Schizophrenia: Impact of psychopathology, faith healers and psycho-education on adherence to medications
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.
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Poor insight predicts medication discontinuation and less adherence over time.
“Examining the relationship of insight and adherence over time, Zhou et al 31 found that poor insight was predictive of medication discontinuation at one-year follow-up.”
From Insight in schizophrenia spectrum disorders: relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments (2018) · cites this paper as [33]
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References 32 · Cited by 60
- Authors
- Abdel Aziz, K., Elamin, M. H., El-Saadouni, N. M., El-Gabry, D. A., Barakat, M., Alhayyas, F., & Moselhy, H. F.
- Affiliations
- College of Medicine, United Arab Emirates University, Al Ain, UAE
- Al Ain Hospital (AE)
- Psychiatry Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt
- Institute of Psychiatry, Faculty of Medicine, Ain Shams University, Cairo, Egypt
- Worcestershire Health and Care NHS Trust (GB)
- Shaikh Khalifa Medical City (AE)
- United Arab Emirates University (AE)
- Corresponding author
- Moselhy, Hamdy F
- Venue
- International Journal of Social Psychiatry
- Publisher
- SAGE Publications
- Published
- 2016-11-04
- Volume
- 62
- Issue
- 8
- Pages
- 719-725
- ISSN
- 0020-7640 (ISSN-L)
- 1741-2854
- OpenAlex
- W2548501024
- Cited by
- 60
- References
- 32
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 2 · 2023: 43 · 2022: 2 · 2021: 1 · 2020: 4 · 2019: 2 · 2018: 2 · 2017: 1
- FWCI
- 2.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Social Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (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 › Social Psychology › Mental Health Treatment and Access
- Keywords
- schizophrenia, medication adherence, non-compliance, faith healers, psychoeducation, persecutory delusions, lack of insight, family involvement, community mental health teams, post-discharge care, psychosis
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Patient Education as Topic, Psychopathology, Schizophrenia, Schizophrenic Psychology, Antipsychotic Agents, Arabs, Faith Healing, Medication Adherence, Young Adult
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