Family contact and the management of medication non-adherence in schizophrenia.
Family contact and the management of medication non-adherence in schizophrenia.
复制标题
精神分裂症患者的家庭接触和药物不依从性的管理。
DOI：
10.1007/s10597-008-9139-6
复制
发表时间：
2008
影响因子：
2.7
通讯作者：
Olfson,Mark
中科院分区：
文献类型：
--
作者：
Wilk,JoshuaE;West,JoyceC;Marcus,StevenC;Countis,Lisa;Regier,DarrelA;Olfson,Mark
我们比较精神分裂症门诊患者的抗精神病药物依从性管理与高水平和低水平的家庭接触。一项全国性的调查随机抽取了治疗精神分裂症的精神科医生的样本，提供了310名患者的数据。患者按家庭接触程度分层。精神科医生更有可能使用家庭干预来管理那些与家庭联系密切的患者的不依从性。精神科医生明显更有可能改变家庭联系密切的患者的抗精神病药物剂量，尽管不太可能开始使用后备抗精神病药物。家庭干预似乎通常用于精神分裂症药物依从性的精神病学管理。
We compare psychiatric management of antipsychotic non-adherence among schizophrenia outpatients with high and low levels of family contact. A national survey was conducted among a random sample of psychiatrists treating schizophrenia, providing data on 310 patients. Patients were stratified by level of family contact. Psychiatrists were more likely to use family interventions to manage non-adherence among patients with high family contact. Psychiatrists were significantly more likely to change antipsychotic dosing in patients with high family contact, though less likely to start depot antipsychotic medications. Family interventions appear to be commonly used in the psychiatric management of medication non-adherence in schizophrenia.