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Adjunctive antidepressant prescriptions for hospitalized patients with schizophrenia in Asia (2001-2009)
Xiang Y.-T.7,11; Ungvari G.S.9; Wang C.-Y.7; Si T.-M.13; Lee E.H.M.10; Chiu H.F.K.11; Lai K.Y.C.11; He Y.-L.16; Yang S.-Y.8; Chong M.-Y.15; Tan C.-H.1; Kua E.-H.1; Fujii S.4; Sim K.3; Yong M.K.H.14; Trivedi J.K.12; Chung E.-K.2; Udomratn P.18; Chee K.-Y.6; Sartorius N.5; Shinfuku N.17
Source PublicationAsia-Pacific Psychiatry
ISSN17585864 17585872

Introduction: Little is known about the prescription patterns of adjunctive antidepressants in Asian schizophrenia patients. This study aimed to examine trends in the use of antidepressants and their demographic and clinical correlates in the treatment of schizophrenia in Asia between 2001 and 2009. Methods: A total of 6,761 hospitalized schizophrenia patients in nine Asian countries and territories were examined: 2,399 in 2001, 2,136 in 2004 and 2,226 in 2009. Patients' socio-demographic and clinical characteristics and prescriptions of psychotropic drugs were recorded using a standardized protocol and data collection procedure. Results: The proportion of antidepressant prescription was 6.8% in the whole sample; 5.3% in 2001, 6.5% in 2004 and 8.7% in 2009. There were wide inter-country variations at each survey ranging from 0.9% in Hong Kong to 15.3% in Singapore in 2001; from 1.9% in Korea to 15.4% in Singapore in 2004; and from 2.7% in Japan to 22.0% in Singapore in 2009. Multiple logistic regression analysis of the whole sample revealed that patients on antidepressants were younger, more likely to receive benzodiazepines and have significant extrapyramidal side-effects and less likely to have significant positive symptoms. Discussion: Unlike findings in Western countries, adjunctive antidepressant prescription for schizophrenia was not common in Asia. The frequency of antidepressant prescription varied among countries and territories, suggesting that a host of clinical and socio-cultural factors played a role in determining antidepressant use in Asia.

KeywordAntidepressant Prescription Pattern Schizophrenia
URLView the original
Indexed BySSCI
WOS Research AreaPsychiatry
WOS SubjectPsychiatry
WOS IDWOS:000319401100010
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Cited Times [WOS]:13   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionFaculty of Health Sciences
Corresponding AuthorXiang Y.-T.
Affiliation1.National University of Singapore
2.National Seoul Hospital
3.Institute of Mental Health
4.Hyogo Institute for Traumatic Stress (HITS)
5.Association for the Improvement of Mental Health Programs
6.Kuala Lumpur Hospital
7.Beijing An Ding Hospital, Capital Medical University
8.Taipei City Hospital Taiwan
9.University of Western Australia
10.The University of Hong Kong
11.Chinese University of Hong Kong
12.Chhatrapati Shahuji Maharaj Medical University
13.Peking University
14.Alexandra Hospital, Singapore
15.Chang Gung University College of Medicine
16.Shanghai Mental Health Center
17.Seinan Gakuin University
18.Prince of Songkla University
Recommended Citation
GB/T 7714
Xiang Y.-T.,Ungvari G.S.,Wang C.-Y.,et al. Adjunctive antidepressant prescriptions for hospitalized patients with schizophrenia in Asia (2001-2009)[J]. Asia-Pacific Psychiatry,2013,5(2).
APA Xiang Y.-T..,Ungvari G.S..,Wang C.-Y..,Si T.-M..,Lee E.H.M..,...&Shinfuku N..(2013).Adjunctive antidepressant prescriptions for hospitalized patients with schizophrenia in Asia (2001-2009).Asia-Pacific Psychiatry,5(2).
MLA Xiang Y.-T.,et al."Adjunctive antidepressant prescriptions for hospitalized patients with schizophrenia in Asia (2001-2009)".Asia-Pacific Psychiatry 5.2(2013).
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