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Risk Profiles for Non-Adherence to Antipsychotic Medications

McCann, Terence and Boardman, Gayelene Helene and Clark, Eileen and Lu, Sai (2008) Risk Profiles for Non-Adherence to Antipsychotic Medications. Journal of Psychiatric and Mental Health Nursing, 15 (8). pp. 622-629. ISSN 1351-0126

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Abstract

Poor adherence to medications is common in individuals with schizophrenia, and can lead to relapse and re-hospitalization. This paper presents the findings of an Australian study of the factors affecting antipsychotic medication taking in individuals with schizophrenia. The Factors Influencing Neuroleptic Medication Taking Scale was used with a non-probability sample of mental health service users. Ethics approval was obtained from a university and a hospital ethics committee. Data were analysed using spss version 15. Most participants had insight into their illness and were aware of the stigma of mental illness. Around 70% experienced annoying side effects, while nearly half admitted alcohol consumption. About one-fifth admitted they had missed taking medications during the previous week. Significant others played a variable role in medication taking. Over 80% were satisfied with their relationships with health professionals, but were less satisfied with access to these professionals, especially psychiatrists. Logistic regression analysis showed that age, impact of medication side effects, and access to psychiatrists were independent predictors of medication omission. It is argued that medication taking is a complex issue, which needs to be taken into consideration in health professional training and measures to promote adherence.

Item Type: Article
Uncontrolled Keywords: ResPubID14878, antipsychotics, medication adherence, risk factors, schizophrenia, survey
Subjects: FOR Classification > 1103 Clinical Sciences
FOR Classification > 1110 Nursing
Faculty/School/Research Centre/Department > School of Nursing and Midwifery
SEO Classification > 970111 Expanding Knowledge in the Medical and Health Sciences
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Depositing User: VUIR
Date Deposited: 07 Sep 2011 05:09
Last Modified: 28 Jan 2015 04:03
URI: http://vuir.vu.edu.au/id/eprint/3824
DOI: 10.1111/j.1365-2850.2008.01277.x
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Citations in Scopus: 22 - View on Scopus

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