Better adherence to guidelines among psychiatrists providing pharmacological therapy is associated with longer work hours in patients with schizophrenia
Abstract Schizophrenia is a psychiatric disorder that is associated with various social dysfunctions, including shorter work hours. To measure the degree to which psychiatrists adhere to guidelines for pharmacological therapy of schizophrenia, we recently developed the individual fitness score (IFS)...
| Main Authors: | , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Nature Portfolio
2023-11-01
|
| Series: | Schizophrenia |
| Online Access: | https://doi.org/10.1038/s41537-023-00407-3 |
| _version_ | 1797630210633367552 |
|---|---|
| author | Satsuki Ito Kazutaka Ohi Yuka Yasuda Michiko Fujimoto Hidenaga Yamamori Junya Matsumoto Kentaro Fukumoto Fumitoshi Kodaka Naomi Hasegawa Keiichiro Ishimaru Kenichiro Miura Norio Yasui-Furukori Ryota Hashimoto |
| author_facet | Satsuki Ito Kazutaka Ohi Yuka Yasuda Michiko Fujimoto Hidenaga Yamamori Junya Matsumoto Kentaro Fukumoto Fumitoshi Kodaka Naomi Hasegawa Keiichiro Ishimaru Kenichiro Miura Norio Yasui-Furukori Ryota Hashimoto |
| author_sort | Satsuki Ito |
| collection | DOAJ |
| description | Abstract Schizophrenia is a psychiatric disorder that is associated with various social dysfunctions, including shorter work hours. To measure the degree to which psychiatrists adhere to guidelines for pharmacological therapy of schizophrenia, we recently developed the individual fitness score (IFS) for adherence among psychiatrists in each patient. However, it remains unclear whether better adherence among psychiatrists is associated with higher patients’ social functional outcomes, such as work hours. In this study, we examined the relationship between adherence to guidelines among psychiatrists and work hours in patients with schizophrenia. To evaluate the association between adherence to guidelines for pharmacological therapy among psychiatrists for treating schizophrenia and work hours, we used the IFS and social activity assessment, respectively, in 286 patients with schizophrenia. The correlation between IFS values and work hours was investigated in the patients. The adherence among psychiatrists to guidelines was significantly and positively correlated with work hours in patients with schizophrenia (rho = 0.18, p = 2.15 × 10− 3). When we divided the patients into treatment-resistant schizophrenia (TRS) and nontreatment-resistant schizophrenia (non-TRS) groups, most patients with TRS (n = 40) had shorter work hours (0–15 h/week). Even after excluding patients with TRS, the positive correlation between adherence to guidelines among psychiatrists and work hours in patients with non-TRS (n = 246) was still significant (rho = 0.19, p = 3.32 × 10− 3). We found that work hours were longer in patients who received the guideline-recommended pharmacotherapy. Our findings suggest that widespread education and training for psychiatrists may be necessary to improve functional outcomes in patients with schizophrenia. |
| first_indexed | 2024-03-11T11:03:59Z |
| format | Article |
| id | doaj.art-fff047ed39db4d5eb966889c21b4f05c |
| institution | Directory Open Access Journal |
| issn | 2754-6993 |
| language | English |
| last_indexed | 2024-03-11T11:03:59Z |
| publishDate | 2023-11-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Schizophrenia |
| spelling | doaj.art-fff047ed39db4d5eb966889c21b4f05c2023-11-12T12:20:51ZengNature PortfolioSchizophrenia2754-69932023-11-01911610.1038/s41537-023-00407-3Better adherence to guidelines among psychiatrists providing pharmacological therapy is associated with longer work hours in patients with schizophreniaSatsuki Ito0Kazutaka Ohi1Yuka Yasuda2Michiko Fujimoto3Hidenaga Yamamori4Junya Matsumoto5Kentaro Fukumoto6Fumitoshi Kodaka7Naomi Hasegawa8Keiichiro Ishimaru9Kenichiro Miura10Norio Yasui-Furukori11Ryota Hashimoto12Department of Developmental and Clinical Psychology, The Division of Human Developmental Sciences, Graduate School of Humanity and Sciences, Ochanomizu UniversityDepartment of Psychiatry, Gifu University Graduate School of MedicineDepartment of Pathology of Mental Diseases, National Institute of Mental Health, National Center of Neurology and PsychiatryDepartment of Pathology of Mental Diseases, National Institute of Mental Health, National Center of Neurology and PsychiatryDepartment of Pathology of Mental Diseases, National Institute of Mental Health, National Center of Neurology and PsychiatryDepartment of Pathology of Mental Diseases, National Institute of Mental Health, National Center of Neurology and PsychiatryDepartment of Neuropsychiatry, School of Medicine, Iwate Medical UniversityDepartment of Pathology of Mental Diseases, National Institute of Mental Health, National Center of Neurology and PsychiatryDepartment of Pathology of Mental Diseases, National Institute of Mental Health, National Center of Neurology and PsychiatryFaculty of Core Research, Ochanomizu UniversityDepartment of Pathology of Mental Diseases, National Institute of Mental Health, National Center of Neurology and PsychiatryDepartment of Psychiatry, Dokkyo Medical University School of MedicineDepartment of Pathology of Mental Diseases, National Institute of Mental Health, National Center of Neurology and PsychiatryAbstract Schizophrenia