E-ISSN 2231-3206 | ISSN 2320-4672
 

Original Research 


Medication adherence in schizophrenia: Understanding patient’s views

Noor Us Saba Z, Sushma Muraraiah, Chandrashekar H.

Abstract
Background: Schizophrenia is a chronic mental disorder that requires long-term treatment. Non-adherence to antipsychotics is common and associated with poor outcomes. Numerous studies have reported factors that influence non-adherence but without exploring the patient’s views.

Aims and Objectives: The present study was undertaken to analyze patient views on non-adherence to antipsychotic medication in schizophrenia.

Materials and Methods: This cross-sectional study was conducted among patients diagnosed as schizophrenia by the psychiatrist, on antipsychotic medication and providing informed consent. Each patient’s demographic, clinical, and treatment data along with the adherence levels using Medication Adherence Rating Scale (MARS) were recorded along with reasons for medication adherence behavior. The statements were reviewed and grouped into six categories: Insight, medication attitude and expectation, family support, efficacy of medication, side effects, and information.

Results: A total of 72 patients were included in the study. The mean age was 38±12 years and non-adherence to antipsychotic medications was 46%. Reasons stated for non-adherence were lack of illness insight (37%) followed by negative medication attitude (29%) and lack of family support (9%). In adherent group, the presence of insight about illness (40%), followed by positive medication attitude (23%) and having family support (17%) was recorded.

Conclusion: Non-adherence to antipsychotic medication was noted to be 46%. Illness insight, followed by medication attitude of the patients, plays an important role in the medication adherence behavior of the patients.

Key words: Schizophrenia; Patient’s views; Antipsychotic drugs; Adherence; Non-adherence


 
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How to Cite this Article
Pubmed Style

Z NUS, Muraraiah S, H C. Medication adherence in schizophrenia: Understanding patient’s views. Natl J Physiol Pharm Pharmacol. 2019; 9(5): 373-378. doi:10.5455/njppp.2019.9.0206002032019


Web Style

Z NUS, Muraraiah S, H C. Medication adherence in schizophrenia: Understanding patient’s views. https://www.njppp.com/?mno=32735 [Access: June 02, 2022]. doi:10.5455/njppp.2019.9.0206002032019


AMA (American Medical Association) Style

Z NUS, Muraraiah S, H C. Medication adherence in schizophrenia: Understanding patient’s views. Natl J Physiol Pharm Pharmacol. 2019; 9(5): 373-378. doi:10.5455/njppp.2019.9.0206002032019



Vancouver/ICMJE Style

Z NUS, Muraraiah S, H C. Medication adherence in schizophrenia: Understanding patient’s views. Natl J Physiol Pharm Pharmacol. (2019), [cited June 02, 2022]; 9(5): 373-378. doi:10.5455/njppp.2019.9.0206002032019



Harvard Style

Z, N. U. S., Muraraiah, . S. & H, . C. (2019) Medication adherence in schizophrenia: Understanding patient’s views. Natl J Physiol Pharm Pharmacol, 9 (5), 373-378. doi:10.5455/njppp.2019.9.0206002032019



Turabian Style

Z, Noor Us Saba, Sushma Muraraiah, and Chandrashekar H. 2019. Medication adherence in schizophrenia: Understanding patient’s views. National Journal of Physiology, Pharmacy and Pharmacology, 9 (5), 373-378. doi:10.5455/njppp.2019.9.0206002032019



Chicago Style

Z, Noor Us Saba, Sushma Muraraiah, and Chandrashekar H. "Medication adherence in schizophrenia: Understanding patient’s views." National Journal of Physiology, Pharmacy and Pharmacology 9 (2019), 373-378. doi:10.5455/njppp.2019.9.0206002032019



MLA (The Modern Language Association) Style

Z, Noor Us Saba, Sushma Muraraiah, and Chandrashekar H. "Medication adherence in schizophrenia: Understanding patient’s views." National Journal of Physiology, Pharmacy and Pharmacology 9.5 (2019), 373-378. Print. doi:10.5455/njppp.2019.9.0206002032019



APA (American Psychological Association) Style

Z, N. U. S., Muraraiah, . S. & H, . C. (2019) Medication adherence in schizophrenia: Understanding patient’s views. National Journal of Physiology, Pharmacy and Pharmacology, 9 (5), 373-378. doi:10.5455/njppp.2019.9.0206002032019