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Comparative study of treatment adherence, treatment-related attitudes, and background factors in schizophrenia spectrum and bipolar patients

Published online by Cambridge University Press:  01 September 2022

H. Janicsák ,
Z. Grenda ,
D. Dudas ,
A. Soos ,
M. Sztyehlik  and
G. Gazdag
H. Janicsák
Affiliation:
Jahn Ferenc South-pest Hospital, Centre Of Psychiatry, Budapest, Hungary
Z. Grenda
Affiliation:
Jahn Ferenc South-pest Hospital, Centre Of Psychiatry, Budapest, Hungary
D. Dudas
Affiliation:
Jahn Ferenc South-pest Hospital, Centre Of Psychiatry, Budapest, Hungary
A. Soos
Affiliation:
Jahn Ferenc South-pest Hospital, Centre Of Psychiatry, Budapest, Hungary
M. Sztyehlik
Affiliation:
Jahn Ferenc South-pest Hospital, Centre Of Psychiatry, Budapest, Hungary
G. Gazdag*
Affiliation:
Jahn Ferenc South-pest Hospital, Centre Of Psychiatry, Budapest, Hungary
*
*Corresponding author.

Abstract

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Introduction

Previous research confirmed high rates (20-89%) of non-adherence to medication among psychotic and bipolar patients. Results suggests that positive attitude to treatment has the highest influence on patients’ adherence and significant differences between treatment related attitudes and treatment adherence of psychotic and bipolar patients were found.

Objectives

The aims were to compare treatment related attitudes and treatment adherence between psychotic (schizophrenia spectrum) and bipolar patients; to evaluate the relationship between treatment related attitudes, illness perceptions and health locus of control in psychotic and bipolar populations.

Methods

Treatment attitude was evaluated with the Drug Attitude Scale (DAI). Treatment adherence was rated by doctors on Clinical Global Impression (CGI) Scale. Illness perceptions were evaluated with the Illness Perception Questionnaire for Schizophrenia (IPQS) and health locus of control with the Multidimensional of Health Locus of Control Scale –Form C (MHLC) at the end of inpatient care.

Results

Number of participants was 51. Data indicated more positive treatment attitude in bipolar patients than in psychotic patients. MHLC scores indicated significant role in symptoms control for chance (p=0,042) and „powerful” persons (p=0,011) in psychotic patients. IPQS scores indicated that bipolar patients rather have perceptions about treatment influencing symptoms than psychotic patients. Treatment related attitudes were strongly influenced by perceptions about controllability of symptoms by treatment.

Conclusions

Bipolar patients had more positive treatment attitude and perceptions about effectiveness of treatment on symptoms. This illness perception about controllability of symptoms by treatment was the strongest determinant of positive treatment attitude in this study.

Disclosure

No significant relationships.

Keywords

bipolar disordermedication adherenceschizophrénia
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S752
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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