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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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Published in: | International journal of social psychiatry 2016-12, Vol.62 (8), p.719-725 |
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Main Authors: | , , , , , , |
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container_end_page | 725 |
container_issue | 8 |
container_start_page | 719 |
container_title | International journal of social psychiatry |
container_volume | 62 |
creator | Abdel Aziz, Karim Elamin, Mohammed H El-Saadouni, Nisrin M El-Gabry, Dina Aly Barakat, Mahmoud Alhayyas, Fatima Moselhy, Hamdy F |
description | 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. |
doi_str_mv | 10.1177/0020764016676215 |
format | article |
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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.</description><identifier>ISSN: 0020-7640</identifier><identifier>EISSN: 1741-2854</identifier><identifier>DOI: 10.1177/0020764016676215</identifier><identifier>PMID: 27815512</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>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</subject><ispartof>International journal of social psychiatry, 2016-12, Vol.62 (8), p.719-725</ispartof><rights>The Author(s) 2016</rights><rights>The Author(s) 2016.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c398t-109403970d3bbf2f012aec4bd148354dae0d4371de69f7721eef40c0db0e0e033</citedby><cites>FETCH-LOGICAL-c398t-109403970d3bbf2f012aec4bd148354dae0d4371de69f7721eef40c0db0e0e033</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904,30978,33202,33203,79110</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27815512$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Abdel Aziz, Karim</creatorcontrib><creatorcontrib>Elamin, Mohammed H</creatorcontrib><creatorcontrib>El-Saadouni, Nisrin M</creatorcontrib><creatorcontrib>El-Gabry, Dina Aly</creatorcontrib><creatorcontrib>Barakat, Mahmoud</creatorcontrib><creatorcontrib>Alhayyas, Fatima</creatorcontrib><creatorcontrib>Moselhy, Hamdy F</creatorcontrib><title>Schizophrenia: Impact of psychopathology, faith healers and psycho-education on adherence to medications</title><title>International journal of social psychiatry</title><addtitle>Int J Soc Psychiatry</addtitle><description>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.</description><subject>Adherence</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antipsychotic Agents - therapeutic use</subject><subject>Arabs - psychology</subject><subject>Care plans</subject><subject>Compliance</subject><subject>Delusions</subject><subject>Dosage</subject><subject>Drugs</subject><subject>Faith healing</subject><subject>Faith Healing - psychology</subject><subject>Female</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Inpatient care</subject><subject>Male</subject><subject>Medication Adherence - ethnology</subject><subject>Medication Adherence - psychology</subject><subject>Middle Aged</subject><subject>Parent participation</subject><subject>Patient Education as Topic</subject><subject>Persecutory ideation</subject><subject>Psychopathology</subject><subject>Psychosis</subject><subject>Psychotropic drugs</subject><subject>Refusal</subject><subject>Schizophrenia</subject><subject>Schizophrenia - drug therapy</subject><subject>Schizophrenia - ethnology</subject><subject>Schizophrenic Psychology</subject><subject>Sociodemographics</subject><subject>Suffering</subject><subject>Teams</subject><subject>Young Adult</subject><issn>0020-7640</issn><issn>1741-2854</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>8BJ</sourceid><recordid>eNqNkUFr3DAQhUVJaDZp7z0VQS45xMmMJEt2byEkaSCQQ9qzkaVx7OC1XMs-bH99tOy2lEAhaECI980bNI-xLwgXiMZcAggwWgFqbbTA_ANboVGYiSJXB2y1lbOtfsSOY3yB9EaQH9mRMAXmOYoVa59c2_0OYzvR0Nlv_H49Wjfz0PAxblwbRju3oQ_Pm3Pe2G5ueUu2pylyO_g9kpFfnJ27MPBU1reUvBzxOfA1-W4nxU_ssLF9pM_7-4T9vL35cf09e3i8u7--esicLIs5QygVyNKAl3XdiAZQWHKq9qgKmStvCbySBj3psjFGIFGjwIGvgdKR8oSd7XzHKfxaKM7VuouO-t4OFJZYYaG1zrUSxTtQqY3UZWESevoGfQnLNKSPJEopAxrKMlGwo9wUYpyoqcapW9tpUyFU28Cqt4Gllq9746VO2_rb8CehBGQ7INpn-mfq_wxfAbWxnMY</recordid><startdate>201612</startdate><enddate>201612</enddate><creator>Abdel