کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4929703 1432573 2017 20 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Reasons associated with treatment non-adherence in schizophrenia in a Pakistan cohort
ترجمه فارسی عنوان
علل ناشی از عدم پذیرش درمان در اسکیزوفرنی در یک گروه همجنسگرای پاکستان
کلمات کلیدی
فارماکوتراپی، عود روانزا، جنون جوانی، عدم پذیرش درمان،
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی علوم اعصاب (عمومی)
چکیده انگلیسی
Treatment: non-adherence in patients with schizophrenia is the most common reason for a relapse of psychosis. In a cohort of participants in Pakistan who suffered a relapse of psychosis, we aimed to identify the principal factors associated with non-adherence, including any culture specific factors that might not be as significant in other jurisdictions. Semi-structured interviews were undertaken at four psychiatric hospitals in the Peshawar region in Pakistan with 55 participants (44 male and 11 female) diagnosed with schizophrenia, who had suffered a relapse of psychosis subsequent to treatment non-adherence. The five principal documented reasons for treatment non-adherence were: 1) alternative treatment pathway chosen with a traditional faith healers (n = 53, 96.4%), 2) lack of insight (n = 36, 65.5%), 3) poor economic status (n = 33, 60.0%), 4) adverse effects of medications (n = 33, 60.0%) and 5) utilising psycho-active substances as an alternative to psychotropic medications (n = 27, 41.1%). A number of identified factors associated with a relapse of psychosis are potentially modifiable including the provision of a range of pharmacological options including second generation antipsychotic agents, long acting injectable antipsychotics and psycho-therapeutic interventions including psycho-education. These interventions should prove cost effective and be associated with reduced relapse rates of psychosis.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Asian Journal of Psychiatry - Volume 30, December 2017, Pages 39-43
نویسندگان
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