Risk factors for medication non-adherence among psychiatric patients with substance misuse histories.

Risk factors for medication non-adherence among psychiatric patients with substance misuse histories.
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有药物滥用史的精神病患者不遵守药物治疗的危险因素。

DOI:
10.1080/17523281.2013.839574
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发表时间:
2014
期刊:
Mental health and substance use : dual diagnosis
影响因子:
--
通讯作者:
Fong,Chunki
Fong,Chunki
中科院分区:
--
文献类型:
--
作者:
Magura,Stephen;Mateu,PedroF;Rosenblum,Andrew;Matusow,Harlan;Fong,Chunki

文献摘要

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精神病患者的药物依从性与较差的治疗结果有关。该研究在一个理论框架内,对具有药物滥用史的精神病患者的多种高风险样本(N= 299)进行了一套全面的可改变的不依从性风险因素的检查。药物副作用和过度饮酒与较低的药物依从性有关,而较高的心理健康治疗和康复支持动机与较高的依从性有关。结果表明,应该开发和测试一种多方面的干预模式,以增加精神科药物的依从性。
Medication non-adherence among psychiatric patients is known to be associated with poorer treatment outcomes. The study examined a comprehensive set of modifiable risk factors for non-adherence in a theoretical framework among a diverse, high-risk sample of psychiatric patients with substance misuse histories (N= 299). Medication side effects and excessive alcohol use were related to lower medication adherence, and higher motivation for mental health treatment and recovery support were related to greater adherence. The results suggest that a multifaceted model for intervention to increase psychiatric medication adherence should be developed and tested.