Do patients prefer psychological treatment to pharmacological treatment for psychiatric disorders?
1 Patient preference for the treatment of psychiatric disorders is a core component of evidence-based mental health... 2 Studies across diverse settings indicate that on average patients prefer psychological treatment to pharmacological... 3 Consideration of patient preference, along with treatment efficacy and clinical expertise,...
What percentage of the population prefer psychological and pharmacological therapy?
The population mean proportion preferring therapy was 0.75 (95% CI: 0.69 to 0.80), which is significantly higher than 0.50 (p< 0.001), the proportion that would indicate equal preference for psychological and pharmacological treatment.
How are supplements scientifically proven?
In most cases, scientific investigations of supplements start with simple observational studies, in which researchers compare the health status of folks who take a particular supplement with the health of people who don't take the supplement. It's an important effort, but the results don't always hold up.
Why has the pharmaceutical industry decreased its investment in translational drug development?
Given the repeated failure of translational drug development to bear fruit, it is not surprising that the pharmaceutical industry has decreased its investment in such areas in recent years (Miller, 2010).
When it is appropriate to substitute a drug?
In generic substitution, a generic drug is substituted for a brand name drug. However, both drugs have the same active chemical ingredient, same dosage strength, and same dosage form. Therapeutic substitution occurs when a pharmacist substitutes a chemically different drug for the drug that the physician prescribed.
What factors must be considered before changing their medication?
The 6 main variables of medication prescribingHeight and weight. ... Sex. ... Age. ... Existing medical conditions. ... Drug interactions. ... Medication intolerance.
When should a current medication list be reviewed with patients?
Many organizations have a process in place that calls for reviewing the patients' medication list at every primary care visit and within 24 hours of an inpatient admission.
What are the 4 factors that can change medication effectiveness?
4 Factors That Influence Proper Medication UsePatients are not taking medications exactly as directed. ... A patient's diet may be interfering with medications. ... A patient's lifestyle habits may be interfering with medications. ... A patient may have comorbid conditions.
Why do medications change?
Sometimes it is necessary for changes to be made to the medications that patients are prescribed; this may be because new, more effective drugs become available, for safety reasons or as the result of new information or medical study.
What is the most important factor to be considered in drug prescription?
Clinical effectiveness is the most important factor considered in drug prescription choice in both countries.
Why is reviewing medication important?
Abstract. Medication reviews are important in primary care and help prevent adverse reactions from medications, improve the medical condition of the patient and reduce the usage of medicines to save money in the NHS.
When performing an assessment about medication drug history should include which of the following?
A good medication history should encompass all currently and recently prescribed drugs, previous adverse drug reactions including hypersensitivity reactions, any over-the counter medications, including herbal or alternative medicines, and adherence to therapy.
Why do I need to review my medications?
A medication review ensures that a patient is getting the most out of all prescriptions. Reviews allow doctors to change and adjust medications to match the patient's condition. The assessment also ensures the patient is taking up-to-date drugs.
What factors can influence the therapeutic effect of medications?
Therapy-related factors identified include: route of administration, treatment complexity, duration of treatment period, medication side effects, degree of behavioral change required, taste of medication and requirement for drug storage (Table 4).
What are factors affecting patient adherence to drug therapy?
Previous research has indicated that adherence is influenced by a number of issues, including side effects, cost of the medication, dosing frequency, and routes of administration. Other factors include patient beliefs, demographics and comorbidities.
What factors typically influence patient's decisions to take or not to take medication?
Impact of influencing factors of adherenceSocial and economic factors. The evidence for an impact of education on adherence was uncertain for most diseases/therapies. ... Therapy-related factors. ... Disease-related factors. ... Health care system-related factors.
What is functional medicine?
Functional medicine practitioners, aware of the increase in complex, chronic diseases such as diabetes, heart disease, hypertension, cancer, mental illness, and autoimmune disorders, focus on identifying the underlying causes of disease and look for interactions between genetic, environmental, and lifestyle factors.
