scholarly journals Psychodynamics of Medication Adherence in the Treatment of Psychiatric Patients

2021 ◽  
Vol 32 (4) ◽  
pp. 155-160
Author(s):  
Myung Seon Song ◽  
Soo-Bong Jung
Author(s):  
Suganya Ganesan ◽  
Nitya Selvaraj ◽  
Vinoth Krishna Dass ◽  
Nalinidevi Jayabalan ◽  
Meher Ali Rajamohammad ◽  
...  

Background: In spite of many progresses in treatment of psychiatric disorders, medication nonadherence plays an important role in worsening of clinical condition and affects quality of life among psychiatric patients. There are numerous factors contributing for medication nonadherence among patients with mental illness. So, this study was conducted to assess psychiatric patients’ adherence of medication and to improve their quality of life with psychiatric disorder. The objectives of the study were to analyze impact of pharmacophilia and pharmacophobia on medication adherence among patients with psychiatric disorders at a tertiary care hospital and to assess quality of life among pharmacophilic and pharmacophobic patients.Methods: A cross-sectional study was conducted in outpatient psychiatric department for a period of two months. After obtaining informed voluntary consent, patient’s socio-demographic details, diagnosis, and treatment were recorded from prescription slip. Patients above 18yr age with psychiatric diagnosis as per International Classification of Diseases 10 (ICD-10) and receiving at least one psychotropic medication for >1 month were enrolled in study and assessed using: Drug attitude inventory classification (DAI-10); Medication Rating Scale (MARS); Quality of life enjoyment and satisfaction Questionnaire-Short Form (Q-LES-Q-SF).Results: Among 130 patients, 116 were pharmacophilic and 14 were pharmacophobic as per DAI-10 scale. 81.9% of pharmacophilic were adherent to prescribed medication assessed using MARS scale only 14.3% were pharmacophobic. The quality of life was better in pharmacophilic compared to pharmacophobic group (p=0.002) using Q-LES-Q-SF.Conclusions: This study concluded that pharmacophilic patients have higher adherence and good quality of life index compared to pharmacophobic. Proper counselling of pharmacophobic patients by psychiatrists could improve adherence and QOL.


2017 ◽  
Vol 78 (7) ◽  
pp. e803-e812 ◽  
Author(s):  
Ainslie Hatch ◽  
John P. Docherty ◽  
Daniel Carpenter ◽  
Ruth Ross ◽  
Peter J. Weiden

2014 ◽  
pp. 1329
Author(s):  
Tewodros Eyob Woldehaimanot ◽  
Befikadu Legesse ◽  
Gebrehiwot Teklay ◽  
Zewdneh Shewamene ◽  
Mubarek Abera ◽  
...  

2017 ◽  
Vol 1 (2) ◽  
pp. 58
Author(s):  
Emilia Puspitasari

AbstrakKekambuhan merupakan salah satu  permasalah an yang sering terjadi pada pasien gangguan jiwa, Kekambuhan yang dialami pasien gangguan jiwa. pasien skizofrenia mengalami kekambuhan berulang.. banyak faktor yang memperngaruhi atau menyebabkan kekambuhan, seperti pola asuh, kepatuhan minum obat dan faktor sosial ekonomi pasien. Penelitian  bertujuan untuk mengetahui faktor – faktor yang mempengaruhi kekambuhan pasien.  Analisis dilakukan  pada 13 klien. Hasil didapatkan  mayotitas penyebab kambuh dikarenakan putus obat, kepribadian tertutup, dan kegagalan. penelitian ini merekomendasikan perlu upaya mengatasi faktor –faktor yang dapat mengakibatkan kekambuhan. Kata Kunci: Pola Asuh, Ekspresi Emosi Keluarga, Kekambuhan, Skizofrenia AbstractRecurrence is one of the problems that often occurs in patients with mental disorders, recurrences experienced by psychiatric patients. Schizophrenic patients experience recurrent recurrence .. many factors affect or cause recurrence, such as parenting, medication adherence and socioeconomic factors of the patient. The study aims to determine the factors that influence patient recurrence. Analysis was carried out on 13 clients. The results showed that the major causes of relapse were due to drug withdrawal, closed personality, and failure. this study recommends the need to overcome factors that can cause recurrence. Keywords: Parenting Pattern, Expression of Family Emotion, Recurrence, Schizophrenia


2014 ◽  
Vol 36 (4) ◽  
pp. 392-396 ◽  
Author(s):  
Sailaxmi Gandhi ◽  
Rajitha Pavalur ◽  
Sivakumar Thanapal ◽  
Nirmala B. Parathasarathy ◽  
Geetha Desai ◽  
...  

2014 ◽  
Vol 63 (4) ◽  
pp. 273-280 ◽  
Author(s):  
Icaro Carvalho Moreira ◽  
Marina Bandeira ◽  
Tatiana Cury Pollo ◽  
Marcos Santos de Oliveira

Objective The purpose of this research was to make a cross-cultural adaptation of the Medication Adherence Rating Scale (MARS) for psychiatric patients to the Brazilian context. Methods The procedure consisted of four phases: translation of the original scale, back-translation, review by an Expert Committee and Pre-test study with a patients’ sample. Results The Expert Committee corrected the items’ translation when necessary and modified the scale administration format and its instructions from self-report to face-to-face interview form in order to ensure easy understanding by the target population. During Pre-test, the instructions and most of the items were properly understood by patients, with the exception of three of them which had to be changed in order to ensure better understanding. The Pre-test sample was composed by 30 psychiatric patients, with severe and persistent disorders mainly single (46.7%), female (60.0%), with a mean age of 43.8 years old and an average of five years of education. Conclusion The Brazilian version of MARS scale is now adapted to the Brazilian Portuguese language and culture and is easily understood by the psychiatric target population. It is necessary to do further research to evaluate the scale psychometric qualities of validity and reliability in order to use it in Brazil.


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