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Article: Perceptions of relapse risks following first-episode psychosis and attitudes towards maintenance medication: A comparison between nursing and social work professionals

TitlePerceptions of relapse risks following first-episode psychosis and attitudes towards maintenance medication: A comparison between nursing and social work professionals
Authors
KeywordsHealth-care professionals' attitude
Maintenance treatment
Psychotic disorder
Relapse risk perception
Issue Date2011
PublisherBlackwell Publishing, Inc. The Journal's web site is located at http://www.blackwellpublishing.com/journal.asp?ref=1751-7885&site=1
Citation
Early Intervention In Psychiatry, 2011, v. 5 n. 4, p. 324-334 How to Cite?
AbstractAim: Existing clinical guidelines have not yet identified an optimal duration of maintenance antipsychotic drug treatment for stable, remitted first-episode psychosis patients. This study compares the perception of relapse risk and attitudes towards maintenance medication among professionals in nursing and social work fields who have direct clinical experience with first-episode psychosis patients. We explore a perception model that identifies the decision-making factors in the clinical dilemma between relapse and maintenance. Methods: A specially designed survey addressing perceptions of relapse risk and optimal duration of maintenance treatment was conducted among 63 experienced health-care professionals (30 nurses and 33 social workers) in the field of early psychosis in Hong Kong. Results: Two clinically relevant themes were identified that affected professionals' judgment on the optimal duration of maintenance treatment in stable, remitted first-episode psychosis patients: (i) the remission period; and (ii) professionals' perceptions of relapse risk involved in medication discontinuation. The remission period was a significant predictor of the perceived relapse risk. Compared with social workers, mental health nurses perceived a higher relapse risk for patients before Bonferroni adjustment. Conclusions: The three key clinical components discussed - remission period, perceived relapse risk and perceived optimal duration of maintenance treatment - are interconnected, collectively influencing health-care professionals' attitudes towards relapse and maintenance for patients. Our study identified differences between the perceptions of nursing and social work professionals, indicating a need for communication and discussion among professional groups in order to arrive at a coherent, efficacious team consensus. © 2011 Blackwell Publishing Asia Pty Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/137521
ISSN
2015 Impact Factor: 2.889
2015 SCImago Journal Rankings: 1.071
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChan, KKSen_HK
dc.contributor.authorChin, QPen_HK
dc.contributor.authorTang, YMJen_HK
dc.contributor.authorLongenecker, Jen_HK
dc.contributor.authorHui, CLMen_HK
dc.contributor.authorChiu, CPen_HK
dc.contributor.authorLam, MMen_HK
dc.contributor.authorWong, GHen_HK
dc.contributor.authorChen, EYHen_HK
dc.date.accessioned2011-08-26T14:26:56Z-
dc.date.available2011-08-26T14:26:56Z-
dc.date.issued2011en_HK
dc.identifier.citationEarly Intervention In Psychiatry, 2011, v. 5 n. 4, p. 324-334en_HK
dc.identifier.issn1751-7885en_HK
dc.identifier.urihttp://hdl.handle.net/10722/137521-
dc.description.abstractAim: Existing clinical guidelines have not yet identified an optimal duration of maintenance antipsychotic drug treatment for stable, remitted first-episode psychosis patients. This study compares the perception of relapse risk and attitudes towards maintenance medication among professionals in nursing and social work fields who have direct clinical experience with first-episode psychosis patients. We explore a perception model that identifies the decision-making factors in the clinical dilemma between relapse and maintenance. Methods: A specially designed survey addressing perceptions of relapse risk and optimal duration of maintenance treatment was conducted among 63 experienced health-care professionals (30 nurses and 33 social workers) in the field of early psychosis in Hong Kong. Results: Two clinically relevant themes were identified that affected professionals' judgment on the optimal duration of maintenance treatment in stable, remitted first-episode psychosis patients: (i) the remission period; and (ii) professionals' perceptions of relapse risk involved in medication discontinuation. The remission period was a significant predictor of the perceived relapse risk. Compared with social workers, mental health nurses perceived a higher relapse risk for patients before Bonferroni adjustment. Conclusions: The three key clinical components discussed - remission period, perceived relapse risk and perceived optimal duration of maintenance treatment - are interconnected, collectively influencing health-care professionals' attitudes towards relapse and maintenance for patients. Our study identified differences between the perceptions of nursing and social work professionals, indicating a need for communication and discussion among professional groups in order to arrive at a coherent, efficacious team consensus. © 2011 Blackwell Publishing Asia Pty Ltd.en_HK
dc.languageengen_US
dc.publisherBlackwell Publishing, Inc. The Journal's web site is located at http://www.blackwellpublishing.com/journal.asp?ref=1751-7885&site=1en_HK
dc.relation.ispartofEarly Intervention in Psychiatryen_HK
dc.rightsThe definitive version is available at www.blackwell-synergy.com-
dc.subjectHealth-care professionals' attitudeen_HK
dc.subjectMaintenance treatmenten_HK
dc.subjectPsychotic disorderen_HK
dc.subjectRelapse risk perceptionen_HK
dc.titlePerceptions of relapse risks following first-episode psychosis and attitudes towards maintenance medication: A comparison between nursing and social work professionalsen_HK
dc.typeArticleen_HK
dc.identifier.emailChiu, CP: chiupyc@hku.hken_HK
dc.identifier.emailLam, MM: maylam11@hku.hken_HK
dc.identifier.emailChen, EYH: eyhchen@hku.hken_HK
dc.identifier.authorityChiu, CP=rp00291en_HK
dc.identifier.authorityLam, MM=rp00296en_HK
dc.identifier.authorityChen, EYH=rp00392en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/j.1751-7893.2011.00268.xen_HK
dc.identifier.pmid21521490-
dc.identifier.scopuseid_2-s2.0-80055052827en_HK
dc.identifier.hkuros191000en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-80055052827&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume5en_HK
dc.identifier.issue4en_HK
dc.identifier.spage324en_HK
dc.identifier.epage334en_HK
dc.identifier.isiWOS:000297018400007-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridChan, KKS=36448818400en_HK
dc.identifier.scopusauthoridChin, QP=54398370000en_HK
dc.identifier.scopusauthoridTang, JY=35086815700en_HK
dc.identifier.scopusauthoridLongenecker, J=35275177400en_HK
dc.identifier.scopusauthoridHui, CL=35734149500en_HK
dc.identifier.scopusauthoridChiu, CP=8627115700en_HK
dc.identifier.scopusauthoridLam, MM=13106178700en_HK
dc.identifier.scopusauthoridWong, GH=24465754400en_HK
dc.identifier.scopusauthoridChen, EYH=7402315729en_HK

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