Psychiatric outpatients' self-reported adherence versus psychiatrists' impressions on adherence in affective disorders.

摘要: Objective The objective of this study is to explore correlation between patients' self-reported adherence medication and their treating psychiatrists' impressions on adherence. Methods During a 9-month period, 140 consecutive psychiatric outpatients with affective disorders attending two community mental health centers, psychiatrists, took part. Data were collected socio-demographic, clinical, therapeutic variables. The Clinical Global Impression-Severity Improvement scales the Beck Depression Inventory used for clinical assessment. Adherence was assessed by psychiatrist's report Morisky scale from patients. In addition, “Drug Attitude Inventory,” “Beliefs about Medicine Questionnaire,” “Leeds towards concordance scale” applied all participants. A multivariate analysis variance (Bonferroni control) subsequent stepwise regression performed. Results The allocation patients “adherent” or “non-adherent” categories themselves psychiatrists divergent in more than 40% cases. best agreement appears when treatment prolonged. There better having positive view medicines. When consider harmful, perceive non-adherence. also mild cases depression. Conclusions Adherence principally compromised patient-related factors, especially beliefs attitudes toward its duration. Copyright © 2013 John Wiley & Sons, Ltd.