Schizophrenia: Impact of psychopathology, faith healers and psycho-education on adherence to medications

Background: Many patients suffering from psychosis are nonadherent to their medications. Nonadherence can range from treatment refusal to irregular use or partial change in daily medication doses. Aim: To investigate whether symptom dimensions, post-discharge care plans and being involved with faith...

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Bibliographic Details
Published in:International journal of social psychiatry 2016-12, Vol.62 (8), p.719-725
Main Authors: Abdel Aziz, Karim, Elamin, Mohammed H, El-Saadouni, Nisrin M, El-Gabry, Dina Aly, Barakat, Mahmoud, Alhayyas, Fatima, Moselhy, Hamdy F
Format: Article
Language:English
Subjects:
Adherence
Adolescent
Adult
Aged
Aged, 80 and over
Antipsychotic Agents - therapeutic use
Arabs - psychology
Care plans
Compliance
Delusions
Dosage
Drugs
Faith healing
Faith Healing - psychology
Female
Hospitalization
Humans
Inpatient care
Male
Medication Adherence - ethnology
Medication Adherence - psychology
Middle Aged
Parent participation
Patient Education as Topic
Persecutory ideation
Psychopathology
Psychosis
Psychotropic drugs
Refusal
Schizophrenia
Schizophrenia - drug therapy
Schizophrenia - ethnology
Schizophrenic Psychology
Sociodemographics
Suffering
Teams
Young Adult
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Summary:Background: Many patients suffering from psychosis are nonadherent to their medications. Nonadherence can range from treatment refusal to irregular use or partial change in daily medication doses. Aim: To investigate whether symptom dimensions, post-discharge care plans and being involved with faith healer affect the adherence to treatment in patients with schizophrenia. Method: A total of 121 patients with schizophrenia were examined 6 weeks post-discharge from the inpatient unit and assessed for full, partial or nonadherence to medication. Results: There was a significant association between family involvement and partial adherence and between community team involvement post-discharge and full adherence to medications. Psycho-education was a predictor for adherence to medications, persecutory delusions and lack of insight predicted partial adherence, while being involved with faith healers predicted nonadherence. Conclusion: Adherence to medications and socio-demographic variables are independent. This study demonstrated that nonadherence or partial adherence to medications is associated with lack of insight and persecutory delusions. Psycho-education could improve the adherence to medication compliances.
ISSN:0020-7640
1741-2854
DOI:10.1177/0020764016676215