Treatment compliance and noncompliance in psychoses

Rao, K. Nagaraja; George, Jitty; Sudarshan, C Y; Begum, Shamshad

doi:10.4103/psychiatry.indianjpsychiatry_24_17

Cited by 27 publications

(24 citation statements)

References 41 publications

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“…The study findings concordance with past studies finding. 27,28 Nepal is a country with numerous cultures and traditions; however, each culture shares the same concepts regarding mental illness. 29 Most of the people think that having mental illness is equivalent to being mad, becoming unfit to stay in family and society or even being possessed by a black magic or a holy spirit.…”

Section: Resultsmentioning

confidence: 99%

Non-Compliance In Schizophrenia From Socio-Cultural, Familial And Environmental Perspective

Dhungana¹,

Ghimire²,

Thapa³

2018

J Psychiatr Assoc Nepal

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Introduction: Non-compliance significantly influences the course and outcome of treatment. Non-compliance in Schizophrenia is common and a major challenge globally due to need of long duration of treatment and other related factors. The objective of study was to identify patients with treatment non-compliance and associated factors in schizophrenia from socio-cultural, familial and environmental perspective.Material and Method: This study identified non-compliance in schizophrenia among 80 patients attending outpatient department at department of psychiatry, Devdaha Medical College, Rupandehi, Nepal. The study was a descriptive cross section study and purposive sampling, a type of non-random sampling technique was utilized for study. Ethical consideration was done throughout the study and informed consent was taken prior to the study. The questionnaire was given to those patients who had insight into the illness and who were able to understand the questions in the pro forma. Informants of patients with poor insight were given questionnaire to complete.Results: Out of 80 participants, majorities (57.5%) were male and 42.5% were female in the ratio 1.35:1. The mean age of respondent was 30.2±11.6. Approximately one seventh (13.75%) of them were illiterate, more than half (61.25%) had family income less than Nepalese rupees 10,000 a month. A significant proportion (15%) of family members did not know the role of them and relatives, and majority (76.25%) said that people contribute negatively. The different factors contributing to non-compliance were belief as non treatable illness (20%), significant life events (2.5%), migration (3.75%), lack of access of treatment nearby (72.5%), forget doctor appointment (11.25%), cessation of medication as per advise of faith healer (10%), stop medicine due to social stigma (15%), not monitoring patient on medication (15%) and discontinuation of treatment on refusal (11.25%).Conclusion: The study explored noncompliance in Schizophrenia from socio-cultural, familial and environmental perspectives. Multiple factors were identified that contributed for non-compliance directly or indirectly. The non-compliance is a preventable condition that needs an emphasis from different perspectives.J Psychiatrists’ Association of Nepal Vol. 6, No. 2, 2017, Page: 22-27

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Section: Resultsmentioning

confidence: 99%

Non-Compliance In Schizophrenia From Socio-Cultural, Familial And Environmental Perspective

Dhungana¹,

Ghimire²,

Thapa³

2018

J Psychiatr Assoc Nepal

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“…Rao et al . [ 1 ] studied persistence with medication use in patients with psychosis. We were struck by their use of “compliance” as a descriptor of patient behavior.…”

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confidence: 99%

“…[ 3 ] By considering only missing doses, Rao et al . [ 1 ] measured a subcomponent of adherence. [ 1 ] Of note, in their study even the “noncompliant” patients were adherent to outpatient follow-up for one year; they were thus actually partially adherent.…”

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confidence: 99%

“…[ 1 ] measured a subcomponent of adherence. [ 1 ] Of note, in their study even the “noncompliant” patients were adherent to outpatient follow-up for one year; they were thus actually partially adherent. The completely nonadherent patients who did not follow-up for treatment were not assessed in this study.…”

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confidence: 99%

“…It is not clear how Rao et al . [ 1 ] assessed such patients. In this context, being nonadherent to antipsychotics in their study would have had different implications for schizophrenia and mood disorder patients.…”

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confidence: 99%

See 2 more Smart Citations

From compliance to adherence: Changing views, changing concepts

Ghosh

Suhas

Solanki

et al. 2017

Indian J Psychiatry

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Psychological well‐being and family distress of Italian caregivers during the COVID‐19 outbreak

Fusar-Poli

Surace

Meo

et al. 2021

Journal Community Psychology

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The present study aimed to investigate the personal well-being and family distress of Italian caregivers during the lockdown. Five hundred sixty-five family caregivers and 638 age-and sex-matched noncaregivers completed a web-based survey. The following scales were administered to all participants: General Health Questionnaire-12 items (GHQ-12), Insomnia Severity Index (ISI), Brief ResilientCoping Scale (BRCS), and Family Distress Index (FDI).Caregivers were also asked to provide information about their family members with disabilities. Individual and family distress, as well as insomnia, were significantly higher in caregivers than controls. Contrariwise, caregivers reported lower resilience levels. Multiple linear regression showed that distress was higher in caregivers living in Central and Southern Italy. Individual well-being was negatively predicted by low independence measured by the activities of daily living (ADL). Family distress was higher in households of psychiatric patients. Finally, low resilience levels appeared as the strongest predictors of both individual and family distress. The lockdown caused severe distress among caregivers and families of people with disabilities.Support networks for people with disabilities and their families are fundamental to prevent severe consequences from a psychological, social, and economical point of view.

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Treatment compliance and noncompliance in psychoses

Cited by 27 publications

References 41 publications

Non-Compliance In Schizophrenia From Socio-Cultural, Familial And Environmental Perspective

Non-Compliance In Schizophrenia From Socio-Cultural, Familial And Environmental Perspective

From compliance to adherence: Changing views, changing concepts

Psychological well‐being and family distress of Italian caregivers during the COVID‐19 outbreak

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