Determinants of adherence to treatment in first-episode psychosis: a comprehensive review
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
;
37(2): 168-176, 12/05/2015. tab
Article
Dans Anglais
| LILACS
| ID: lil-748972
ABSTRACT
Objective:
To conduct a comprehensive review of current evidence on factors for nonadherence to treatment in individuals with first-episode psychosis (FEP).Methods:
MEDLINE, LILACS, PsycINFO, and SciELO databases were searched with the keywords first episode psychosis, factor, adherence, nonadherence, engagement, disengagement, compliance, and intervention. References of selected studies were consulted for relevant articles.Results:
A total of 157 articles were screened, of which 33 articles were retained for full review. The factors related to nonadherence were a) patient-related (e.g., lower education level, persistent substance use, forensic history, unemployment, history of physical abuse); b) environment-related (e.g., no family involved in treatment, social adjustment difficulties); c) medication-related (e.g., rapid remission of negative symptoms when starting treatment, therapeutic alliance); and d) illness-related (e.g., more positive symptoms, more relapses). Treatment factors that improve adherence include a good therapeutic alliance and a voluntary first admission when hospitalization occurs.Conclusion:
The results of this review suggest that nonadherence to treatment in FEP is multifactorial. Many of these factors are modifiable and can be specifically targeted in early intervention programs. Very few studies have assessed strategies to raise adherence in FEP. .
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Troubles psychotiques
/
Neuroleptiques
/
Refus du traitement
Type d'étude:
Etude d'étiologie
/
Étude pronostique
Limites du sujet:
Adolescent
/
Adulte
/
Femelle
/
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
Thème du journal:
Psychiatrie
Année:
2015
Type:
Article
Pays d'affiliation:
Brésil
Institution/Pays d'affiliation:
Universidade Federal de São Paulo/BR
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS