Adherence behavior in patients with schizophrenia: Diagnostic and treatment impact. Phenomenological analysis of three attitudes

作者：Bensasson Geraldine^*; Vassal Laurent; Linard Francoise; Mnif Slim

来源：Evolution Psychiatrique, 2011, 76(4): 641-657.

DOI：10.1016/j.evopsy.2011.09.002

• Psychosis
• Schizophrenia
• Treatment
• Adherence
• Phenomenology
• Diagnostic
• Comparative study
• Questionnaire

The aim of this study is to analyze the different characteristics of three patient clusters defined according to their relationship toward their disease. Based on the 40 patients collected data, we were able to identify three patient groups: 23 patients were qualified as "active" as they showed a more collaborative participation in career venues and higher acceptance of comprehensive treatment plans (57.5 %). Seven patients were qualified as "passive" as they had less autonomy and therefore were less concerned with the treatment modalities (17.5 %). Ten patients were qualified "ambivalent" as they had a more conflicted understanding and insight of their disease, of their careers and their family dynamics (25 %). "Active" patients had a higher level of understanding of their diagnosis, were more aware of prescribed treatments and of the negative consequences of poor compliance. "Passive" patients were more willing to learn about their diagnosis, while having a significantly lower baseline knowledge of it, were more often prescribed an atypical neuroleptic and reported higher satisfaction with their medical treatment. "Ambivalent" patients had a higher propensity for disagreeing with the negative consequences of their disease, were more often prescribed two classic neuroleptics, reported higher rate of self-discontinuation of treatment and were overall less satisfied with their treatment. It appears that the disagreement with the understanding of the disease and its seriousness has a major impact on the acceptance of the treatment modalities and leads to reduced adherence to treatment plan.

• 出版日期2011-12