Factors associated with Non-adherence among Psychiatric patients at a Tertiary Care Hospital, Karachi, Pakistan : a questionnaire based cross-sectional study
To elucidate predictors of non-adherence among psychiatric patients presenting at a tertiary care hospital of Pakistan, for follow-up with consultant psychiatrist. A convenient sampleof psychiatric patients from Aga Khan University Hospital was enrolled between April and May, 2005. An interviewer as...
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| Veröffentlicht in: | Journal of the Pakistan Medical Association 2008-08, Vol.58 (8), p.432-436 |
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| container_end_page | 436 |
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| container_issue | 8 |
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| container_title | Journal of the Pakistan Medical Association |
| container_volume | 58 |
| creator | TAJ, Fawad TANWIR, Mansoor ALY, Zarmeneh AMEER ALI KHOWAJAH TARIQ, Asma FAHD KHALID SYED WAQAR, Fahd SHAHZADA, Khezar |
| description | To elucidate predictors of non-adherence among psychiatric patients presenting at a tertiary care hospital of Pakistan, for follow-up with consultant psychiatrist.
A convenient sampleof psychiatric patients from Aga Khan University Hospital was enrolled between April and May, 2005. An interviewer assisted, standardized questionnaire was used for data collection. Patients with cognitive deficit or psychosis and those presenting for the first time were not included in the study.
Out of 128 patients, those with co-morbidity (32.81%) were less adherent than those without comorbidity (p-value:0.002). Adherence among depressed was 61.53%; psychotic was 58.82%; bipolar disorder was 73.91%. Reasons for non-adherence included sedation (30%), medication cost (22%), forgot to take medication (36%); and inability of the physicians to explain timing and dose (92%) or benefit of medication (76%).
Non-adherence is a common and important issue. Treatment cost and co-morbidity should be reviewed in order to keep the medication regime affordable and comprehensible. |
| format | Article |
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A convenient sampleof psychiatric patients from Aga Khan University Hospital was enrolled between April and May, 2005. An interviewer assisted, standardized questionnaire was used for data collection. Patients with cognitive deficit or psychosis and those presenting for the first time were not included in the study.
Out of 128 patients, those with co-morbidity (32.81%) were less adherent than those without comorbidity (p-value:0.002). Adherence among depressed was 61.53%; psychotic was 58.82%; bipolar disorder was 73.91%. Reasons for non-adherence included sedation (30%), medication cost (22%), forgot to take medication (36%); and inability of the physicians to explain timing and dose (92%) or benefit of medication (76%).
Non-adherence is a common and important issue. Treatment cost and co-morbidity should be reviewed in order to keep the medication regime affordable and comprehensible.</description><identifier>ISSN: 0030-9982</identifier><identifier>PMID: 18822640</identifier><identifier>CODEN: JJPAD4</identifier><language>eng</language><publisher>Karachi: Pakistan Medical Association</publisher><subject>Adult ; Biological and medical sciences ; Community Mental Health Services - utilization ; Cross-Sectional Studies ; Female ; General aspects ; Health Care Surveys ; Humans ; Male ; Medical sciences ; Mental Disorders - psychology ; Mental Health ; Pakistan ; Patient Compliance ; Risk Factors ; Surveys and Questionnaires</subject><ispartof>Journal of the Pakistan Medical Association, 2008-08, Vol.58 (8), p.432-436</ispartof><rights>2009 INIST-CNRS</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21146322$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18822640$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>TAJ, Fawad</creatorcontrib><creatorcontrib>TANWIR, Mansoor</creatorcontrib><creatorcontrib>ALY, Zarmeneh</creatorcontrib><creatorcontrib>AMEER ALI KHOWAJAH</creatorcontrib><creatorcontrib>TARIQ, Asma</creatorcontrib><creatorcontrib>FAHD KHALID SYED</creatorcontrib><creatorcontrib>WAQAR, Fahd</creatorcontrib><creatorcontrib>SHAHZADA, Khezar</creatorcontrib><title>Factors associated with Non-adherence among Psychiatric patients at a Tertiary Care Hospital, Karachi, Pakistan : a questionnaire based cross-sectional study</title><title>Journal of the Pakistan Medical Association</title><addtitle>J Pak Med Assoc</addtitle><description>To elucidate predictors of non-adherence among psychiatric patients presenting at a tertiary care hospital of Pakistan, for follow-up with consultant psychiatrist.
A convenient sampleof psychiatric patients from Aga Khan University Hospital was enrolled between April and May, 2005. An interviewer assisted, standardized questionnaire was used for data collection. Patients with cognitive deficit or psychosis and those presenting for the first time were not included in the study.
Out of 128 patients, those with co-morbidity (32.81%) were less adherent than those without comorbidity (p-value:0.002). Adherence among depressed was 61.53%; psychotic was 58.82%; bipolar disorder was 73.91%. Reasons for non-adherence included sedation (30%), medication cost (22%), forgot to take medication (36%); and inability of the physicians to explain timing and dose (92%) or benefit of medication (76%).
Non-adherence is a common and important issue. Treatment cost and co-morbidity should be reviewed in order to keep the medication regime affordable and comprehensible.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Community Mental Health Services - utilization</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>General aspects</subject><subject>Health Care Surveys</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental Disorders - psychology</subject><subject>Mental Health</subject><subject>Pakistan</subject><subject>Patient Compliance</subject><subject>Risk Factors</subject><subject>Surveys and Questionnaires</subject><issn>0030-9982</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo90L1OwzAQAOAMIFoKr4C8wNRItpO4DhuqKEVU0KHM0cVxqCGxg88V6sPwrhgoTJbO3_0eJWNKM5qWpeSj5BTxlVIuCkpPkhGTknOR03HyuQAVnEcCiE4ZCLohHyZsyaOzKTRb7bVVmkDv7AtZ415to_FGkQGC0TbExECAbLQPBvyezMFrsnQ4mADdlDyAh5gyJWt4MxjAkuuo33cag3HWgom6BoxNlXeIKWr1_QEdwbBr9mfJcQsd6vPDO0meF7eb-TJdPd3dz29W6cCKPKSyLlibCUVlnotSFXUrGlqwGRRCsllLFVd5zpuMUiFntZAKRIyBLCjX0AqVTZKr37qDdz_DVb1BpbsOrHY7rEQpGCsLFuHFAe7qXjfV4E0f167-DhrB5QEAKuhaD1YZ_HecsVxknGdflRJ_5Q</recordid><startdate>200808</startdate><enddate>200808</enddate><creator>TAJ, Fawad</creator><creator>TANWIR, Mansoor</creator><creator>ALY, Zarmeneh</creator><creator>AMEER ALI KHOWAJAH</creator><creator>TARIQ, Asma</creator><creator>FAHD KHALID SYED</creator><creator>WAQAR, Fahd</creator><creator>SHAHZADA, Khezar</creator><general>Pakistan Medical Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200808</creationdate><title>Factors associated with Non-adherence among Psychiatric patients at a Tertiary Care Hospital, Karachi, Pakistan : a questionnaire based cross-sectional study</title><author>TAJ, Fawad ; TANWIR, Mansoor ; ALY, Zarmeneh ; AMEER ALI KHOWAJAH ; TARIQ, Asma ; FAHD KHALID SYED ; WAQAR, Fahd ; SHAHZADA, Khezar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p154t-8b51f36c084469c5bf6d0517a56817f0c2c442d300687b68ca60c2a8502eaf6c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Community Mental Health Services - utilization</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>General aspects</topic><topic>Health Care Surveys</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental Disorders - psychology</topic><topic>Mental Health</topic><topic>Pakistan</topic><topic>Patient Compliance</topic><topic>Risk Factors</topic><topic>Surveys and Questionnaires</topic><toplevel>online_resources</toplevel><creatorcontrib>TAJ, Fawad</creatorcontrib><creatorcontrib>TANWIR, Mansoor</creatorcontrib><creatorcontrib>ALY, Zarmeneh</creatorcontrib><creatorcontrib>AMEER ALI KHOWAJAH</creatorcontrib><creatorcontrib>TARIQ, Asma</creatorcontrib><creatorcontrib>FAHD KHALID SYED</creatorcontrib><creatorcontrib>WAQAR, Fahd</creatorcontrib><creatorcontrib>SHAHZADA, Khezar</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the Pakistan Medical Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>TAJ, Fawad</au><au>TANWIR, Mansoor</au><au>ALY, Zarmeneh</au><au>AMEER ALI KHOWAJAH</au><au>TARIQ, Asma</au><au>FAHD KHALID SYED</au><au>WAQAR, Fahd</au><au>SHAHZADA, Khezar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors associated with Non-adherence among Psychiatric patients at a Tertiary Care Hospital, Karachi, Pakistan : a questionnaire based cross-sectional study</atitle><jtitle>Journal of the Pakistan Medical Association</jtitle><addtitle>J Pak Med Assoc</addtitle><date>2008-08</date><risdate>2008</risdate><volume>58</volume><issue>8</issue><spage>432</spage><epage>436</epage><pages>432-436</pages><issn>0030-9982</issn><coden>JJPAD4</coden><abstract>To elucidate predictors of non-adherence among psychiatric patients presenting at a tertiary care hospital of Pakistan, for follow-up with consultant psychiatrist.
A convenient sampleof psychiatric patients from Aga Khan University Hospital was enrolled between April and May, 2005. An interviewer assisted, standardized questionnaire was used for data collection. Patients with cognitive deficit or psychosis and those presenting for the first time were not included in the study.
Out of 128 patients, those with co-morbidity (32.81%) were less adherent than those without comorbidity (p-value:0.002). Adherence among depressed was 61.53%; psychotic was 58.82%; bipolar disorder was 73.91%. Reasons for non-adherence included sedation (30%), medication cost (22%), forgot to take medication (36%); and inability of the physicians to explain timing and dose (92%) or benefit of medication (76%).
Non-adherence is a common and important issue. Treatment cost and co-morbidity should be reviewed in order to keep the medication regime affordable and comprehensible.</abstract><cop>Karachi</cop><pub>Pakistan Medical Association</pub><pmid>18822640</pmid><tpages>5</tpages></addata></record> |
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| ispartof | Journal of the Pakistan Medical Association, 2008-08, Vol.58 (8), p.432-436 |
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| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Directory of Open Access Journals |
| subjects | Adult Biological and medical sciences Community Mental Health Services - utilization Cross-Sectional Studies Female General aspects Health Care Surveys Humans Male Medical sciences Mental Disorders - psychology Mental Health Pakistan Patient Compliance Risk Factors Surveys and Questionnaires |
| title | Factors associated with Non-adherence among Psychiatric patients at a Tertiary Care Hospital, Karachi, Pakistan : a questionnaire based cross-sectional study |
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