Perception and willingness toward second-generation long-acting antipsychotics among patients with schizophrenia: a cross-sectional survey in Fujian, China - Report - MDSpire

Perception and willingness toward second-generation long-acting antipsychotics among patients with schizophrenia: a cross-sectional survey in Fujian, China

  • By

  • Yixiang Zhou

  • Duoduo Lin

  • Haibin Zhang

  • Yinghua Huang

  • July 14, 2026

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Clinical Report: Attitudes and Acceptance of Second-Generation Long-Acting Antipsychotics

Overview

This study assessed the perceptions and willingness of schizophrenia patients in Fujian, China, towards second-generation long-acting injectables (SGA-LAIs). Findings indicate a high overall acceptance rate based on survey results.

Background

Schizophrenia is a chronic mental disorder affecting approximately 1% of the global population, leading to significant healthcare burdens. Nonadherence to oral antipsychotics is prevalent, with studies indicating that 54.5% to 80% of individuals with schizophrenia do not take their medication as prescribed, contributing to relapse and increased healthcare costs. Long-acting injectable antipsychotics (LAIs) are proposed as a solution to improve adherence and treatment outcomes.

Data Highlights

- Positive willingness to use SGA-LAIs: 68.3% - Negative willingness to use SGA-LAIs: 31.7% - Prior SGA-LAI experience (OR): 11.11 - Disease course 5-10 years (OR): 2.898 - Disease course >10 years (OR): 3.282

Key Findings

- 68.3% of participants expressed positive willingness to use SGA-LAIs. - Prior experience with SGA-LAIs significantly increased willingness (OR = 11.11). - Longer disease course (5-10 years and >10 years) was associated with greater willingness to accept SGA-LAIs.

Clinical Implications

Enhancing doctor-patient communication and providing education about SGA-LAIs may improve acceptance among patients.

Conclusion

The study highlights significant acceptance of SGA-LAIs among schizophrenia patients, with prior experience and disease duration as key influencing factors.

Related Resources & Content

  1. BMC Psychiatry, 2025 -- Risk of Rehospitalization Among Community-Dwelling Patients with Schizophrenia Treated with Paliperidone Palmitate
  2. BMC Psychiatry, 2025 -- Patterns and Influencing Factors of Antipsychotic Use in First-Episode Psychosis
  3. Drugs - Real World Outcomes, 2015 -- Antipsychotic Medication Use and Behavioral as well as Psychological Symptoms of Dementia
  4. JAMA Psychiatry, 2025 -- Antipsychotic Efficacy and Safety of LB-102 in the Treatment of Adults With Acute Schizophrenia
  5. NICE, 2025 -- Overview | Psychosis and schizophrenia in adults: prevention and management
  6. Position Statement on Long-Acting Injectable Antipsychotics in Early Psychotic Illness
  7. INTEGRATE: international guidelines for the algorithmic treatment of schizophrenia
  8. WHO Essential Medicines List application reviewing aripiprazole once-monthly LAI
  9. Overview | Psychosis and schizophrenia in adults: prevention and management | Guidance | NICE
  10. All-cause mortality risk in long-acting injectable versus oral antipsychotics in schizophrenia: a systematic review and meta-analysis | Molecular Psychiatry
  11. Efficacy and Safety of Olanzapine Long-acting Injection in Schizophrenia and Schizoaffective Disorder: A Systematic Review and Meta-analysis - PubMed
  12. Safety, Tolerability, and Pharmacokinetics of Subcutaneous Extended-Release Injectable Olanzapine in Patients with Schizophrenia and Schizoaffective Disorder | Clinical Drug Investigation | Springer Nature Link
  13. https://academic.oup.com/schizbullopen/article/7/1/sgaf032/8381442
  14. https://academic.oup.com/schizbullopen/article/6/1/sgaf001/7945296
  15. Effect of long-acting injectable antipsychotics on treatment adherence and healthcare utilization in Chinese patients with schizophrenia: a mirror-image study

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