Self-reported treatment adherence among psychiatric in- and outpatients

Autor:	Kirsi Suominen, Martti Heikkinen, Erkki Isometsä, Ilya Baryshnikov, Boris Karpov, Tarja Melartin, Maaria Koivisto, Jorma Oksanen, K. Aaltonen, Grigori Joffe
Rok vydání:	2018
Předmět:	Adult Hospitals Psychiatric Male medicine.medical_specialty Treatment adherence Stigma (botany) Pilot Projects Poor adherence 03 medical and health sciences 0302 clinical medicine Patient satisfaction Surveys and Questionnaires Outpatients Health care Ambulatory Care medicine Humans Psychiatry Inpatients business.industry Mental Disorders Middle Aged medicine.disease Mental health Community Mental Health Services 3. Good health 030227 psychiatry Hospitalization Treatment Adherence and Compliance Psychiatry and Mental health Cross-Sectional Studies Treatment Outcome Schizophrenia Major depressive disorder Female Self Report business 030217 neurology & neurosurgery
Zdroj:	Nordic Journal of Psychiatry. 72:526-533
ISSN:	1502-4725 0803-9488
Popis:	Poor adherence to psychiatric treatment is a common clinical problem, leading to unfavourable treatment outcome and increased healthcare costs.The aim of this study was to investigate the self-reported adherence and attitudes to outpatient visits and pharmacotherapy in specialized care psychiatric patients.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.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 .001). Across all groups, hospital setting was the strongest independent correlate of poor adherence to outpatient visits (SSA β = -2.418, BD β = -3.417, DD β = -2.766; p .001 in all). Another independent correlate of non-adherence was substance use disorder (SSA β = -1.555, p = .001; BD β = -1.535, p = .006; DD β = -2.258, p .000). No other socio-demographic or clinical factor was significantly associated with poor adherence in multivariate regression models.Irrespective of diagnosis, self-reported adherence to outpatient care among patients with schizophrenia or schizoaffective disorder, bipolar disorder, and depression is associated strongly with two factors: hospital setting and substance use disorders. Thus, detection of adherence problems among former inpatients and recognition and treatment of substance misuse are important to ensure proper outpatient care.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::70ab76e0eb626b6d8a6394a3579ac5ff https://doi.org/10.1080/08039488.2018.1538387 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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