Hostname: page-component-78c5997874-mlc7c Total loading time: 0 Render date: 2024-11-03T21:47:12.162Z Has data issue: false hasContentIssue false
  • English
  • Français

Treatment compliance in schizophrenia

Published online by Cambridge University Press:  02 January 2018

Alec Buchanan
Rights & Permissions [Opens in a new window]

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

There is a myth that people with mental disorders comply poorly with treatment. In fact, psychiatric patients are no more likely than patients in other medical specialities to go against the advice of their doctor. However, it is easy to find instances where psychotropic medication is refused by the supposed beneficiary. The value of neuroleptic treatment in schizophrenia is now widely accepted, and failure to take such treatment is associated with relapse. Relapse may endanger the patient and other people. Despite this, people with schizophrenia frequently fail to take their treatment. One-third of patients leaving a general adult psychiatry ward can be expected to be non-compliant within two years (Buchanan, 1992).

Type
Research Article
Information
Advances in Psychiatric Treatment , Volume 4 , Issue 4 , July 1998 , pp. 227 - 233
Copyright
Copyright © The Royal College of Psychiatrists 1998 

References

Baekeland, F. & Lundwall, L. (1975) Dropping out of treatment: a critical review. Psychological Bulletin, 82, 738–783.CrossRefGoogle ScholarPubMed
Boczkowski, J., Zeichner, A. & DeSanto, N. (1985) Neuroleptic compliance among chronic schizophrenic out-patients: an intervention outcome report. Journal of Consultingand Clinical Psychology, 53, 666–671.CrossRefGoogle ScholarPubMed
Brown, C., Wright, R. & Christensen, D. (1987) Association between type of medication instruction and patients' knowledge, side effects and compliance. Hospital and Community Psychiatry, 38, 55–60.Google ScholarPubMed
Buchanan, A. (1992) A two-year prospective study of treatment compliance in patients with schizophrenia. Psychological Medicine, 22, 787–797.CrossRefGoogle ScholarPubMed
Corrigan, P., Liberman, R. & Engel, J. (1990) From non compliance to collaboration in the treatemt of schizophrenia. Hospital and Community Psychiatry, 41, 1203–1211.Google Scholar
Diamond, R. (1983) Enhancing medication use in schizophrenic patients. Journal of Clinical Psychiatry, 44, 7–14.Google ScholarPubMed
Eckman, T., Wirshing, W., Marder, S. et al (1992) Technique for training schizophrenic patients in illness self-management: a controlled trial. American Journal of Psychiatry, 149, 1549–1555.Google ScholarPubMed
Falloon, I. (1984) Developing and maintaining adherence to long-term drug-taking regimens. Schizophrenia Bulletin, 10, 412–417.CrossRefGoogle ScholarPubMed
Hogan, T., Awad, A. & Eastwood, R. (1983) A self-report scale predictive of drug compliance in schizophrenics: reliability and descriminative validity. Psychological Medicine, 13, 177–183.CrossRefGoogle Scholar
Kemp, R., Hayward, P., Applewhaite, G. et al (1996) Compliance therapy in psychotic patients: randomised controlled trial. British Medical Journal, 312, 345–349.CrossRefGoogle ScholarPubMed
Ley, P. & Morris, L. (1984) Psychological aspects of written information for patients. In Contributions to Medical Psychology, Vol. 3 (ed. Rachman, S.) pp. 117–149. Oxford: Pergamon Press.Google Scholar
MacPherson, R., Jerrom, B. & Hughes, A. (1996) A controlled study of education about drug treatment in schizophrenia. British Journal of Psychiatry, 168, 709–717.CrossRefGoogle ScholarPubMed
Miller, W. & Rollnick, S. (1991) Motivational Interviewing: Preparing People to Change Addictive Behaviour. New York: Guilford Press.Google Scholar
Overall, J. E. & Gorham, D. R. (1962) The brief psychiatric rating scale. Psychological Reports, 10, 799–812.CrossRefGoogle Scholar
Soskis, D. & Bowers, M. (1969) The schizophrenic experience. Journal of Nervous and Mental Disease, 149, 443–449.CrossRefGoogle ScholarPubMed
Streicker, S., Amdur, M. & Dincin, J. (1986) Educating patients about psychiatric medications: failure to enhance compliance. Psychosocial Rehabilitation Journal, 9, 15–28.CrossRefGoogle Scholar
Van Putten, T. & May, P. (1978) Subjective response as a predictor of outcome in pharmacotherapy: the consumer has a point. Archives of General Psychiatry, 35, 477–480.CrossRefGoogle ScholarPubMed
Submit a response

eLetters

No eLetters have been published for this article.