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Patient adherence to out-patient psychiatric care for neurotic and affective disorders (Should I stay, or should I go?)

Published online by Cambridge University Press:  01 September 2022

A. Soboļevs ,
K. Kozlova ,
E. Tērauds  and
L. Sīle
A. Soboļevs*
Affiliation:
Rīga Stradiņš University, Faculty Of Medicine, Riga, Latvia
K. Kozlova
Affiliation:
Rīga Stradiņš University, Faculty Of Medicine, Riga, Latvia
E. Tērauds
Affiliation:
Riga Centre of Psychiatry and Addiction disorder, Psychiatry And Addiction Medicine, Riga, Latvia
L. Sīle
Affiliation:
Riga Centre of Psychiatry and Addiction disorder, Psychiatry And Addiction Medicine, Riga, Latvia
*
*Corresponding author.

Abstract

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Introduction

Referral is not a necessity for a patient who wants to get psychiatrist consultation in Latvia. The good thing about it is the availability and the possibility to consult with highest educated mental health specialist for any person in society without barriers. On the other hand, there is an overwhelming work load for psychiatrists.

Objectives

To explore the prevalence of self-referred patients in out-patient care and the adherence to psychiatrist recommendations.

Methods

The medical documentation of all consecutive first-time out-patient center “Pardaugava” psychiatrist patients over the period of 01.01.2020. to 30.04.2020. with one year follow-up was analyzed.

Results

236 patients were included in the study, 31.2% of them were men. The average age was 49 (SD ± 22.65) years. Patients with Affective (F3X) and Neurotic (F4X) disorders were self-referred more often compared to Organic mental (F0X) disorder or other spectrum patients (83.3% and 77.5% vs 33.3% or 56.0%, p<0.001). Median appointment count was 4, higher in F4X (6) and lower in F3X patients (2). Majority of F4X patients (61,6%) did not follow the recommendations or stopped seeing psychiatrist, while only 13,7% were persistent. Сonversely, 48,4% of F3X patients followed the recommendations and only 43,5% stopped. In comparison, other spectrum patients followed recommendations in 32.0% of cases and ignored - in 56.6%.

Conclusions

Patients were actively self-referring themselves to psychiatrist. Highest adherence to psychiatrist recommendations was found in patients with affective disorders compared to other spectrum patients. In contrast, adherence was the lowest in patients with neurotic disorders.

Disclosure

No significant relationships.

Keywords

out-patientaffective disordersPatient adherenceneurotic disorders
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S618
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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