antipsychotic adherence and non-adherence;
electronic monitoring;
clinician rating;
D O I:
10.1016/j.psychres.2004.11.002
中图分类号:
R749 [精神病学];
学科分类号:
100205 ;
摘要:
Antipsychotic non-adherence rates of outpatients with schizophrenia or schizoaffective disorder was assessed by electronic monitoring and clinician rating. Antipsychotic adherence was determined monthly over 3 consecutive months with (1) the Medication Event Monitoring System (MEMS (R)) cap and (2) the Clinician Rating Scale. Non-adherence was defined as daily adherence of < 70% during any one of three monthly evaluations for MEMS (R) and ratings of <= 4 (scale of 1-7) on the Clinician Rating Scale. Non-adherence was detected in 12 of 25 patients (48%) by MEMS (R) and 0% by the Clinician Rating Scale. Clinician assessment dramatically underestimated antipsychotic non-adherence. (c) 2004 Elsevier Ireland Ltd. All rights reserved.