Drug default among schizophrenic patients

Nelson, Arthur A.; Gold, Burton M.; Hutchinson, Richard A.; Benezra, E.

doi:10.1093/ajhp/32.12.1237

Cited by 23 publications

(25 citation statements)

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“…Psychiatric patients can be in uenced by the attitudes of their treating clinicians (Buchanan, 1996), and compliance minimises confrontation (Bebbington, 1995). Evidence suggests that a positive clinician-patien t relationship is essential in improving medication compliance (Frank & Gunderson, 1990;Mardar, Mebane, Chien, Winslade, & Swann, 1983;Nelson, Gold, Huchinson, & Benezra, 1975;Olfson et al, 2000). A patient's perception of the clinician's interest in them, how he or she explained the reasons for taking medication, and the medication's side effects seem to be crucial in improving a positive therapeutic relationship .…”

Section: Psychosocial Factorsmentioning

confidence: 99%

“…But skills training programs which involve obtaining information about medication, including bene ts and side effects, and negotiation with mental health professionals , proved to be very effective in improving compliance (Eckman, Liberman, Phipps, & Blair, 1990). Nelson, Gold, Huchinson, and Benezra (1975) found that allowing patients with schizophrenia to self administer their medication-a basic skills training-increased the compliance rate over a 6 to 24 week follow up period.…”

Section: Strategies For Maximizing Compliancementioning

confidence: 99%

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Exploring the Complexity of Compliance in Schizophrenia

Pinikahana

Happell

Taylor

et al. 2002

Issues in Mental Health Nursing

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A large body of literature indicates that people diagnosed with schizophrenia are highly likely to not comply with their prescribed treatment regime at some stage during the illness process. Factors that indicate the risk of noncompliance have been the subject of considerable research over a number of years. This paper presents an extensive review of the research literature on the subject of compliance in schizophrenia. A number of factors have constituted the focus of research into this area. These include: socio-demographic characteristics, including age, gender and socioeconomic status; illness factors including insight, psychiatric symptomatology, duration of illness, substance abuse, and adverse side-effects of medication; psychosocial factors such as health beliefs and social supports; and treatment factors including the nature of the therapeutic relationship between patients and health care professionals. While the results of relevant research do not provide a clear and conclusive picture of compliance, they provide important information to guide the pivotal role of the mental health nurse in facilitating patient compliance.

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Section: Psychosocial Factorsmentioning

confidence: 99%

Section: Strategies For Maximizing Compliancementioning

confidence: 99%

Exploring the Complexity of Compliance in Schizophrenia

Pinikahana

Happell

Taylor

et al. 2002

Issues in Mental Health Nursing

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“…The need for further study about insight toward illness and treatment is evident since studies have related insight to increased compliance (Nelson et al, 1975). While McEvoy et al (1981) found that lack of insight continues in spite of education, more research is needed to study the effect of individual versus group educational programs on patient insight.…”

Section: Discussionmentioning

confidence: 99%

Attitudes of patients with schizophrenia toward taking medication

Davidhizar

Austin

McBride

1986

Research in Nursing & Health

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The attitude of 50 hospitalized persons with schizophrenia toward taking their medication was examined. Both open-ended and fixed-response estimates of attitude were made. Insight also was measured, and the relationships between insight and attitude and between hallucinations and insight were analyzed. Patients were able to provide information about beliefs and feelings about taking medication and about insight toward illness and treatment. Attitudes varied, and both strongly positive and strongly negative beliefs about taking medication were held simultaneously. Some of the implications for nursing are explained.

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“…However, the therapeutic relationship that a clinician builds with his/her patient is a cornerstone of treatment adherence. One of the most important factors influencing adherence is patients' perception of the doctor's interest in them, which is reinforced by the amount of time that physicians spend with them [10]. Such a relationship is a prerequisite for a working therapeutic alliance, and providing reliable information is a crucial factor in this context.…”

Section: Introductionmentioning

confidence: 99%

How to improve adherence to antipsychotic treatment: Outcomes of the IMproving PAtient outComes in psychiaTry (IMPACT) Berlin 2009 meeting workshop

Kasper

Saya²,

Tekin³

et al. 2009

International Journal of Psychiatry in Clinical Practice

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Objective. To challenge psychiatrists about their practice regarding patients' treatment adherence in severe mental disease, and make them discuss possible ways to improve this through their relationship with patients. Methods. A total of 423 physicians from 32 countries were assigned across 41 parallel groups during a workshop organised on adherence in severe mental diseases. Factors that influence adherence, and questions and measures to help patient-clinician interaction were discussed and rated. Results. The most important factor influencing adherence to treatment was considered to be insight. The factor over which clinicians felt they had the greatest influence was the therapeutic relationship. The question that most physicians considered the most useful for improving communication with patients was, "Does taking medication cause any problems for you?" Additional areas identified as important in improving adherence included addressing the positive and negative aspects of medication, patient expectations and what patients hoped to gain from seeing their physician. Intervention programmes to improve adherence included patient education, motivational interviewing and cognitive-behavioural therapy. A composite toolkit based on the top-rated questions to improve communication with patients and measures to aid adherence was recommended. Conclusion. Patient-centred practice is fundamental to ensuring adherence in mentally ill patients. Working tools can be successfully developed in interactive workshop settings, through reviewing and challenging current clinical practice.

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Drug default among schizophrenic patients

Cited by 23 publications

References 0 publications

Exploring the Complexity of Compliance in Schizophrenia

Exploring the Complexity of Compliance in Schizophrenia

Attitudes of patients with schizophrenia toward taking medication

How to improve adherence to antipsychotic treatment: Outcomes of the IMproving PAtient outComes in psychiaTry (IMPACT) Berlin 2009 meeting workshop

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