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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
Main Authors: Abdel Aziz, Karim, Elamin, Mohammed H, El-Saadouni, Nisrin M, El-Gabry, Dina Aly, Barakat, Mahmoud, Alhayyas, Fatima, Moselhy, Hamdy F
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container_issue 8
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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
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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. 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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. 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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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