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
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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
Journal: Asian Journal of Psychiatry - Volume 30, December 2017, Pages 39-43
نویسندگان
Irshad Ahmad, Muhammad Tahir Khalily, Brian Hallahan,