Revisiting Drug Compliance: The Need for a Holistic Approach in the Treatment of Severe Mental Disorders

INTRODUCTION: The limited practice of depot antipsychotics and psychoeducation use, recommended for overcoming the noncompliance of patients with severe mental disorders, is linked to a high incidence of treatment violation. Therefore, the development of personalized mental healthcare approaches is...

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Autores principales:	Mikhail Yu. Sorokin, Nikolay G. Neznanov, Natalia B. Lutova, Viktor D. Wied
Formato:	article
Lenguaje:	EN RU
Publicado:	Eco-Vector 2021
Materias:	treatment adherence and compliance patient engagement motivation mental disorders stigma Psychiatry RC435-571 Psychology BF1-990
Acceso en línea:	https://doaj.org/article/bbfe53c7b01e4c47a375b25b1baac65d
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spelling	oai:doaj.org-article:bbfe53c7b01e4c47a375b25b1baac65d2021-11-30T16:05:53ZRevisiting Drug Compliance: The Need for a Holistic Approach in the Treatment of Severe Mental Disorders2712-76722713-291910.17816/CP93https://doaj.org/article/bbfe53c7b01e4c47a375b25b1baac65d2021-11-01T00:00:00Zhttps://consortium-psy.com/jour/article/viewFile/93/pdfhttps://doaj.org/toc/2712-7672https://doaj.org/toc/2713-2919INTRODUCTION: The limited practice of depot antipsychotics and psychoeducation use, recommended for overcoming the noncompliance of patients with severe mental disorders, is linked to a high incidence of treatment violation. Therefore, the development of personalized mental healthcare approaches is a crucial healthcare task. AIM: To describe and differentiate the role of clinical, social and psychological factors that lead to different level of treatment engagement of psychiatric inpatients. METHODS: Secondary analysis of findings from 91 inpatients, based on the Treatment Motivation Assessment Questionnaire and Medication Compliance Scale, as well as the Scale of Internalized Stigma of Mental Illness and Perceived Discrimination and Devaluation Scale. Factorial analysis, cluster analysis and analysis of variance with p-level=0.05 and the calculation of the effect size (ES) according to Cohens d and Cramers V were used. RESULTS: The nature of therapy compliance in various categories of patients is mediated differentially, including: the severity of negative symptoms (ES=0.29), the global level of functioning and work maladjustment (ES=0.230.26), various motivational and behavioral styles (ES0.74) and the intensity of psychiatric stigmatization (ES0.88). CONCLUSIONS: Consideration of the clinical, social and psychological factors should empirically determine the strategies for the personalized use of prolonged antipsychotics and socio-psychotherapeutic interventions when developing an individual treatment plan for psychiatric in-patients.Mikhail Yu. SorokinNikolay G. NeznanovNatalia B. LutovaViktor D. WiedEco-Vectorarticletreatment adherence and compliancepatient engagementmotivationmental disordersstigmaPsychiatryRC435-571PsychologyBF1-990ENRUConsortium Psychiatricum, Vol 2, Iss 3, Pp 17-25 (2021)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	treatment adherence and compliance patient engagement motivation mental disorders stigma Psychiatry RC435-571 Psychology BF1-990
spellingShingle	treatment adherence and compliance patient engagement motivation mental disorders stigma Psychiatry RC435-571 Psychology BF1-990 Mikhail Yu. Sorokin Nikolay G. Neznanov Natalia B. Lutova Viktor D. Wied Revisiting Drug Compliance: The Need for a Holistic Approach in the Treatment of Severe Mental Disorders
description	INTRODUCTION: The limited practice of depot antipsychotics and psychoeducation use, recommended for overcoming the noncompliance of patients with severe mental disorders, is linked to a high incidence of treatment violation. Therefore, the development of personalized mental healthcare approaches is a crucial healthcare task. AIM: To describe and differentiate the role of clinical, social and psychological factors that lead to different level of treatment engagement of psychiatric inpatients. METHODS: Secondary analysis of findings from 91 inpatients, based on the Treatment Motivation Assessment Questionnaire and Medication Compliance Scale, as well as the Scale of Internalized Stigma of Mental Illness and Perceived Discrimination and Devaluation Scale. Factorial analysis, cluster analysis and analysis of variance with p-level=0.05 and the calculation of the effect size (ES) according to Cohens d and Cramers V were used. RESULTS: The nature of therapy compliance in various categories of patients is mediated differentially, including: the severity of negative symptoms (ES=0.29), the global level of functioning and work maladjustment (ES=0.230.26), various motivational and behavioral styles (ES0.74) and the intensity of psychiatric stigmatization (ES0.88). CONCLUSIONS: Consideration of the clinical, social and psychological factors should empirically determine the strategies for the personalized use of prolonged antipsychotics and socio-psychotherapeutic interventions when developing an individual treatment plan for psychiatric in-patients.
format	article
author	Mikhail Yu. Sorokin Nikolay G. Neznanov Natalia B. Lutova Viktor D. Wied
author_facet	Mikhail Yu. Sorokin Nikolay G. Neznanov Natalia B. Lutova Viktor D. Wied
author_sort	Mikhail Yu. Sorokin
title	Revisiting Drug Compliance: The Need for a Holistic Approach in the Treatment of Severe Mental Disorders
title_short	Revisiting Drug Compliance: The Need for a Holistic Approach in the Treatment of Severe Mental Disorders
title_full	Revisiting Drug Compliance: The Need for a Holistic Approach in the Treatment of Severe Mental Disorders
title_fullStr	Revisiting Drug Compliance: The Need for a Holistic Approach in the Treatment of Severe Mental Disorders
title_full_unstemmed	Revisiting Drug Compliance: The Need for a Holistic Approach in the Treatment of Severe Mental Disorders
title_sort	revisiting drug compliance: the need for a holistic approach in the treatment of severe mental disorders
publisher	Eco-Vector
publishDate	2021
url	https://doaj.org/article/bbfe53c7b01e4c47a375b25b1baac65d
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Revisiting Drug Compliance: The Need for a Holistic Approach in the Treatment of Severe Mental Disorders

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