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Tardive Dyskinesia

Patients' Lack of Awareness of Movement Disorder

Published online by Cambridge University Press:  02 January 2018

Robertson Macpherson*
Affiliation:
Ham Green Hospital, Pill, Bristol BS20 0HW
Rachel Collis
Affiliation:
Northern General Psychiatric Unit, Northern General Hospital, Sheffield
*
Correspondence

Abstract

Of 113 patients in long-stay wards of a psychiatric hospital, 43 had TD. Twenty-six of the 39 patients who consented to take part in the study were unaware of abnormal involuntary movements. These patients scored significantly lower on a short test of cognitive function than patients who were aware of such movements. The diagnosis of schizophrenia, perticularly the ‘defect’ state with cognitive deficit and negative symptoms, was found to be associated with lack of awareness of TD.

Type
Brief Reports
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Alexopoulos, G. S. (1979) Lack of complaints in schizophrenics with tardive dyskinesia. Journal of Nervous and Mental Disease, 167, 125127.Google Scholar
Blessed, G. & Thompson, P. (1987) Correlation between the 37–item mental test score and abbreviated 10–item mental test score by psychiatric day patients. British Journal of Psychiatry, 151, 206209.Google Scholar
DeVeaugh-Geiss, J. (1979) Informed consent for neuroleptic therapy. American Journal of Psychiatry, 136, 959962.Google ScholarPubMed
Gerlach, J. & Casey, D. E. (1988) Tardive dyskinesia. Acta Psychiatrica Scandinavica, 77, 369379.Google Scholar
Guy, W. (1976) ECDEU Assessment Manual for Psycho-pharmacology. Washington, DC: US Department of Health, Education and Welfare.Google Scholar
Kay, S. R., Fiszbein, A. & Opler, L. A. (1987) The positive and negative symptom scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13, 261276.Google Scholar
Munetz, M. R. (1985) Overcoming resistance to talking to patients about tardive dyskinesia. Hospital and Community Psychiatry, 36, 283287.Google Scholar
Munetz, M. R. & Roth, L. H. (1985) Informing patients about tardive dyskinesia. Archives of General Psychiatry, 42, 866871.Google Scholar
Rosen, A. M., Mukherjee, S., Olarte, S., et al (1982) Perception of tardive dyskinesia in out-patients receiving maintenance neuroleptics. American Journal of Psychiatry, 139, 372373.Google Scholar
Wojcik, J. P., Gelenberg, A. J., Labrie, R. A., et al (1980) Prevalence of tardive dyskinesia in an out-patient population. Comprehensive Psychiatry, 21, 370376.Google Scholar
World Health Organization (1978) Mental Disorders: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases (ICD–9). Geneva: WHO.Google Scholar
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