Revisiting Drug Compliance: The Need for a Holistic Approach in the Treatment of Severe Mental Disorders
INTRODUCTION: The limited practice of depot antipsychotics and psychoeducation use, recommended for overcoming the noncompliance of patients with severe mental disorders, is linked to a high incidence of treatment violation. Therefore, the development of personalized mental healthcare approaches is...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Eco-Vector
2021-11-01
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| Series: | Consortium Psychiatricum |
| Subjects: | |
| Online Access: | https://consortium-psy.com/jour/article/viewFile/93/pdf |
| _version_ | 1798020897455472640 |
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| author | Mikhail Yu. Sorokin Nikolay G. Neznanov Natalia B. Lutova Viktor D. Wied |
| author_facet | Mikhail Yu. Sorokin Nikolay G. Neznanov Natalia B. Lutova Viktor D. Wied |
| author_sort | Mikhail Yu. Sorokin |
| collection | DOAJ |
| description | INTRODUCTION: The limited practice of depot antipsychotics and psychoeducation use, recommended for overcoming the noncompliance of patients with severe mental disorders, is linked to a high incidence of treatment violation. Therefore, the development of personalized mental healthcare approaches is a crucial healthcare task.
AIM: To describe and differentiate the role of clinical, social and psychological factors that lead to different level of treatment engagement of psychiatric inpatients.
METHODS: Secondary analysis of findings from 91 inpatients, based on the Treatment Motivation Assessment Questionnaire and Medication Compliance Scale, as well as the Scale of Internalized Stigma of Mental Illness and Perceived Discrimination and Devaluation Scale. Factorial analysis, cluster analysis and analysis of variance with p-level=0.05 and the calculation of the effect size (ES) according to Cohens d and Cramers V were used.
RESULTS: The nature of therapy compliance in various categories of patients is mediated differentially, including: the severity of negative symptoms (ES=0.29), the global level of functioning and work maladjustment (ES=0.230.26), various motivational and behavioral styles (ES0.74) and the intensity of psychiatric stigmatization (ES0.88).
CONCLUSIONS: Consideration of the clinical, social and psychological factors should empirically determine the strategies for the personalized use of prolonged antipsychotics and socio-psychotherapeutic interventions when developing an individual treatment plan for psychiatric in-patients. |
| first_indexed | 2024-04-11T17:05:09Z |
| format | Article |
| id | doaj.art-bbfe53c7b01e4c47a375b25b1baac65d |
| institution | Directory Open Access Journal |
| issn | 2712-7672 2713-2919 |
| language | English |
| last_indexed | 2024-04-11T17:05:09Z |
| publishDate | 2021-11-01 |
| publisher | Eco-Vector |
| record_format | Article |
| series | Consortium Psychiatricum |
| spelling | doaj.art-bbfe53c7b01e4c47a375b25b1baac65d2022-12-22T04:13:04ZengEco-VectorConsortium Psychiatricum2712-76722713-29192021-11-0123172510.17816/CP9347Revisiting Drug Compliance: The Need for a Holistic Approach in the Treatment of Severe Mental DisordersMikhail Yu. Sorokin0https://orcid.org/0000-0003-2502-6365Nikolay G. Neznanov1https://orcid.org/0000-0001-5618-4206Natalia B. Lutova2https://orcid.org/0000-0002-9481-7411Viktor D. Wied3https://orcid.org/0000-0001-7334-2165V.M. Bekhterev National Medical Research Center of Psychiatry and NeurologyV.M. Bekhterev National Medical Research Center of Psychiatry and NeurologyV.M. Bekhterev National Medical Research Center of Psychiatry and NeurologyV.M. Bekhterev National Medical Research Center of Psychiatry and NeurologyINTRODUCTION: The limited practice of depot antipsychotics and psychoeducation use, recommended for overcoming the noncompliance of patients with severe mental disorders, is linked to a high incidence of treatment violation. Therefore, the development of personalized mental healthcare approaches is a crucial healthcare task. AIM: To describe and differentiate the role of clinical, social and psychological factors that lead to different level of treatment engagement of psychiatric inpatients. METHODS: Secondary analysis of findings from 91 inpatients, based on the Treatment Motivation Assessment Questionnaire and Medication Compliance Scale, as well as the Scale of Internalized Stigma of Mental Illness and Perceived Discrimination and Devaluation Scale. Factorial analysis, cluster analysis and analysis of variance with p-level=0.05 and the calculation of the effect size (ES) according to Cohens d and Cramers V were used. RESULTS: The nature of therapy compliance in various categories of patients is mediated differentially, including: the severity of negative symptoms (ES=0.29), the global level of functioning and work maladjustment (ES=0.230.26), various motivational and behavioral styles (ES0.74) and the intensity of psychiatric stigmatization (ES0.88). CONCLUSIONS: Consideration of the clinical, social and psychological factors should empirically determine the strategies for the personalized use of prolonged antipsychotics and socio-psychotherapeutic interventions when developing an individual treatment plan for psychiatric in-patients.https://consortium-psy.com/jour/article/viewFile/93/pdftreatment adherence and compliancepatient engagementmotivationmental disordersstigma |
| spellingShingle | Mikhail Yu. Sorokin Nikolay G. Neznanov Natalia B. Lutova Viktor D. Wied Revisiting Drug Compliance: The Need for a Holistic Approach in the Treatment of Severe Mental Disorders Consortium Psychiatricum treatment adherence and compliance patient engagement motivation mental disorders stigma |
| title | Revisiting Drug Compliance: The Need for a Holistic Approach in the Treatment of Severe Mental Disorders |
| title_full | Revisiting Drug Compliance: The Need for a Holistic Approach in the Treatment of Severe Mental Disorders |
| title_fullStr | Revisiting Drug Compliance: The Need for a Holistic Approach in the Treatment of Severe Mental Disorders |
| title_full_unstemmed | Revisiting Drug Compliance: The Need for a Holistic Approach in the Treatment of Severe Mental Disorders |
| title_short | Revisiting Drug Compliance: The Need for a Holistic Approach in the Treatment of Severe Mental Disorders |
| title_sort | revisiting drug compliance the need for a holistic approach in the treatment of severe mental disorders |
| topic | treatment adherence and compliance patient engagement motivation mental disorders stigma |
| url | https://consortium-psy.com/jour/article/viewFile/93/pdf |
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