Interventions to improve adherence to antipsychotic medication in patients with schizophrenia–A review of the past decade
Abstract
Objective: Nonadherence to antipsychotic medication is highly prevalent in patients with schizophrenia and has a deleterious impact on the course of the illness. This review seeks to determine the interventions that were examined in the past decade to improve adherence rates. Method: The literature between 2000 and 2009 was searched for randomized controlled trials which compared a psychosocial intervention with another intervention or with treatment as usual in patients with schizophrenia. Results: Fifteen studies were identified, with a large heterogeneity in design, adherence measures and outcome variables. Interventions that offered more sessions during a longer period of time, and especially those with a continuous focus on adherence, seem most likely to be successful, as well as pragmatic interventions that focus on attention and memory problems. The positive effects of adapted forms of Motivational Interviewing found in earlier studies, such as compliance therapy, have not been confirmed. Conclusion: Nonadherence remains a challenging problem in schizophrenia. The heterogeneity of factors related to nonadherence calls for individually tailored approaches to promote adherence. More evidence is required to determine the effects of specific interventions.
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Non-adherence contributes enormously to poor health outcome and needs substantial work to improve treatment outcomes.
“Non-adherence contributes enormously to poor health outcome and needs substantial work to improve treatment outcomes [80].”
From Psychotropic medication non-adherence and its associated factors among patients with major psychiatric disorders: A systematic review and meta-analysis (2020) · cites this paper as [80]
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Motivational Interviewing in Patients with Acute Psychosis: A Feasibility Study
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- Authors
- Barkhof, E., Meijer, C. J., de Sonneville, L. M. J., Linszen, D. H., & de Haan, L.
- Affiliations
- Amsterdam UMC Location University of Amsterdam (NL)
- Corresponding author
- Barkhof, E.
- ORCID
- Meijer, C.J.
- Venue
- European Psychiatry
- Publisher
- Cambridge University Press (CUP)
- Published
- 2012-01
- Volume
- 27
- Issue
- 1
- Pages
- 9-18
- ISSN
- 0924-9338 (ISSN-L)
- 1778-3585
- OpenAlex
- W2013847807
- Cited by
- 183
- References
- 118
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 9 · 2023: 6 · 2022: 7 · 2021: 17 · 2020: 22 · 2019: 8 · 2018: 17 · 2017: 9 · 2016: 28 · 2015: 23 · 2014: 7 · 2013: 11 · 2012: 6
- FWCI
- 1.10
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Topics
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- antipsychotic adherence, schizophrenia, psychosocial interventions, non-compliance, motivational interviewing, usual care
- MeSH terms
- Humans, Schizophrenia, Schizophrenic Psychology, Antipsychotic Agents, Medication Adherence
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