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C. Tridente, M. Casiello, G. Foia, M. Petrosino, B. Speranza, A. Tridente, G. Muscettola - Vol. 11, March 2005, Issue 1

Testo Immagini Bibliografia Summary Indice

Antipsicotici, variazioni ponderali ed aderenza al trattamento in un campione di pazienti ambulatoriali
Antipsychotic drugs, weight changes and drug adherence in an outpatient sample

Objectives
The antipsychotic drugs’ effect on the appetite and body weight is a prominent negative factor during treatment of psychotic patients. Weight gain, in fact, increases mortality and morbidity risks and reduces self-esteem, worsens social adaptation and is one of the most common reasons of noncompliance.

Methods
To investigate relations between body weight and adherence and to evaluate the role of a correct preventive information about side-effects of neuroleptic drugs, we examined 76 outpatients in monotherapy with antipsychotic drugs stabilized since one month. We excluded patients with medical problems or in treatment with body weight-interfering drugs. We used an ad hoc questionnaire elaborated on the possible interaction between drugs, body weight changes and food habits. A comparison between schizophrenic patients in our sample and the others outpatients was performed.

Results and Conclusions
Results suggest that a correct information facilitates drug adherence also in patients who gain weight; the latter have a higher risk for Binge Eating Disorders.