Background:Treatment nonadherence is a major obstacle in the successful management of schizophrenia. Finding out factors associated with nonadherence and the reasons for nonadherence are important to improve treatment adherence in patients with schizophrenia. This study was conceived to evaluate treatment adherence in patients with schizophrenia and the factors associated with it.Materials and Methods:A cross-sectional study was conducted in 50 consecutive patients with schizophrenia with the help of semi-structured pro forma consisting of sociodemographic details, information regarding illness and treatment history, (PANSS), and Morisky Medication Adherence Scale-8 to assess medication adherence. Nonadherent patients were further assessed for their reasons for nonadherence.Results:Among the patients, 52% were low adherers (nonadherers). Factors associated with nonadherence were younger age of patients, male gender, low household income, higher PANSS score (positive, negative, and total score), lower grades of insight, lack of family history of psychiatric illness, responsibility of taking self-medications, first-generation antipsychotics, and number of drugs in prescription. Major reason for nonadherence given by patients were adverse effects of medications, treatment perceived as ineffective, financial problems, shame and stigma about illness and treatment, regarding treatment unnecessary and difficulty to access health-care facility.Conclusion:Our study established high proportion of nonadherence in patients with schizophrenia and also brought out factors associated and reasons for nonadherence. Adequate psychoeducation of patients and their caretakers as well as psychosocial interventions, strengthening mental health infrastructure, and community mental health services will significantly improve treatment adherence.
Background:The widespread popularity of selfie-posting behavior has led to increasing academic interest in exploring psychological determinants for this behavior.Aim:The study aimed to evaluate sociodemographic factors, personality traits, and psychological motivations associated with selfie-posting behavior and to evaluate the association of psychological motivations for selfie-posting with personality traits.Materials and Methods:This cross-sectional study assessed 727 medical and physiotherapy students with a semi-structured questionnaire consisting of information about sociodemographic factors, selfie-posting, and editing behavior, the Big Five Inventory and motivations for selfie-posting scale.Results:There was a positive correlation of female gender, extraversion, and agreeableness with selfie-posting and editing and a negative correlation of neuroticism with both types of behavior. Communication was the most common motivation for selfie-posting followed by attention seeking. Extraverted people post selfies for attention seeking, communication, and archiving motive while agreeable individuals post them only for communication and archiving.Conclusion:Females as well as individuals with high extraversion and agreeableness engage in selfie-posting and selfie-editing more frequently while neurotic individuals tend to avoid engaging this behavior. Motivation for posting selfies most commonly was for communication followed by attention seeking. Individuals with different personalities use selfies differently to fulfill their inner psychological needs.
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