Risk Profiles for Non-Adherence to Antipsychotic Medications

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McCann, Terence ORCID: 0000-0003-1109-0438, Boardman, Gayelene ORCID: 0000-0002-1582-8746, Clark, Eileen and Lu, Sai ORCID: 0000-0002-6368-3721 (2008) Risk Profiles for Non-Adherence to Antipsychotic Medications. Journal of Psychiatric and Mental Health Nursing, 15 (8). pp. 622-629. ISSN 1351-0126


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.

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Item type Article
URI https://vuir.vu.edu.au/id/eprint/3824
DOI 10.1111/j.1365-2850.2008.01277.x
Official URL http://onlinelibrary.wiley.com/doi/10.1111/j.1365-...
Subjects Historical > FOR Classification > 1103 Clinical Sciences
Historical > FOR Classification > 1110 Nursing
Historical > Faculty/School/Research Centre/Department > School of Nursing and Midwifery
Historical > SEO Classification > 970111 Expanding Knowledge in the Medical and Health Sciences
Keywords ResPubID14878, antipsychotics, medication adherence, risk factors, schizophrenia, survey
Citations in Scopus 50 - View on Scopus
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