapine use. Across the sample, use of a myocarditis screening protocol was rare (N = 14/76; 18%) and less than half used plasma antipsychotic levels to guide dosage (N = 60/129; 47%). Continuing professional education on clozapine are needed for psychiatrists who see individuals with psychotic disorders.
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发表时间: 2014-07-01
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