Delusional infestation and patient adherence to treatment: an observational study
Summary Background Delusional infestation (DI) is the persistent belief of pathogenic infestation of the skin or body, without objective medical evidence. Treatment for symptoms of delusions can be particularly challenging, especially when patients are difficult to engage and adverse to the possibil...
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| Veröffentlicht in: | British journal of dermatology (1951) 2013-09, Vol.169 (3), p.607-610 |
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| container_title | British journal of dermatology (1951) |
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| creator | Ahmed, A. Bewley, A. |
| description | Summary
Background
Delusional infestation (DI) is the persistent belief of pathogenic infestation of the skin or body, without objective medical evidence. Treatment for symptoms of delusions can be particularly challenging, especially when patients are difficult to engage and adverse to the possibility of a nonskin disorder. To date there has been no study to evaluate patient adherence to DI treatment.
Objectives
To assess the adherence of patients with DI to psychotropic and/or dermatological medication.
Patients and methods
Sixty‐nine consecutive patients with DI receiving treatment from our psychodermatology clinic were identified from a departmental database. Patient adherence to treatment was assessed via medical records, patient letters and a telephone questionnaire.
Results
Eighteen of 69 patients were noncontactable, reducing the sample size to 51. Forty‐nine of 51 patients were receiving psychotropic medication (96%). Psychotropic agents included second‐generation antipsychotics and antidepressants. Twenty‐nine of 49 patients were adherent to psychotropic medication. Secondary nonadherence was reported by 18 of 49 patients. Two patients were nonadherent to psychotropic medication. Adherence to dermatological medication was high (96%).
Conclusions
This is the first study to assess the adherence of patients with DI to treatment. The majority of patients on psychotropic medication were compliant. Secondary nonadherence was mainly due to drug side‐effects. The adherence to dermatological medications is high. Thorough counselling of patients with regard to indication, dosage and side‐effects of psychotropic agents can improve adherence to medication and is an essential part of the treatment process for DI.
What's already known about this topic?
Delusional infestation (DI) presents a therapeutic challenge to clinicians and is best managed in a dedicated psychodermatology clinic.
Treatment of DI includes both psychotropic and dermatological medication.
What does this study add?
The majority of patients with DI and on psychotropic medication are adherent to their treatment regime.
The main reason for secondary nonadherence is related to the side‐effects of psychotropic medication.
Effective patient counselling with regard to pharmacological treatment can improve treatment adherence in patients with DI. |
| doi_str_mv | 10.1111/bjd.12392 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1433273684</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1433273684</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3932-e4c2e45667c5477b95573e82523d400de5379a6c0cd9a8ee0aed669b2b91fa3c3</originalsourceid><addsrcrecordid>eNp1kEtP3DAUha2qqAzQRf9AlU0lWARs39ged8f70REIqe1IbCzHvhGBTDLYCTD_HsMMdFVv7Gt955yrQ8g3RndZOnvlnd9lHDT_REYMpMg5A_hMRpRSlVMtYZ1sxHhHKQMq6BeyzkFSKiUbkesjbIZYd61tsrqtMPa2T1NmW5_N0xPbPrP-FgO2DrO-y_qAtp-l75-JyboyYnh8kySD2A9-sUXWKttE_Lq6N8mfk-Pfh2f55Or0_HB_kjvQwHMsHMdCSKmcKJQqtRAKcMwFB19Q6lGA0lY66ry2Y0Rq0UupS15qVllwsEm2l77z0D0MaXEzq6PDprEtdkM0rADgCuS4SOjOEnWhizFgZeahntmwMIya1wZNatC8NZjY7yvboZyh_yDfK0vAjxVgo7NNFWzr6viPU6oYa_XK7S25p7rBxf8TzcHF0Xt0vlTUscfnD4UN90YqUMJML0_N9G9xo6e_JuYGXgCd5Jay</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1433273684</pqid></control><display><type>article</type><title>Delusional infestation and patient adherence to treatment: an observational study</title><source>Oxford University Press Journals All Titles (1996-Current)</source><source>Wiley Online Library - AutoHoldings Journals</source><source>MEDLINE</source><creator>Ahmed, A. ; Bewley, A.</creator><creatorcontrib>Ahmed, A. ; Bewley, A.</creatorcontrib><description>Summary
Background
Delusional infestation (DI) is the persistent belief of pathogenic infestation of the skin or body, without objective medical evidence. Treatment for symptoms of delusions can be particularly challenging, especially when patients are difficult to engage and adverse to the possibility of a nonskin disorder. To date there has been no study to evaluate patient adherence to DI treatment.
Objectives
To assess the adherence of patients with DI to psychotropic and/or dermatological medication.
Patients and methods
Sixty‐nine consecutive patients with DI receiving treatment from our psychodermatology clinic were identified from a departmental database. Patient adherence to treatment was assessed via medical records, patient letters and a telephone questionnaire.
