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Open AccessJournal ArticleDOI

Medication adherence in schizophrenia: factors influencing adherence and consequences of nonadherence, a systematic literature review

TLDR
Improving adherence in schizophrenia may have a considerable positive impact on patients and society by focusing on the identified multitude of factors driving nonadherence, including lack of insight, medication beliefs and substance abuse.
Abstract
Background:Nonadherence to medication is a recognized problem and may be the most challenging aspect of treatment.Methods:We performed a systematic review of factors that influence adherence and the consequences of nonadherence to the patient, healthcare system and society, in patients with schizophrenia. Particular attention was given to the effect of nonadherence on hospitalization rates, as a key driver of increased costs of care. A qualitative systematic literature review was conducted using a broad search strategy using disease and adherence terms. Due to the large number of abstracts identified, article selection was based on studies with larger sample sizes published after 2001. Thirty-seven full papers were included: 15 studies on drivers and 22 on consequences, of which 12 assessed the link between nonadherence and hospitalization.Results:Key drivers of nonadherence included lack of insight, medication beliefs and substance abuse. Key consequences of nonadherence included greater risk of relapse,...

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Citations
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Journal ArticleDOI

Effect of Peer Victimization on the Long-Term Mental Health Status among Adults Users of Intellectual Disability Services: A Longitudinal Follow-Up Study

TL;DR: It is suggested that PV is a common experience among adults in ID services, and for a clearer understanding of mental health risks, caregivers should pay attention to adults with ID who experienced PV.
Dissertation

Subjective wellbeing in a sample of South African, Xhosa people with schizophrenia

Judith Boshe
TL;DR: The isiXhosa version of the SWN-K20 scale can be used for clinical and research purposes in LMICs, but predictors of SWBN in this population differed from those previously established in (high-income countries) HICs.
Journal ArticleDOI

Discontinuing cannabis use: Symptomatic and functional outcomes in people with an established psychotic disorder

TL;DR: In this paper , the authors examined baseline and follow-up symptomatic and functional profiles of 371 people with an established psychotic disorder, comparing those who continued to use cannabis with those who discontinued use after baseline assessment.
Journal ArticleDOI

Antipsychotic utilization, healthcare resource use and costs, and quality of care among fee-for-service medicare beneficiaries with schizophrenia in the United States.

TL;DR: In this article , the authors provided national estimates and assessed regional variation in AP treatment utilization, healthcare resource use, costs, and quality of care among those with schizophrenia in the Medicare program despite it serving as the primary payer for half of individuals with schizophrenia.
Journal ArticleDOI

Healthcare utilisation and costs associated with adherence to antipsychotics among people living with HIV/AIDS and schizophrenia: a population-based cohort study in British Columbia, Canada

TL;DR: In this article , the authors assessed the economic and clinical impacts of adherence to antipsychotics among people living with HIV/AIDS (PLWH) and schizophrenia in British Columbia, Canada.
References
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Journal ArticleDOI

The expert consensus guideline series: adherence problems in patients with serious and persistent mental illness.

TL;DR: Recommendations for addressing adherence problems to improve patient outcomes are developed, noting that multiple problems may be involved, requiring a combination of interventions.
Journal ArticleDOI

Partial Compliance and Risk of Rehospitalization Among California Medicaid Patients With Schizophrenia

TL;DR: This study showed a direct correlation between estimated partial compliance and hospitalization risk among patients with schizophrenia across a continuum of compliance behavior.
Related Papers (5)

The expert consensus guideline series: adherence problems in patients with serious and persistent mental illness.