Psychiatric predictors of noncompliance in inflammatory bowel disease - Psychiatry and compliance
Psychiatric predictors of noncompliance in inflammatory bowel disease - Psychiatry and compliance
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DOI：
10.1097/00004836-200101000-00015
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发表时间：
2001-01-01
影响因子：
2.9
通讯作者：
Sategna-Guidetti, C
中科院分区：
文献类型：
--
作者：
Nigro, G;Angelini, G;Sategna-Guidetti, C
药物依从性在许多胃肠道疾病的管理中非常重要：在炎症性肠病（IBD）中，对照试验显示预防性药物治疗在降低复发风险方面的益处。我们的目的是评估一组连续的IBD门诊患者中目前的精神疾病和药物依从性之间的关系。在85例连续的IBD门诊患者中，通过诊断和统计手册III审查的结构化临床访谈进行了专业的结构化诊断访谈和精神评估。在逐步回归分析中，依从性，作为因变量，与疾病的持续时间呈正相关，与疾病的严重程度和精神疾病的存在呈负相关。在IBD患者中，预防性联络精神病学干预似乎是必要的。
Compliance with medications is very important in the management of many gastrointestinal disorders: in inflammatory bowel disease (IBD), controlled trials have shown the benefit of prophylactic medical treatment in lowering the risk of recurrences. Our aim was to appraise the association between current psychiatric disorders and medication adherence in an unselected consecutive group of outpatients with IBD. In 85 unselected consecutive outpatients with IBD, a professional structured diagnostic interview and a psychiatric assessment, by the Structured Clinical Interview for Diagnostic and Statistical Manual-III-Reviewed, were carried out. In a stepwise regression analysis, compliance, as dependent variable, correlated positively with disease duration and inversely with both disease severity and presence of psychiatric disorders. In patients with IBD, preventive Liaison psychiatry interventions seem indicated.