Four measures of treatment compliance among patients recoverin
Journal Title: Psychiatria Polska - Year 2013, Vol 47, Issue 5
Abstract
Objectives. Patient compliance influences results of treatment of mental disorders. The study compares four measures of treatment adherence. Methods. 103 subjects were examined in the early remission from an acute psychotic (schizophrenic or schizoaffective) crisis. Compared was patient’s compliance assessed by two simple scales: 5-point POP (patient’s self-rating) and 7-point POK (clinician’s rating) as well as by two composite questionnaires: the Drug Attitude Inventory (DAI-10) and the Medication Adherence Rating Scale (MARS). The ROC curve was used to compare sensitivity and specificity of DAI-10 and MARS scores as predictors of simple ratings. Results. The percentage of patients who complied ranged between 42.8% to 62% (20.4-26.2% with stringent criteria applied). The POK shows a stronger correlation with the POP (0.50) than with the results of DAI-10 (0.30) or MARS (0.32). The POP correlated low with DAI-10 (0.23) and MARS (0.32). The correlation between MARS and DAI-10 was relatively high (0.67). Their reliability (Cronbach’s coefficient) only moderately exceeded the satisfactory level (DAI-10: .=0,76) or approximated it (MARS: .=0.61). Area under the curve (AUC) suggested comparable and significant diagnostic value of the DAI-10 and MARS. Scores extending 7.5 points indicated their optimal relation between sensitivity and specificity in predicting the clinician or patient ratings. Conclusions. Approximately one in two (one in four assuming the more demanding criteria) of the subjects complied with treatment recommendations. The correlation between the results of the questionnaires was relatively high, though moderate between the simple ratings. DAI-10 and MARS showed moderate reliability, sensitivity and specificity.
Authors and Affiliations
Karolina Friemann, Jacek Wciórka
Keywords
Related Articles
- EP ID EP151782
- DOI -
- Views 105
- Downloads 0
Odzyskiwanie wspomnień w praktyce klinicznej – przegląd badań
Problem odzyskanych wspomnień dotyczy nie tylko psychiatrii, psychologii czy psychoterapii - jest to także znacząca kwestia prawna i sądownicza. Między klinicystami, naukowcami oraz prawnikami istnieje nierozstrzygnięty...
Declared management methods used by the Polish psychiatrists among a group of people with a high risk syndrome of psychosis development: results of the national Polish questionnaire
Summary Aim. The aim of the study was to assess the declared management methods used byPolish psychiatrists among a group of people at high risk of psychosis development. Method. Management methods used among two kind...
Differences in effectiveness of intensive programs of treatment for neurotic and personality disorders. Is it worth to monitor the effectiveness of the therapeutic team?
Objectives. To test whether three different intensive programs of treatment for neurotic and personality disorders are effective in decreasing neurotic symptoms and traits of neurotic personality and whether there are di...
Medical students’ sexuality – beliefs and attitudes
Introduction. Ability and readiness to talk with patients about sexual problems not only depend on education in sexual physiology and pathology, but also on the doctors’ beliefs and attitudes towards sexuality. Consideri...
Comorbidity and characteristic of obsessive-compulsive symptoms in anorexia nervosa
There is constant interest in possible relations between obsessive-compulsive disorder (OCD) and eating disorders, particularly anorexia nervosa (AN). The comorbidity rate for OCD and AN is reported to be between 10% and...