dc.contributor.author | Mert, Derya Guliz | |
dc.contributor.author | Turgut, Nergiz Hacer | |
dc.contributor.author | Kelleci, Meral | |
dc.contributor.author | Semiz, Murat | |
dc.date.accessioned | 2019-07-27T12:10:23Z | |
dc.date.accessioned | 2019-07-28T09:56:38Z | |
dc.date.available | 2019-07-27T12:10:23Z | |
dc.date.available | 2019-07-28T09:56:38Z | |
dc.date.issued | 2015 | |
dc.identifier.issn | 1177-889X | |
dc.identifier.uri | https://dx.doi.org/10.2147/PPA.S75013 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12418/8086 | |
dc.description | WOS: 000347684300001 | en_US |
dc.description | PubMed ID: 25609930 | en_US |
dc.description.abstract | Purpose: This study was carried out to evaluate factors resulting in medication nonadherence within 6 months before admission to the psychiatric service of our hospital for bipolar disorder, schizophrenia/schizoaffective disorder, depression, and other psychiatric diseases. Patients and methods: Two hundred and three patients admitted to the Psychiatry Service of the Medical Faculty were included in this study. Sociodemographic parameters and clinical findings within 6 months before admission and patients' views on reasons of medication nonadherence were examined. Results: Patients were classified into four groups according to their diagnosis: bipolar disorder (n=68, 33.5%), schizophrenia/schizoaffective disorder (n=59, 29.1%), depression (n=39, 19.2%), and others (n=37, 18.2%). The ratio of medication nonadherence was higher in the bipolar disorder group when compared to the groups with schizophrenia/schizoaffective disorder, depression, and other disorders (12.1%, 18.2%, and 24.2% vs 45.5%); however, the ratio of medication nonadherence was similar in schizophrenia/schizoaffective disorder, depression, and the others group. In logistic regression analysis, irregular follow-up (odds ratio [OR]: 5.7; 95% confidence interval [CI]: 2.92-11.31) and diagnosis (OR: 1.5; 95% CI: 1.07-1.95) were determined to be important risk factors for medication nonadherence. The leading factors for medication nonadherence were: "not willing to use medication", "not accepting the disease", and "being disturbed by side effects" in the bipolar disorder group, "not accepting the disease" in the schizophrenia/schizoaffective disorder group, "feeling well" in the depression group, and "being disturbed by side effects" in the other diseases group. Conclusion: Medication nonadherence is an important problem in psychiatric patients and should be dealt with by taking into account the diagnosis, attendance to follow-up appointments, and the patient's attitude. Ensuring regular attendance to follow-up appointments, adjusting the management plan according to the diagnosis, and improving their thoughts about resistance to medication can be beneficial in terms of medication adherence. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | DOVE MEDICAL PRESS LTD | en_US |
dc.relation.isversionof | 10.2147/PPA.S75013 | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | bipolar disorder | en_US |
dc.subject | schizophrenia | en_US |
dc.subject | schizoaffective disorder | en_US |
dc.subject | depression | en_US |
dc.subject | patient's attitude | en_US |
dc.title | Perspectives on reasons of medication nonadherence in psychiatric patients | en_US |
dc.type | article | en_US |
dc.relation.journal | PATIENT PREFERENCE AND ADHERENCE | en_US |
dc.contributor.department | [Mert, Derya Guliz] Cumhuriyet Univ, Fac Med, Dept Psychiat, TR-58140 Sivas, Turkey -- [Turgut, Nergiz Hacer] Cumhuriyet Univ, Fac Med, Dept Pharmacol, TR-58140 Sivas, Turkey -- [Kelleci, Meral] Cumhuriyet Univ, Fac Hlth Sci, Dept Psychiat Nursing, TR-58140 Sivas, Turkey -- [Semiz, Murat] Univ Osmangazi, Fac Med, Dept Psychiat, Tokat, Turkey | en_US |
dc.identifier.volume | 9 | en_US |
dc.identifier.endpage | 93 | en_US |
dc.identifier.startpage | 87 | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |