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Titolo:
The reliability of compliance assessments performed by doctors and patients during neuroleptic treatment: a comparison of compliance ratings
Autore:
Kampman, O; Lehtinen, K; Lassila, V;
Indirizzi:
Tampere Community Mental Hlth Care, FIN-33100 Tampere, Finland Tampere Community Mental Hlth Care Tampere Finland FIN-33100 re, Finland Tampere Univ Hosp, Dept Psychiat, Tampere, Finland Tampere Univ Hosp Tampere Finland Hosp, Dept Psychiat, Tampere, Finland Univ Tampere, Sch Med, FIN-33101 Tampere, Finland Univ Tampere Tampere Finland FIN-33101 h Med, FIN-33101 Tampere, Finland Seinajoki Cent Hosp, Dept Psychiat, Seinajoki, Finland Seinajoki Cent Hosp Seinajoki Finland Dept Psychiat, Seinajoki, Finland
Titolo Testata:
ACTA PSYCHIATRICA SCANDINAVICA
fascicolo: 4, volume: 104, anno: 2001,
pagine: 299 - 304
SICI:
0001-690X(200110)104:4<299:TROCAP>2.0.ZU;2-T
Fonte:
ISI
Lingua:
ENG
Soggetto:
SCHIZOPHRENIC-PATIENTS; MEDICATION COMPLIANCE; OUTPATIENT TREATMENT; TREATMENT ADHERENCE; EXPRESSED EMOTION; INSIGHT; NONCOMPLIANCE; POPULATION; DISORDERS; ATTITUDES;
Keywords:
patient compliance; psychotic disorders; schizophrenia; psychiatric status; rating scales; antipsychotic agents;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Life Sciences
Citazioni:
31
Recensione:
Indirizzi per estratti:
Indirizzo: Kampman, O Tampere Community Mental Hlth Care, Rautatienkatu 10, FIN-33100Tampere, Finland Tampere Community Mental Hlth Care Rautatienkatu 10 Tampere Finland FIN-33100
Citazione:
O. Kampman et al., "The reliability of compliance assessments performed by doctors and patients during neuroleptic treatment: a comparison of compliance ratings", ACT PSYC SC, 104(4), 2001, pp. 299-304

Abstract

Objective: To compare compliance assessments made by doctors and patients during neuroleptic drug treatment and to detect any variables explaining the discrepancies between their ratings. Method: Compliance reports regarding neuroleptic medication were collectedfrom 100 in-patients and out-patients and from their doctors. Re-ratings were performed after 1-2 weeks. Compliance ratings were compared with demographic, treatment and symptom-related variables and with the Attitudes to Neuroleptic Treatment (ANT) questionnaire using logistic regression analysis. Results: The doctors' and patients' compliance ratings showed good test-retest reliability (r=0.80, doctors; r=0.81, patients) and concordance (79% of the cases within the limits of +/- 25%-units deviation). Variables explaining discrepancies between the ratings included female gender, a low level of education, the diagnosis of mania, a high neuroleptic dose and several items from the ANT scale. Conclusion: Manic episodes, negative attitudes to neuroleptic medication and a high-dose treatment increase the risk for deviating views of compliance in the doctor-patient relationship.

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Documento generato il 20/01/20 alle ore 04:59:29