is a psychiatric disorder that is associated with various social dysfunctions, including shorter work hours. To measure the degree to which psychiatrists adhere to guidelines for pharmacological therapy of schizophrenia, we recently developed the individual fitness score (IFS) for adherence among psychiatrists in each patient. However, it remains unclear whether better adherence among psychiatrists is associated with higher patients’ social functional outcomes, such as work hours. In this study, we examined the relationship between adherence to guidelines among psychiatrists and work hours in patients with schizophrenia. To evaluate the association between adherence to guidelines for pharmacological therapy among psychiatrists for treating schizophrenia and work hours, we used the IFS and social activity assessment, respectively, in 286 patients with schizophrenia. The correlation between IFS values and work hours was investigated in the patients. The adherence among psychiatrists to guidelines was significantly and positively correlated with work hours in patients with schizophrenia (rho = 0.18, p = 2.15 × 10− 3). When we divided the patients into treatment-resistant schizophrenia (TRS) and nontreatment-resistant schizophrenia (non-TRS) groups, most patients with TRS (n = 40) had shorter work hours (0–15 h/week). Even after excluding patients with TRS, the positive correlation between adherence to guidelines among psychiatrists and work hours in patients with non-TRS (n = 246) was still significant (rho = 0.19, p = 3.32 × 10− 3). We found that work hours were longer in patients who received the guideline-recommended pharmacotherapy. Our findings suggest that widespread education and training for psychiatrists may be necessary to improve functional outcomes in patients with schizophrenia.https://doi.org/10.1038/s41537-023-00407-3 |
| spellingShingle | Satsuki Ito Kazutaka Ohi Yuka Yasuda Michiko Fujimoto Hidenaga Yamamori Junya Matsumoto Kentaro Fukumoto Fumitoshi Kodaka Naomi Hasegawa Keiichiro Ishimaru Kenichiro Miura Norio Yasui-Furukori Ryota Hashimoto Better adherence to guidelines among psychiatrists providing pharmacological therapy is associated with longer work hours in patients with schizophrenia Schizophrenia |
| title | Better adherence to guidelines among psychiatrists providing pharmacological therapy is associated with longer work hours in patients with schizophrenia |
| title_full | Better adherence to guidelines among psychiatrists providing pharmacological therapy is associated with longer work hours in patients with schizophrenia |
| title_fullStr | Better adherence to guidelines among psychiatrists providing pharmacological therapy is associated with longer work hours in patients with schizophrenia |
| title_full_unstemmed | Better adherence to guidelines among psychiatrists providing pharmacological therapy is associated with longer work hours in patients with schizophrenia |
| title_short | Better adherence to guidelines among psychiatrists providing pharmacological therapy is associated with longer work hours in patients with schizophrenia |
| title_sort | better adherence to guidelines among psychiatrists providing pharmacological therapy is associated with longer work hours in patients with schizophrenia |
| url | https://doi.org/10.1038/s41537-023-00407-3 |
| work_keys_str_mv | AT satsukiito betteradherencetoguidelinesamongpsychiatristsprovidingpharmacologicaltherapyisassociatedwithlongerworkhoursinpatientswithschizophrenia AT kazutakaohi betteradherencetoguidelinesamongpsychiatristsprovidingpharmacologicaltherapyisassociatedwithlongerworkhoursinpatientswithschizophrenia AT yukayasuda betteradherencetoguidelinesamongpsychiatristsprovidingpharmacologicaltherapyisassociatedwithlongerworkhoursinpatientswithschizophrenia AT michikofujimoto betteradherencetoguidelinesamongpsychiatristsprovidingpharmacologicaltherapyisassociatedwithlongerworkhoursinpatientswithschizophrenia AT hidenagayamamori betteradherencetoguidelinesamongpsychiatristsprovidingpharmacologicaltherapyisassociatedwithlongerworkhoursinpatientswithschizophrenia AT junyamatsumoto betteradherencetoguidelinesamongpsychiatristsprovidingpharmacologicaltherapyisassociatedwithlongerworkhoursinpatientswithschizophrenia AT kentarofukumoto betteradherencetoguidelinesamongpsychiatristsprovidingpharmacologicaltherapyisassociatedwithlongerworkhoursinpatientswithschizophrenia AT fumitoshikodaka betteradherencetoguidelinesamongpsychiatristsprovidingpharmacologicaltherapyisassociatedwithlongerworkhoursinpatientswithschizophrenia AT naomihasegawa betteradherencetoguidelinesamongpsychiatristsprovidingpharmacologicaltherapyisassociatedwithlongerworkhoursinpatientswithschizophrenia AT keiichiroishimaru betteradherencetoguidelinesamongpsychiatristsprovidingpharmacologicaltherapyisassociatedwithlongerworkhoursinpatientswithschizophrenia AT kenichiromiura betteradherencetoguidelinesamongpsychiatristsprovidingpharmacologicaltherapyisassociatedwithlongerworkhoursinpatientswithschizophrenia AT norioyasuifurukori betteradherencetoguidelinesamongpsychiatristsprovidingpharmacologicaltherapyisassociatedwithlongerworkhoursinpatientswithschizophrenia AT ryotahashimoto betteradherencetoguidelinesamongpsychiatristsprovidingpharmacologicaltherapyisassociatedwithlongerworkhoursinpatientswithschizophrenia |