Adherence to Pharmacological Treatment Among Patients with Schizophrenia Adherence to Pharmacological Treatment Among Patients with Schizophrenia

Main Article Content

Makwan M. Abdul Kareem
Hezha N. Mahmood

Keywords

Adherence, medication, schizophrenia, basrah

Abstract

ABSTRACT


 


Adherence to medication is the range to which an individual corresponds with the prescribed medication dosing regimen. Medication non-adherence among patients with schizophrenia is extremely common issue, broadly ranging from 4% to 72%. Medication non-adherence among schizophrenic patients has serious consequences for individuals as well as the health system such as relapse of symptoms, re-hospitalization, aggression, suicide, cognitive deterioration, loss of job and arrest, victimization, and overall unfavorable outcome. Factors determining adherence are divided into medication-related as side effects, patient-related as lack of insight, illness-related as persecutory delusions, sociocultural-related such as stigma, and clinician-related factors like poor therapeutic alliance. Improving adherence is best achieved by exploring the reasons for non-adherence with appropriate management plans to deal with them. Adherence can be improved by providing basic strategies that must routinely accompany every prescription, and specific interventions like psycho-social ones, antipsychotic long acting injections, reminders, service interven­tions, and may be even financial incentives.


 


 


 

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