کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
10303726 | 545613 | 2015 | 8 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Prevalence and predictors of medication non-adherence among Chinese patients with first-episode psychosis
ترجمه فارسی عنوان
شیوع و پیش بینی کننده عدم انطباق دارو در بیماران چینی با روان درمانی اولیه
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کلمات کلیدی
جنون جوانی، انطباق، تبعیت، ضد روانپزشکی، پیش بینی کنندگان،
موضوعات مرتبط
علوم زیستی و بیوفناوری
علم عصب شناسی
روانپزشکی بیولوژیکی
چکیده انگلیسی
Medication non-adherence is one of the major obstacles to recovery in first-episode psychosis (FEP). This study aimed to identify the predictors and rates of medication non-adherence in the first and second year after the start of treatment (baseline) in urban Chinese FEP patients. Relevant information on medication non-adherence and potential baseline predictors, including demographic variables, clinical measures, violence/suicide attempts, stressful life experiences, intervention received, and follow-up attendance, were collected from case records of 1400 FEP patients in Hong Kong. The non-adherence rate was 16.2% in year 1 and 15.4% in year 2. Regression analyses revealed the predictors for non-adherence in year 1 were no hospitalization at baseline, non-schizophrenia diagnosis, and more years of education. Predictors of non-adherence in year 2 included acute/subacute onset and older age of onset. Predictors common in both years were defaulting from psychiatric follow-up during baseline, standard psychiatric care (no early intervention), and lower positive symptoms severity at baseline. In assessing non-adherence risk and for planning phase-specific early interventions for FEP, particularly in a Chinese context, healthcare professionals should consider the common and specific predictors for non-adherence identified in the first and second years of treatment and should not overlook patients with less clinically severe symptoms.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Psychiatry Research - Volume 228, Issue 3, 30 August 2015, Pages 680-687
Journal: Psychiatry Research - Volume 228, Issue 3, 30 August 2015, Pages 680-687
نویسندگان
Christy Lai-Ming Hui, Venessa Wing-Yan Poon, Vivian Shuk-Kuen Kwok, Wing-Chung Chang, Sherry Kit-Wa Chan, Edwin Ho-Ming Lee, Eric Yu-Hai Chen,