Evidence mapPaperPMID 39660682Full record

Trial reportHealth expectations : an international journal of public participation in health care and health policy2024

Side Effects of Psychotropic Medications Experienced by a Community Sample of People Living With Severe and Persistent Mental Illness.

Jack C Collins, Amanda J Wheeler, Sara S McMillan, Jie Hu, Sarira El-Den, Helena Roennfeldt, Claire L O'Reilly

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Health expectations : an international journal of public participation in health care and health policy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Restructuring Crisis Response Programs as Civilian-Led: A Scoping Review.Administration and policy in mental health · 2026
    Article
  2. Review
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jack C CollinsThe University of Sydney School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.ORCID 0000-0002-0266-5394
Amanda J WheelerMenzies Health Institute Queensland, Griffith University, Nathan, Australia.ORCID 0000-0001-9755-674X
Sara S McMillanMenzies Health Institute Queensland, Griffith University, Nathan, Australia.ORCID 0000-0003-3427-4467
Jie HuMenzies Health Institute Queensland, Griffith University, Nathan, Australia.ORCID 0000-0003-2940-6525
Sarira El-DenThe University of Sydney School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.ORCID 0000-0001-7500-3351
Helena RoennfeldtMenzies Health Institute Queensland, Griffith University, Nathan, Australia.ORCID 0000-0002-4569-1226
Claire L O'ReillyThe University of Sydney School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.ORCID 0000-0001-6416-8150

Funding

The PharMIbridge RCT received funding from the Australian Government Department of Health and Aged Care (formerly the Department of Health).
6 · The paper itself

Abstract

backgroundPsychotropic medications are a common treatment modality for people living with severe and persistent mental illness (SPMI). While effective in reducing relapse and hospitalisation, psychotropic medications cause numerous side effects, varying in nature and severity. Identification and management of side effects is crucial in the ongoing management of SPMI.

objectiveTo characterise the side effects of psychotropic medications, experienced by a sample of consumers living with SPMI, using a validated tool. SETTING AND

participantsConsumers with SPMI living in the community were recruited from all 25 community pharmacies across four Australian regions, which were allocated to the intervention arm of the Bridging the Gap between Physical and Mental Illness (PharMIbridge) randomised controlled trial (RCT).

main outcome measuresResponses to the My Medicines & Me Questionnaire (M3Q).

resultsConsumers (n = 156) most frequently reported side effects in the categories of sleep-related side effects (80.8%, n = 126), mood-related side effects (75.6%, n = 118) and weight and appetite changes (60.3%, n = 107). Daytime somnolence was the most reported individual side effect (68.6%, n = 107). Mood-related side effects were ranked as the most bothersome, followed by sleep-related side effects and weight and appetite changes. More than one-quarter (29.5%, n = 46) of consumers reported choosing not to take their medications due to side effects. Consumers more frequently told family and friends about the side effects rather than healthcare professionals.

conclusionsAn overwhelming majority of consumers experienced at least one side effect attributed to their psychotropic medication, with many experiencing multiple. These findings highlight the critical need to regularly engage with consumers to discuss, identify and manage side effects to treatment burden, reduce risk of non-adherence and improve their treatment experience. PATIENT OR PUBLIC CONTRIBUTION: The PharMIbridge RCT included a training programme and intervention service that was co-designed and co-delivered with people with lived experience of mental illness. The research team, expert advisory panel and mentors who supported the delivery and implementation of the training and intervention included participants who have lived experience of mental illness or caring for someone with mental illness.

trial registrationANZCTR12620000577910.

Indexed as

Mental DisordersPsychotropic DrugsAdultAgedAustraliaDrug-Related Side Effects and Adverse ReactionsFemaleHumansMaleMiddle AgedSurveys and QuestionnairesPsychotropic Drugsdrug side effectsmental illnesspsychotropic drugssevere mental disorderstreatment burden

Identifiers

PMID39660682
PMCPMC11632627

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.