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Schizophrenia: Impact of psychopathology, faith healers and psycho-education on adherence to medications

Karim Abdel Aziz, Mohammed H Elamin, Nisrin M El-Saadouni, Dina Aly El-Gabry, Mahmoud Barakat, Fatima Alhayyas and Hamdy F Moselhy

International Journal of Social Psychiatry, 2016, vol. 62, issue 8, 719-725

Abstract: Background: Many patients suffering from psychosis are nonadherent to their medications. Nonadherence can range from treatment refusal to irregular use or partial change in daily medication doses. Aim: To investigate whether symptom dimensions, post-discharge care plans and being involved with faith healer affect the adherence to treatment in patients with schizophrenia. Method: A total of 121 patients with schizophrenia were examined 6 weeks post-discharge from the inpatient unit and assessed for full, partial or nonadherence to medication. Results: There was a significant association between family involvement and partial adherence and between community team involvement post-discharge and full adherence to medications. Psycho-education was a predictor for adherence to medications, persecutory delusions and lack of insight predicted partial adherence, while being involved with faith healers predicted nonadherence. Conclusion: Adherence to medications and socio-demographic variables are independent. This study demonstrated that nonadherence or partial adherence to medications is associated with lack of insight and persecutory delusions. Psycho-education could improve the adherence to medication compliances.

Keywords: Schizophrenia; faith healers; psycho-educations; adherence to medications (search for similar items in EconPapers)
Date: 2016
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Persistent link: https://EconPapers.repec.org/RePEc:sae:socpsy:v:62:y:2016:i:8:p:719-725

DOI: 10.1177/0020764016676215

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