Aziz, Karim</creator><creator>Elamin, Mohammed H</creator><creator>El-Saadouni, Nisrin M</creator><creator>El-Gabry, Dina Aly</creator><creator>Barakat, Mahmoud</creator><creator>Alhayyas, Fatima</creator><creator>Moselhy, Hamdy F</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201612</creationdate><title>Schizophrenia: Impact of psychopathology, faith healers and psycho-education on adherence to medications</title><author>Abdel Aziz, Karim ; Elamin, Mohammed H ; El-Saadouni, Nisrin M ; El-Gabry, Dina Aly ; Barakat, Mahmoud ; Alhayyas, Fatima ; Moselhy, Hamdy F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c398t-109403970d3bbf2f012aec4bd148354dae0d4371de69f7721eef40c0db0e0e033</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adherence</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Antipsychotic Agents - therapeutic use</topic><topic>Arabs - psychology</topic><topic>Care plans</topic><topic>Compliance</topic><topic>Delusions</topic><topic>Dosage</topic><topic>Drugs</topic><topic>Faith healing</topic><topic>Faith Healing - psychology</topic><topic>Female</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Inpatient care</topic><topic>Male</topic><topic>Medication Adherence - ethnology</topic><topic>Medication Adherence - psychology</topic><topic>Middle Aged</topic><topic>Parent participation</topic><topic>Patient Education as Topic</topic><topic>Persecutory ideation</topic><topic>Psychopathology</topic><topic>Psychosis</topic><topic>Psychotropic drugs</topic><topic>Refusal</topic><topic>Schizophrenia</topic><topic>Schizophrenia - drug therapy</topic><topic>Schizophrenia - ethnology</topic><topic>Schizophrenic Psychology</topic><topic>Sociodemographics</topic><topic>Suffering</topic><topic>Teams</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Abdel Aziz, Karim</creatorcontrib><creatorcontrib>Elamin, Mohammed H</creatorcontrib><creatorcontrib>El-Saadouni, Nisrin M</creatorcontrib><creatorcontrib>El-Gabry, Dina Aly</creatorcontrib><creatorcontrib>Barakat, Mahmoud</creatorcontrib><creatorcontrib>Alhayyas, Fatima</creatorcontrib><creatorcontrib>Moselhy, Hamdy F</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of social psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Abdel Aziz, Karim</au><au>Elamin, Mohammed H</au><au>El-Saadouni, Nisrin M</au><au>El-Gabry, Dina Aly</au><au>Barakat, Mahmoud</au><au>Alhayyas, Fatima</au><au>Moselhy, Hamdy F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Schizophrenia: Impact of psychopathology, faith healers and psycho-education on adherence to medications</atitle><jtitle>International journal of social psychiatry</jtitle><addtitle>Int J Soc Psychiatry</addtitle><date>2016-12</date><risdate>2016</risdate><volume>62</volume><issue>8</issue><spage>719</spage><epage>725</epage><pages>719-725</pages><issn>0020-7640</issn><eissn>1741-2854</eissn><abstract>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.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>27815512</pmid><doi>10.1177/0020764016676215</doi><tpages>7</tpages></addata></record> |
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ispartof | International journal of social psychiatry, 2016-12, Vol.62 (8), p.719-725 |
issn | 0020-7640 1741-2854 |
language | eng |
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source | Applied Social Sciences Index & Abstracts (ASSIA); International Bibliography of the Social Sciences (IBSS); Sage Journals Online |
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 |
title | Schizophrenia: Impact of psychopathology, faith healers and psycho-education on adherence to medications |
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