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Adherence to Antipsychotics in Schizophrenia
Author
Title
Adherence to Antipsychotics in Schizophrenia [electronic resource] / by Emilio Sacchetti, Antonio Vita, Alberto Siracusano, Wolfgang Fleischhacker.
ISBN
9788847026797
Publication
Milano : Springer Milan : Imprint: Springer, 2014.
Physical Description
XII, 159 p. 10 illus., 1 illus. in color. online resource.
Local Notes
Access is available to the Yale community.
Access and use
Access restricted by licensing agreement.
Summary
Poor adherence to therapy is one of the main obstacles to treatment effectiveness in schizophrenia. It is the main determinant of relapse, hospitalization, symptom persistence, and poor psychosocial functioning and outcome. Adherence to treatment is affected by various factors related to the disease characteristics, to the patient him- or herself, to the treatment, and to the therapeutic relationship. Some of these factors are modifiable, and both pharmacological and non-pharmacological strategies have been developed for this purpose. This book addresses the different aspects of adherence to treatment in schizophrenia and related disorders in a systematic but easy-to-use manual format. Chapters focus on a full range of issues, including pharmacological and non-pharmacological strategies to enhance adherence and continuity of care, relevant psychological factors, the importance of the patient-doctor relationship, and the need for an alliance with other care-givers. Adherence to Antipsychotics in Schizophrenia will be an invaluable asset for all who are involved in the care of patients with schizophrenia.
Variant and related titles
Springer ebooks.
Other formats
Printed edition:
Format
Books / Online
Language
English
Added to Catalog
December 11, 2013
Contents
1 Poor adherence to antipsychotic medication in people with schizophrenia: diffusion, consequences, and contributing factors
Premise
Role of antipsychotics in the treatment of schizophrenia
Compliance versus adherence
Assessment of medication adherence
Frequency of poor adherence to antipsychotics
Consequences of poor adherence to antipsychotics
Determinants and moderators of adherence to antipsychotics
Present and medium-term perspectives
Closing Remarks
2 Pharmacological strategies to enhance adherence in schizophrenia
Introduction
Pharmacological factors contributing to non-adherence: efficacy, side effects, regimen, co-therapies
First vs Second generation antipsychotics: efficacy, tolerability and the adherence issue
Long-acting injectable antipsychotics
Conclusion. 3 Non-pharmacological strategies to enhance adherence and continuity of care in schizophrenia
Introduction
Factors Influencing (non-)adherence in Schizophrenia
Interventions to Enhance Adherence. Research and Clinical Evidence
Comprehensive Review of Psychosocial and Programmatic Interventions to Enhance Adherence to Antipsychotic Medication in Schizophrenia
Summary of Main Results and Evidences
Conclusions and Future Directions
4 Psychological issues in improving adherence and alliance
The patient-doctor relationship as a determinant of adherence to treatment
Alliance and psychodynamic issues
Towards the concept of concordance of the therapeutic project.
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