Evaluation of nonadherence to treatment among patients with schizophrenia attending psychosocial care centers in the south region of Brazil

Viveiros, Camila Poletto; Tatar, Camila Rodrigues; Santos, Deivisson Vianna Dantas dos; Stefanello, Sabrina; Nisihara, Renato

doi:10.1590/2237-6089-2019-0072

Cited by 2 publications

(2 citation statements)

References 28 publications

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“…A common difficulty with schizophrenia treatment is that antipsychotic medications can have major side effects [ 24 ]. Another common difficulty with schizophrenia treatment is non-adherence, or failure to take medications as prescribed [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Within- and cross-mental health disorder correlations in husband-and-wife pairs

Merrill

2022

BMC Psychiatry

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Background Mental health disorders can adversely affect relationships and are heritable. Yet, there is a high prevalence of mental illness in spouses and partners of those with mental illness. This study will assess within- and cross-mental health disorder correlations in husband-and-wife pairs. Methods A cross-sectional study design was employed using medical claims data from the Deseret Mutual Benefit Administrators (DMBA), linked to demographic information from employee eligibility files, 2020. Analyses involved 21,027 contract holders aged 18–64 (68.6% male, 31.4% female), with sub-analyses on 16,543 married individuals. Summary statistics, as well as rates, and rate ratios adjusted for age, sex, and dependent child status were calculated to describe the data. Results The rate of stress is 19.2%, anxiety is 26.4%, and depression is 23.6% in spouses of contract holders with the same respective disorders. Rates of stress, anxiety, and depression in a spouse are greatest if the contract holder has schizophrenia. Rates of mental illness in wives of male contract holders experiencing mental health disorders tend to be greater than the rates of mental illness in husbands of female contract holders experiencing mental health disorders. Rates of stress, anxiety, and depression in spouses of contract holders tend to be 2–3 times greater when the contract holder has a mental health disorder, after adjusting for the contract holder’s age, sex, dependent child status, and difference in age within husband-and-wife pairs. However, differences in the magnitude of observed associations vary. The rate of a spouse having stress is 5.5 times greater if the contract holder has schizophrenia (vs. does not have schizophrenia), whereas the rate of a spouse having stress is 1.4 times greater if the contract holder has sleep apnea (vs. does not have sleep apnea). Conclusion Mental health disorders in spouses of contract holders are greater if the contract holder has a mental health disorder, more so when the contract holder has more serious mental illness. Both within- and cross-mental disorder correlations exist. These results have implications on relationship quality and the mental health of offspring.

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Section: Discussionmentioning

confidence: 99%

Within- and cross-mental health disorder correlations in husband-and-wife pairs

Merrill

2022

BMC Psychiatry

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“…Difficulties with treatment adherence in patients with schizophrenia can lead to relapses, which on average can be five times more likely in young men during their first psychotic episode than in women, increasing the likelihood of hospitalization and healthcare costs [5][6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Effects of Adherence to Pharmacological Treatment on the Recovery of Patients with Schizophrenia

et al. 2021

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The aim of this study was to evaluate the effects of adherence to antipsychotic treatment on the recovery of patients with schizophrenia in northern Chile. One hundred and fifty-one patients diagnosed with schizophrenia completed the Drug Attitude Inventory (DAI-10), Positive and Negative Syndrome Scale for Schizophrenia (PANSS), Recovery Assessment Scale (RAS-24), sociodemographic information, and clinical and treatment characteristics of patients with schizophrenia. Multivariate analysis with multiple linear regression was then performed to identify variables that were potentially associated with the recovery assessment (variable criterion). A significant association was found between adherence to antipsychotic medication and the Willing to Ask for Help dimension of Recovery (β = 0.239, p = 0.005). Association of clinical and socio-demographic variables with recovery were identified: negative symptoms with Personal Confidence and Hope (β = −0.341, p = 0.001) and Goal and Success Orientation (β = −0.266, p = 0.014); cognitive symptoms with Willing to Ask for Help (β = −0.305, p = 0.018) and no domination by symptoms (β = −0.351, p = 0.005); marital status with reliance on others (β = −0.181, p = 0.045); age with Personal Confidence and Hope (β = −0.217, p = 0.021), Goal and Success Orientation (β = −0.296, p = 0.003), and no domination by symptoms (β = 0.214, p = 0.025). Adherence has a positive relationship with personal recovery in this sample of Chilean patients with schizophrenia.

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Evaluation of nonadherence to treatment among patients with schizophrenia attending psychosocial care centers in the south region of Brazil

Cited by 2 publications

References 28 publications

Within- and cross-mental health disorder correlations in husband-and-wife pairs

Within- and cross-mental health disorder correlations in husband-and-wife pairs

Effects of Adherence to Pharmacological Treatment on the Recovery of Patients with Schizophrenia

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