Awareness of Illness in Schizophrenia and Outpatient Treatment Adherence
作者:
BRIAN CUFFEL,
JOSEPH ALFORD,
ELLEN FISCHER,
RICHARD OWEN,
期刊:
The Journal of Nervous and Mental Disease
(OVID Available online 1996)
卷期:
Volume 184,
issue 11
页码: 653-659
ISSN:0022-3018
年代: 1996
出版商: OVID
数据来源: OVID
摘要:
We present a brief measure of awareness of illness in schizophrenia and test whether awareness is related to perceived need for and adherence to outpatient psychiatric treatment. A prospective design assessed treatment adherence, awareness of the signs and symptoms of schizophrenia, symptoms, neurocognitive status, and substance abuse at baseline and 6-month follow-up in 89 persons with schizophrenia. Results indicate that persons with greater awareness perceived greater need for outpatient treatment and evidenced better adherence to outpatient treatment when adherence and awareness were measured concurrently. Awareness was not related to adherence at 6-month follow-up. In addition, neurocognitive impairment was associated with lower overall adherence to treatment when reported by collaterals at baseline and 6-month follow-up. Neurocognitive impairment was, however, associated with higher self-reported adherence to medication, which suggests that neurocognitive status may bias adherence reporting in persons with schizophrenia.
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