Results
Eighteen of 69 patients were noncontactable, reducing the sample size to 51. Forty‐nine of 51 patients were receiving psychotropic medication (96%). Psychotropic agents included second‐generation antipsychotics and antidepressants. Twenty‐nine of 49 patients were adherent to psychotropic medication. Secondary nonadherence was reported by 18 of 49 patients. Two patients were nonadherent to psychotropic medication. Adherence to dermatological medication was high (96%).
Conclusions
This is the first study to assess the adherence of patients with DI to treatment. The majority of patients on psychotropic medication were compliant. Secondary nonadherence was mainly due to drug side‐effects. The adherence to dermatological medications is high. Thorough counselling of patients with regard to indication, dosage and side‐effects of psychotropic agents can improve adherence to medication and is an essential part of the treatment process for DI.
What's already known about this topic?
Delusional infestation (DI) presents a therapeutic challenge to clinicians and is best managed in a dedicated psychodermatology clinic.
Treatment of DI includes both psychotropic and dermatological medication.
What does this study add?
The majority of patients with DI and on psychotropic medication are adherent to their treatment regime.
The main reason for secondary nonadherence is related to the side‐effects of psychotropic medication.
Effective patient counselling with regard to pharmacological treatment can improve treatment adherence in patients with DI.</description><identifier>ISSN: 0007-0963</identifier><identifier>EISSN: 1365-2133</identifier><identifier>DOI: 10.1111/bjd.12392</identifier><identifier>PMID: 23600661</identifier><identifier>CODEN: BJDEAZ</identifier><language>eng</language><publisher>Oxford: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Delusions - drug therapy ; Dermatology ; Ectoparasitic Infestations - psychology ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Patient Compliance ; Psychotropic Drugs - therapeutic use ; Somatoform Disorders - drug therapy ; Somatoform Disorders - psychology ; Treatment Outcome</subject><ispartof>British journal of dermatology (1951), 2013-09, Vol.169 (3), p.607-610</ispartof><rights>2013 British Association of Dermatologists</rights><rights>2014 INIST-CNRS</rights><rights>2013 British Association of Dermatologists.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3932-e4c2e45667c5477b95573e82523d400de5379a6c0cd9a8ee0aed669b2b91fa3c3</citedby><cites>FETCH-LOGICAL-c3932-e4c2e45667c5477b95573e82523d400de5379a6c0cd9a8ee0aed669b2b91fa3c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fbjd.12392$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fbjd.12392$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27748971$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23600661$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ahmed, A.</creatorcontrib><creatorcontrib>Bewley, A.</creatorcontrib><title>Delusional infestation and patient adherence to treatment: an observational study</title><title>British journal of dermatology (1951)</title><addtitle>Br J Dermatol</addtitle><description>Summary
Background
Delusional infestation (DI) is the persistent belief of pathogenic infestation of the skin or body, without objective medical evidence. Treatment for symptoms of delusions can be particularly challenging, especially when patients are difficult to engage and adverse to the possibility of a nonskin disorder. To date there has been no study to evaluate patient adherence to DI treatment.
Objectives
To assess the adherence of patients with DI to psychotropic and/or dermatological medication.
Patients and methods
Sixty‐nine consecutive patients with DI receiving treatment from our psychodermatology clinic were identified from a departmental database. Patient adherence to treatment was assessed via medical records, patient letters and a telephone questionnaire.
Results
Eighteen of 69 patients were noncontactable, reducing the sample size to 51. Forty‐nine of 51 patients were receiving psychotropic medication (96%). Psychotropic agents included second‐generation antipsychotics and antidepressants. Twenty‐nine of 49 patients were adherent to psychotropic medication. Secondary nonadherence was reported by 18 of 49 patients. Two patients were nonadherent to psychotropic medication. Adherence to dermatological medication was high (96%).
Conclusions
This is the first study to assess the adherence of patients with DI to treatment. The majority of patients on psychotropic medication were compliant. Secondary nonadherence was mainly due to drug side‐effects. The adherence to dermatological medications is high. Thorough counselling of patients with regard to indication, dosage and side‐effects of psychotropic agents can improve adherence to medication and is an essential part of the treatment process for DI.
What's already known about this topic?
Delusional infestation (DI) presents a therapeutic challenge to clinicians and is best managed in a dedicated psychodermatology clinic.
Treatment of DI includes both psychotropic and dermatological medication.
What does this study add?
The majority of patients with DI and on psychotropic medication are adherent to their treatment regime.
The main reason for secondary nonadherence is related to the side‐effects of psychotropic medication.