What is the objective of the cellular micronutrients, nutraceuticals, vitamins, antioxidants, and
The objective was to assess the role of cellular micronutrients, nutraceuticals, vitamins, antioxidants, and minerals in the prevention and treatment of hypertension and cardiovascular disease. Assays of micronutrient, plasma renin, and aldosterone levels were performed.
Which supplements convert non-dippers to dippers?
The ones that will convert nondippers are ACEIs, ARBs, most CCBs, and perhaps one or two newer beta blockers (nebivolol and carvedilol). Dr. Houston noted that he is aware of only one supplement that has been studied that will convert nondippers to dippers, and that is melatonin at nocturnal doses of 3 to 4 mg at night.
Do beta blockers help with hypertension?
In hypertension, beta blockers are less effective in reducing central blood pressure, coronary heart disease, MI, and overall cardiovascular mortality compared to ACE inhibitors, ARBs, CCBs, or these in combination—and they really make you feel bad,” Dr. Houston said.
Can supplements mimic drugs?
Many natural compounds in food, as well as certain nutraceutical supplements, vitamins, antioxidants, or minerals, can mimic drugs, functioning in a similar fashion to a specific class of antihypertensive medications (Table 1). However, they may be less potent and take longer to work than the antihypertensive drug.
What is the primary determinant of treatment success?
Adherence to therapies is a primary determinant of treatment success. Failure to adherence is a serious problem which not only affects the patient but also the health care system. Medication non adherence in patients leads to substantial worsening of disease, death and increased health care costs. A variety of factors are likely to affect adherence.
What is medication adherence?
Medication adherence is defined by the World Health Organization as "the degree to which the person’s behavior corresponds with the agreed recommendations from a health care provider.". 1Though the terms adherence and compliance are synonymously used adherence differs from compliance.
Can medication adherence be improved?
A single method cannot improve medication adherence, instead a combination of various adherence techniques should be implemented to improve patient’s adherence to their prescribed treatment. A systematic approach that could be instituted in improving medication adherence is as follows: 1) Level of prescribing:
Does nonadherence to medication varies between patients?
It has also been observed that patient non adherence varies between and within individuals, as well as across time, recommended behaviors and diseases.32Adherence to drug therapy varies with patient age group also. In children, adherence to drug therapy is affected due to their dependence on an adult care giver.
Does complexity affect medication adherence?
Complexity of drug regimen is found to negatively affect medication adherence. Modification will have to be made to medication regimens to reduce the frequency of administration, and/or reduce the number of different medications, and if applicable, to replace with combination products.
Is medication non-adherence a problem?
Conclusion. Patient medication non adherence is a major medical problem globally. There are many inter related reasons for the same. Though patient education is the key to improving compliance, use of compliance aids, proper motivation and support is also shown to increase medication adherence.
How do we really know?
If a supplement's label or ads won't give you reliable information, how can you find out if a supplement can help — or, for that matter, hurt? Although it's a slow process, careful, objective medical studies provide the guidance that counts.
What do we know?
Everyone wants to know if supplements can help. It's a good question. Here's where we stand today — but you should keep an eye out for new results, since recommendations will change as scientific studies trickle in. Unfortunately, in most cases, the studies have failed to confirm our hopes, though there are exceptions.
Supplements for prevention
Vitamin D. To get vitamin D the old-fashioned way, by producing it in the skin, we need lots of sunshine.
The B vitamins
Vitamin B12 is found only in animal-based foods, so strict vegetarians may need supplements. In addition, many older people don't make enough of the stomach acid that's needed to liberate B 12 from animal products so it can be absorbed.
Other supplements
Fish oil. For years, doctors have known that people who eat fish regularly enjoy some protection against heart disease and stroke. For people with cardiovascular disease who don’t eat fish regularly, taking a fish oil supplement is reasonable. But check with your doctor first.
Supplements for prevention?
It's a disappointing scorecard. Most people stand to benefit from vitamin D, many from fiber, and some from fish oil. And sorry to say, popular supplements used to treat medical problems fare no better.
Buyer beware
It's often hard to balance sober scientific judgments against simple, forceful claims for health in a pill. If you are considering taking a supplement, here are a few cautions: