Effectiveness of Adherence Therapy for People With Schizophrenia in Turkey: A Controlled Study

Arch Psychiatr Nurs. 2016 Apr;30(2):249-56. doi: 10.1016/j.apnu.2015.11.009. Epub 2015 Dec 1.

Abstract

Objective: This study used a quasi-experimental design with a pretest-posttest control group and follow-up to determine the efficacy of adherence therapy in patients with schizophrenia in Turkey.

Methods: The sample of this study consisted of patients with schizophrenia (n=30). The Questionnaire Form, Medication Adherence Rating Scale, Internalized Stigma of Mental Illness Scale, and Beck Cognitive Insight Scale were used. The patients were assigned to experimental (n=15) and control (n=15) groups using the randomization method. The experimental group received adherence therapy in eight sessions.

Results: When the scores of the patients in the experimental and control groups were compared at the pretest, posttest, and 3- and 6-months follow ups, a significant difference was only found in the Medication Adherence Rating Scale posttest scores.

Conclusion: Adherence therapy is effective in improving adherence to treatment but is not effective with regard to insight and internalized stigma in patients with schizophrenia.

MeSH terms

  • Adult
  • Antipsychotic Agents / therapeutic use*
  • Case-Control Studies
  • Female
  • Humans
  • Male
  • Medication Adherence*
  • Middle Aged
  • Psychiatric Status Rating Scales
  • Schizophrenia / drug therapy*
  • Surveys and Questionnaires
  • Turkey

Substances

  • Antipsychotic Agents