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Schizophrenia: Impact of psychopathology, faith healers and psycho-education on adherence to medications

Author

Listed:
  • Karim Abdel Aziz
  • Mohammed H Elamin
  • Nisrin M El-Saadouni
  • Dina Aly El-Gabry
  • Mahmoud Barakat
  • Fatima Alhayyas
  • Hamdy F Moselhy

Abstract

Background: Many patients suffering from psychosis are nonadherent to their medications. Nonadherence can range from treatment refusal to irregular use or partial change in daily medication doses. Aim: To investigate whether symptom dimensions, post-discharge care plans and being involved with faith healer affect the adherence to treatment in patients with schizophrenia. Method: A total of 121 patients with schizophrenia were examined 6 weeks post-discharge from the inpatient unit and assessed for full, partial or nonadherence to medication. Results: There was a significant association between family involvement and partial adherence and between community team involvement post-discharge and full adherence to medications. Psycho-education was a predictor for adherence to medications, persecutory delusions and lack of insight predicted partial adherence, while being involved with faith healers predicted nonadherence. Conclusion: Adherence to medications and socio-demographic variables are independent. This study demonstrated that nonadherence or partial adherence to medications is associated with lack of insight and persecutory delusions. Psycho-education could improve the adherence to medication compliances.

Suggested Citation

  • Karim Abdel Aziz & Mohammed H Elamin & Nisrin M El-Saadouni & Dina Aly El-Gabry & Mahmoud Barakat & Fatima Alhayyas & Hamdy F Moselhy, 2016. "Schizophrenia: Impact of psychopathology, faith healers and psycho-education on adherence to medications," International Journal of Social Psychiatry, , vol. 62(8), pages 719-725, December.
    • Handle: RePEc:sae:socpsy:v:62:y:2016:i:8:p:719-725
    DOI: 10.1177/0020764016676215
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