Schizophrenia: Impact of psychopathology, faith healers and psycho-education on adherence to medications

Int J Soc Psychiatry. 2016 Dec;62(8):719-725. doi: 10.1177/0020764016676215. Epub 2016 Nov 3.

Abstract

Background: Many patients suffering from psychosis are nonadherent to their medications. Nonadherence can range from treatment refusal to irregular use or partial change in daily medication doses.

Aim: To investigate whether symptom dimensions, post-discharge care plans and being involved with faith healer affect the adherence to treatment in patients with schizophrenia.

Method: A total of 121 patients with schizophrenia were examined 6 weeks post-discharge from the inpatient unit and assessed for full, partial or nonadherence to medication.

Results: There was a significant association between family involvement and partial adherence and between community team involvement post-discharge and full adherence to medications. Psycho-education was a predictor for adherence to medications, persecutory delusions and lack of insight predicted partial adherence, while being involved with faith healers predicted nonadherence.

Conclusion: Adherence to medications and socio-demographic variables are independent. This study demonstrated that nonadherence or partial adherence to medications is associated with lack of insight and persecutory delusions. Psycho-education could improve the adherence to medication compliances.

Keywords: Schizophrenia; adherence to medications; faith healers; psycho-educations.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Antipsychotic Agents / therapeutic use*
  • Arabs / psychology
  • Faith Healing / psychology*
  • Female
  • Humans
  • Male
  • Medication Adherence / ethnology
  • Medication Adherence / psychology*
  • Middle Aged
  • Patient Education as Topic*
  • Psychopathology
  • Schizophrenia / drug therapy*
  • Schizophrenia / ethnology
  • Schizophrenic Psychology*
  • Young Adult

Substances

  • Antipsychotic Agents