Working with reactant patients: are we prescribing nonadherence?

Madsen, Joshua W.; McQuaid, John R.; Craighead, W. Edward

doi:10.1002/da.20523

Cited by 16 publications

(15 citation statements)

References 34 publications

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“…Th e ZUF-8 is to a certain extent controversial, but is still oft en used for patients with psychiatric diseases due to its straightforwardness and comprehensibility. Furthermore the physician -patient interaction is an important parameter in determining patient satisfaction, which we did not control and therefore could have infl uenced our results (Graugaard et al 2003;Madsen et al 2009). Th e inpatient treatment was multidisciplinary.…”

Section: Limitationsmentioning

confidence: 94%

Patient satisfaction with inpatient psychiatric treatment and its relation to treatment outcome in unipolar depression and schizophrenia

Köhler¹,

Unger²,

Hoffmann³

et al. 2014

International Journal of Psychiatry in Clinical Practice

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Section: Limitationsmentioning

confidence: 94%

Patient satisfaction with inpatient psychiatric treatment and its relation to treatment outcome in unipolar depression and schizophrenia

Köhler¹,

Unger²,

Hoffmann³

et al. 2014

International Journal of Psychiatry in Clinical Practice

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“…15–17 This is highlighted by therapeutic alliance accounting for nearly 20% of the variance due to medication adherence in individuals with major depressive disorder. 18 …”

mentioning

confidence: 99%

“…25 In major depressive disorder, patients were also more likely to be adherent if their providers collaborated with them on their treatment. 18 In patients with schizophrenia and major depression, understanding and validating patients concerns about medications and educating patients about medications and their adverse effects were identified as key factors associated with higher rates of medication adherence. 26–28 …”

mentioning

confidence: 99%

Association Between Therapeutic Alliance, Care Satisfaction, and Pharmacological Adherence in Bipolar Disorder

Sylvia

Hay²,

Ostacher³

et al. 2013

Journal of Clinical Psychopharmacology

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Objectives We sought to understand the association of specific aspects of care satisfaction, such as patients’ perceived relationship with their psychiatrist and access to their psychiatrist and staff, and therapeutic alliance with participants’ likelihood to adhere to their medication regimens among patients with bipolar disorder. Methods We examined data from the multicenter Systematic Treatment Enhancement Program for Bipolar Disorder, an effectiveness study investigating the course and treatment of bipolar disorder. We expected that participants (n = 3037) with positive perceptions of their relationship with their psychiatrist and quality of psychopharmacologic care, as assessed by the Helping Alliance Questionnaire and Care Satisfaction Questionnaire, would be associated with better medication adherence. We utilized logistic regression models controlling for already established factors associated with poor adherence. Results Patients’ perceptions of collaboration, empathy, and accessibility were significantly associated with adherence to treatment in individuals with bipolar disorder completing at least 1 assessment. Patients’ perceptions of their psychiatrists’ experience, as well as of their degree of discussing medication risks and benefits, were not associated with medication adherence. Conclusions Patients’ perceived therapeutic alliance and treatment environment impact their adherence to pharmacotherapy recommendations. This study may enable psychopharmacologists’ practices to be structured to maximize features associated with greater medication adherence.

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“…25 Other investigators also have demonstrated that 'interpersonal process variables (such as greater levels of patient-provider collaboration) are important in influencing antidepressant adherence'. 26 Studies to date that match prescribing to dispensing in an open-loop healthcare system (i.e. where prescribing and dispensing do not operate from a single central database) have been limited.…”

Section: Discussionmentioning

confidence: 99%

Using primary care prescribing data to improve GP awareness of antidepressant adherence issues

Mabotuwana¹,

Warren²,

Orr³

et al. 2011

Journal of Innovation in Health Informatics

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Background Adherence to antidepressant therapy remains a major issue worldwide. Most people with depression are treated in a general practice setting, but many stop taking antidepressants before completing a six-month course as recommended by guidelines. Objectives To determine antidepressant adherence rates as indicated in primary care prescribing data and pharmacy dispensing data; to demonstrate commonly occurring patterns related to non-adherence, using a prescription visualisation tool we have developed; and to determine whether prescribing data is a good predictor of dispensing based adherence. Methods We analysed general practice electronic prescribing data for the year ending 31 December 2006 and linked pharmacy dispensing records by National Health Index. We calculated medication adherence for patients starting antidepressants using a six-month evaluation period and a gap-based adherence measure. Patients with a gap of more than 15 days in antidepressant therapy were considered non-adherent. Using a prescription visualisation tool, we described common modes of non-adherence.

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Working with reactant patients: are we prescribing nonadherence?

Cited by 16 publications

References 34 publications

Patient satisfaction with inpatient psychiatric treatment and its relation to treatment outcome in unipolar depression and schizophrenia

Patient satisfaction with inpatient psychiatric treatment and its relation to treatment outcome in unipolar depression and schizophrenia

Association Between Therapeutic Alliance, Care Satisfaction, and Pharmacological Adherence in Bipolar Disorder

Using primary care prescribing data to improve GP awareness of antidepressant adherence issues

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