Cited by 183Medication Adherence and ComplianceSchizophrenia research and treatmentPsychotherapy Techniques and Applications

Interventions to improve adherence to antipsychotic medication in patients with schizophrenia–A review of the past decade

Barkhof, E., Meijer, C.J., de Sonneville, L.M.J., Linszen, D.H., de Haan, L.·2012·European Psychiatry

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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Crossref · 10.1016/j.eurpsy.2011.02.005

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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.
Venue
European Psychiatry
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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