Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/106989
DC FieldValueLanguage
dc.contributor.authorVega Dávila, Dulcinea Cruzen_US
dc.contributor.authorJimenez Acosta, Franciscoen_US
dc.contributor.authorSaavedra Santana, Pedroen_US
dc.date.accessioned2021-04-26T07:55:17Z-
dc.date.available2021-04-26T07:55:17Z-
dc.date.issued2021en_US
dc.identifier.issn0010-440Xen_US
dc.identifier.otherScopus-
dc.identifier.urihttp://hdl.handle.net/10553/106989-
dc.description.abstractBackground: Despite a wealth of studies seeking to identify factors associated with nonadherence few consistent predictors have been determined, and several gaps still exist in the literature. Method: We assessed 110 consecutively admitted patients diagnosed with schizophrenia or schizoaffective disorder according to ICD-10 criteria. Assessments were performed during hospitalization and at six-months follow-up. Evaluation included sociodemographic, clinical, psychopathologic and treatment-related variables. Prevalence of nonadherence, associated variables, reasons for nonadherence and possible subtypes were explored. Adherence was defined as the concurrence of adherence to antipsychotic treatment and adherence to outpatient follow-up, during the six-month period. Results: Nonadherence was detected in 58.2% of patients. An identifiable profile was found in nonadherent patients. After multivariate logistic regression analysis, low socio-economic level (OR = 3.68; 95% CI = 1.42–9.53), current cannabis use or abuse (OR = 2.79; 95% CI = 1.07–7.28), nonadherence as a reason for relapse and admission (OR = 5.46; 95% CI = 2.00–14.90), and greater overall severity of symptoms at six months follow-up (OR = 2.00; 95% CI = 1.02–3.95) remained independently associated with nonadherence. Believing that medication is unnecessary was the most reported reason for nonadherence. For nonadherent patients (N = 64), two distinguishable subtypes were found: intentional nonadherence (N = 32; 50%), and unintentional nonadherence (N = 32; 50%). Conclusions: A large percentage of patients with schizophrenia or schizoaffective disorder did not adhere to their treatment in the post-discharge follow-up period. The profile identified may enable better prevention of this problem. Specific reasons for nonadherence should also be explored to provide individualized strategies.en_US
dc.languageengen_US
dc.relation.ispartofComprehensive psychiatry (Print)en_US
dc.sourceComprehensive Psychiatry [ISSN 0010-440X], v. 108, 152240, (Julio 2021)en_US
dc.subject32 Ciencias médicasen_US
dc.subject3211 Psiquiatríaen_US
dc.subject6105 Evaluación y diagnóstico en psicologíaen_US
dc.subject.otherFollow-up studyen_US
dc.subject.otherHospitalizationen_US
dc.subject.otherNonadherenceen_US
dc.subject.otherSchizoaffective disorderen_US
dc.subject.otherSchizophreniaen_US
dc.titleNonadherence after hospital discharge in patients with schizophrenia or schizoaffective disorder: a six-month naturalistic follow-up studyen_US
dc.typeinfo:eu-repo/semantics/Articleen_US
dc.typeArticleen_US
dc.identifier.doi10.1016/j.comppsych.2021.152240en_US
dc.identifier.scopus85104323239-
dc.contributor.authorscopusid55179069000-
dc.contributor.authorscopusid36954798100-
dc.contributor.authorscopusid22635626800-
dc.identifier.eissn1532-8384-
dc.relation.volume108en_US
dc.investigacionCiencias de la Saluden_US
dc.type2Artículoen_US
dc.utils.revisionen_US
dc.date.coverdateJulio 2021en_US
dc.identifier.ulpgcen_US
dc.contributor.buulpgcBU-INFen_US
dc.description.sjr1,305
dc.description.jcr3,735
dc.description.sjrqQ1
dc.description.jcrqQ2
dc.description.scieSCIE
dc.description.ssciSSCI
dc.description.miaricds11,0
item.fulltextSin texto completo-
item.grantfulltextnone-
crisitem.author.deptDepartamento de Ciencias Médicas y Quirúrgicas-
crisitem.author.deptGIR IUIBS: Patología médica-
crisitem.author.deptIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.deptGIR Estadística-
crisitem.author.deptDepartamento de Matemáticas-
crisitem.author.orcid0000-0002-7360-3967-
crisitem.author.orcid0000-0003-1681-7165-
crisitem.author.parentorgIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.parentorgDepartamento de Matemáticas-
crisitem.author.fullNameVega Dávila, Dulcinea Cruz-
crisitem.author.fullNameJimenez Acosta,Francisco-
crisitem.author.fullNameSaavedra Santana, Pedro-
Appears in Collections:Artículos
Show simple item record

SCOPUSTM   
Citations

2
checked on Dec 4, 2022

Page view(s)

91
checked on Aug 27, 2022

Google ScholarTM

Check

Altmetric


Share



Export metadata



Items in accedaCRIS are protected by copyright, with all rights reserved, unless otherwise indicated.