Poor response to treatment: beyond medication.

作者: César Carvajal

DOI:

关键词:

摘要: In psychiatry, one of the main factors contributing to poor response pharmacological treatment is adherence. Noncompliance with maintenance treatments for chronic illnesses such as schizophrenia and affective disorders can exceed 50%, Poor adherence be due drug-related (tolerance, complexity prescription, side effects, or cost), patient-related variables (illness symptoms, comorbidity, insight capacity, belief system, sociocultural environment), physician-related (communication psychoeducational style). Psychosocial must used in conjunction medication during phase improve achieve - through management psychological better social, work, family functioning. This article reviews concepts noncompliance, their impact on treatments, well effect dealing psychosocial psychiatric treatment.

参考文章(116)
C Barbui, M Hotopf, N Freemantle, J Boynton, R Churchill, MP Eccles, JR Geddes, R Hardy, G Lewis, JM Mason, Selective serotonin reuptake inhibitors versus tricyclic and heterocyclic antidepressants: comparison of drug adherence. Cochrane Database of Systematic Reviews. ,(2000) , 10.1002/14651858.CD002791
C Lançon, P M Llorca, F J Bayle, D Misdrahi, [Compliance in schizophrenia: predictive factors, therapeutical considerations and research implications]. Encephale-revue De Psychiatrie Clinique Biologique Et Therapeutique. ,vol. 28, pp. 266- 272 ,(2002)
Tutty S, Simon G, Ludman E, Telephone counseling as an adjunct to antidepressant treatment in the primary care system. A pilot study. Effective clinical practice : ECP. ,vol. 3, pp. 170- 178 ,(2000)
Psychosocial treatment in schizophrenia. Dialogues in clinical neuroscience. ,vol. 3, pp. 136- 137 ,(2001) , 10.31887/DCNS.2001.3.2/ASBELLACK
M Valencia Collazos, HA Ortega Soto, ML Rascón Gasca, L Gómez Caudillo, Evaluation of the combination of psychosocial and pharmacological treatment in schizophrenic patients Actas Espanolas De Psiquiatria. ,vol. 30, pp. 358- 369 ,(2002)
Angelo Fallu, Roger McIntyre, Raymond Lam, Sidney Kennedy, Pharmacotherapy to sustain the fully remitted state Journal of Psychiatry & Neuroscience. ,vol. 27, pp. 269- 280 ,(2002)
Joel F. Meresman, Enid M. Hunkeler, William A. Hargreaves, Arlene J. Kirsch, Patricia Robinson, Ann Green, Elvira Z. Mann, Michael Getzell, Paul Feigenbaum, A case report: implementing a nurse telecare program for treating depression in primary care. Psychiatric Quarterly. ,vol. 74, pp. 61- 73 ,(2003) , 10.1023/A:1021145722959
Elvira Bramon, Robin M. Murray, A plausible model of schizophrenia must incorporate psychological and social, as well as neuro developmental, risk factors. Dialogues in clinical neuroscience. ,vol. 3, pp. 243- 256 ,(2001)