Psychological burden and caregiver-reported non-adherence to psychotropic medications among patients with schizophrenia

被引:21
作者
Kretchy, Irene A. [1 ]
Osafo, Joseph [2 ]
Agyemang, Samuel Agyei [3 ]
Appiah, Bernard [4 ]
Nonvignon, Justice [3 ]
机构
[1] Univ Ghana, Coll Hlth Sci, Sch Pharm, Dept Pharm Practice & Clin Pharm, POB LG 43, Legon, Ghana
[2] Univ Ghana, Coll Humanities, Sch Social Studies, Dept Psychol, POB LG 84, Legon, Ghana
[3] Univ Ghana, Coll Hlth Sci, Sch Publ Hlth, Dept Hlth Policy Planning & Management, POB LG13, Legon, Ghana
[4] Texas A&M Hlth Sci Ctr, Sch Publ Hlth, Dept Publ Hlth Studies, TAMU 1266, 212 Adriance Lab Rd, College Stn, TX USA
关键词
Burden; Non-adherence; Anxiety; Depression; Psychotropic medications; Schizophrenia; Caregivers; ANTIPSYCHOTIC MEDICATION; FAMILY CAREGIVERS; RISK-FACTORS; ADHERENCE; HEALTH; OUTPATIENTS; OUTCOMES; IMPACT; CARE; 1ST;
D O I
10.1016/j.psychres.2017.10.034
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
The study examined the association between psychological distress, caregiving burden and caregiver-reported medication adherence in 444 informal family caregivers of patients with schizophrenia. Participants were assessed on the Depression, Anxiety Stress Scale, Zarit Burden Interview and the Medication Adherence Report Scale. Caregivers reported a non -adherence rate of 54.5% among patients with schizophrenia. Poor adherence to antipsychotics was significantly associated with caregiver burden (p < 0.01) and experience of anxiety (p < 0.0001). The burden of caregiving should be considered during the assessment of adherence. The findings suggest a need for culturally appropriate interventions that improve antipsychotic adherence of outpatients with schizophrenia with specific attention to the burden of the caregiver.
引用
收藏
页码:289 / 294
页数:6
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