Effective patient counselling with regard to pharmacological treatment can improve treatment adherence in patients with DI.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Delusions - drug therapy</subject><subject>Dermatology</subject><subject>Ectoparasitic Infestations - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Patient Compliance</subject><subject>Psychotropic Drugs - therapeutic use</subject><subject>Somatoform Disorders - drug therapy</subject><subject>Somatoform Disorders - psychology</subject><subject>Treatment Outcome</subject><issn>0007-0963</issn><issn>1365-2133</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kEtP3DAUha2qqAzQRf9AlU0lWARs39ged8f70REIqe1IbCzHvhGBTDLYCTD_HsMMdFVv7Gt955yrQ8g3RndZOnvlnd9lHDT_REYMpMg5A_hMRpRSlVMtYZ1sxHhHKQMq6BeyzkFSKiUbkesjbIZYd61tsrqtMPa2T1NmW5_N0xPbPrP-FgO2DrO-y_qAtp-l75-JyboyYnh8kySD2A9-sUXWKttE_Lq6N8mfk-Pfh2f55Or0_HB_kjvQwHMsHMdCSKmcKJQqtRAKcMwFB19Q6lGA0lY66ry2Y0Rq0UupS15qVllwsEm2l77z0D0MaXEzq6PDprEtdkM0rADgCuS4SOjOEnWhizFgZeahntmwMIya1wZNatC8NZjY7yvboZyh_yDfK0vAjxVgo7NNFWzr6viPU6oYa_XK7S25p7rBxf8TzcHF0Xt0vlTUscfnD4UN90YqUMJML0_N9G9xo6e_JuYGXgCd5Jay</recordid><startdate>201309</startdate><enddate>201309</enddate><creator>Ahmed, A.</creator><creator>Bewley, A.</creator><general>Blackwell Publishing Ltd</general><general>Wiley-Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201309</creationdate><title>Delusional infestation and patient adherence to treatment: an observational study</title><author>Ahmed, A. ; Bewley, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3932-e4c2e45667c5477b95573e82523d400de5379a6c0cd9a8ee0aed669b2b91fa3c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Delusions - drug therapy</topic><topic>Dermatology</topic><topic>Ectoparasitic Infestations - psychology</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Patient Compliance</topic><topic>Psychotropic Drugs - therapeutic use</topic><topic>Somatoform Disorders - drug therapy</topic><topic>Somatoform Disorders - psychology</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ahmed, A.</creatorcontrib><creatorcontrib>Bewley, A.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of dermatology (1951)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ahmed, A.</au><au>Bewley, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Delusional infestation and patient adherence to treatment: an observational study</atitle><jtitle>British journal of dermatology (1951)</jtitle><addtitle>Br J Dermatol</addtitle><date>2013-09</date><risdate>2013</risdate><volume>169</volume><issue>3</issue><spage>607</spage><epage>610</epage><pages>607-610</pages><issn>0007-0963</issn><eissn>1365-2133</eissn><coden>BJDEAZ</coden><abstract>Summary
Background
Delusional infestation (DI) is the persistent belief of pathogenic infestation of the skin or body, without objective medical evidence. Treatment for symptoms of delusions can be particularly challenging, especially when patients are difficult to engage and adverse to the possibility of a nonskin disorder. To date there has been no study to evaluate patient adherence to DI treatment.
Objectives
To assess the adherence of patients with DI to psychotropic and/or dermatological medication.
Patients and methods
Sixty‐nine consecutive patients with DI receiving treatment from our psychodermatology clinic were identified from a departmental database. Patient adherence to treatment was assessed via medical records, patient letters and a telephone questionnaire.
Results
Eighteen of 69 patients were noncontactable, reducing the sample size to 51. Forty‐nine of 51 patients were receiving psychotropic medication (96%). Psychotropic agents included second‐generation antipsychotics and antidepressants. Twenty‐nine of 49 patients were adherent to psychotropic medication. Secondary nonadherence was reported by 18 of 49 patients. Two patients were nonadherent to psychotropic medication. Adherence to dermatological medication was high (96%).
Conclusions
This is the first study to assess the adherence of patients with DI to treatment. The majority of patients on psychotropic medication were compliant. Secondary nonadherence was mainly due to drug side‐effects. The adherence to dermatological medications is high. Thorough counselling of patients with regard to indication, dosage and side‐effects of psychotropic agents can improve adherence to medication and is an essential part of the treatment process for DI.
What's already known about this topic?
Delusional infestation (DI) presents a therapeutic challenge to clinicians and is best managed in a dedicated psychodermatology clinic.
Treatment of DI includes both psychotropic and dermatological medication.
What does this study add?
The majority of patients with DI and on psychotropic medication are adherent to their treatment regime.
The main reason for secondary nonadherence is related to the side‐effects of psychotropic medication.
Effective patient counselling with regard to pharmacological treatment can improve treatment adherence in patients with DI.</abstract><cop>Oxford</cop><pub>Blackwell Publishing Ltd</pub><pmid>23600661</pmid><doi>10.1111/bjd.12392</doi><tpages>4</tpages></addata></record> |
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| ispartof | British journal of dermatology (1951), 2013-09, Vol.169 (3), p.607-610 |
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| source | Oxford University Press Journals All Titles (1996-Current); Wiley Online Library - AutoHoldings Journals; MEDLINE |
| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Delusions - drug therapy Dermatology Ectoparasitic Infestations - psychology Female Humans Male Medical sciences Middle Aged Patient Compliance Psychotropic Drugs - therapeutic use Somatoform Disorders - drug therapy Somatoform Disorders - psychology Treatment Outcome |
| title | Delusional infestation and patient adherence to treatment: an observational study |
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