Compliance with Treatment in Schizophrenia
There is a myth that people with mental disorders comply poorly with treatment. In fact, psychiatric patients are no more likely than patients in other medical specialties to go against the advice of their doctor. That said, it is easy to find instances where psychotropic medication is refused by the supposed beneficiary. The value of neuroleptic treatment in schizophrenia is now widely accepted. Failure to take such treatment is associated with relapse and relapse may endanger the patient and other people. Despite this, people with schizophrenia frequently fail to take their treatment.
This study shows that one third can be expected to be non-compliant within two years of leaving a general adult psychiatry ward. It also looks at the reasons for this. The influence of drug side-effects is examined, as well as the impact of each patient's attitude to treatment and whether or not they have stopped taking prescribed medication in the past.
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affect compliance akathisia akinesia alcoholics American Journal anosognosia assessed associated with compliance associated with improved associated with poor authors found average Bartko behaviour British Journal British Medical Journal Chi-square chlorpromazine compliance with drug compliance with out-patient comply poorly compulsory detention delusions depot medication detained doctors drug compliance drug side-effects drug treatment effect on compliance examined factors fluphenazine follow-up FRCP FRCPsych future positive Haynes hospital improved compliance in-patient interview Journal of Psychiatry linked to poor Lundwall Maudsley Maudsley Hospital MD FRCP measures medical advice Medicine Meichenbaum Mental neuroleptic oral medication out-patient attendance out-patient clinic out-patient compliance patients receiving phenothiazines poor compliance previous compliance psychiatric out-patients psychiatric populations Psychological psychotherapy Putten question Did treatment regard regimen reported sample schizophrenia schizophrenic patients shown in Table Soskis and Bowers statistical significance subsequent compliance symptoms take medication take treatment tardive dyskinesia treatment adherence treatment help treatment regime tremor unwell variables World Health Organisation
Page 73 - ME (1962). Medication errors made by elderly, chronically ill patients. American Journal of Public Health. 52, 2018-2029.