Self-reported treatment adherence among psychiatric in- and outpatients

Background: Poor adherence to psychiatric treatment is a common clinical problem, leading to unfavourable treatment outcome and increased healthcare costs. Aim: The aim of this study was to investigate the self-reported adherence and attitudes to outpatient visits and pharmacotherapy in specialized...

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Bibliographic Details
Published in:Nordic journal of psychiatry 2018-10, Vol.72 (7), p.526-533
Main Authors: Karpov, Boris, Joffe, Grigori, Aaltonen, Kari, Oksanen, Jorma, Suominen, Kirsi, Melartin, Tarja, Baryshnikov, Ilya, Koivisto, Maaria, Heikkinen, Martti, Isometsä, Erkki T.
Format: Article
Language:English
Subjects:
inpatients
outpatients
psychiatric care
Treatment adherence
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Summary:Background: Poor adherence to psychiatric treatment is a common clinical problem, leading to unfavourable treatment outcome and increased healthcare costs. Aim: The aim of this study was to investigate the self-reported adherence and attitudes to outpatient visits and pharmacotherapy in specialized care psychiatric patients. Methods: Within the Helsinki University Psychiatric Consortium (HUPC) pilot study, in- and outpatients with schizophrenia or schizoaffective disorder (SSA, n  =  113), bipolar disorder (BD, n  =  99), or depressive disorder (DD, n  =  188) were surveyed about their adherence and attitudes towards outpatient visits and pharmacotherapy. Correlates of self-reported adherence to outpatient and drug treatment were investigated using regression analysis. Results: The majority (78.5%) of patients reported having attended outpatient visits regularly or only partly irregularly. Most patients (79.2%) also reported regular use of pharmacotherapy. Self-reported non-adherence to preceding outpatient visits was consistently and significantly more common among inpatients than outpatients across all diagnostic groups (p 
ISSN:0803-9488
1502-4725
DOI:10.1080/08039488.2018.1538387