5 / 24
Page 41
conferenceseries
.com
Volume 20, Issue 7 (Suppl)
J Psychiatry
ISSN: 2378-5756 JOP, an open access journal
Psychiatry and Mental Health 2017
November 20-21, 2017
November 20-21, 2017 Melbourne, Australia
28
th
International Conference on
Psychiatry and Mental Health
Prevalence and risk factors of non-compliance to medications in patients of schizophrenia in BPKIHS
Rinku Gautam Joshi, Sarkar V, Kumar R, Adhikari B R and Shakya D R
B.P. Koirala Institute of Health Sciences, Nepal
Statement of theProblem:
Long termmedication is required for propermanagement of schizophrenia. Noncompliance to prescribed
drug treatments has been recognized as a problem worldwide and may be the most challenging aspect in treating schizophrenia.
Knowing the prevalence and risk factors of non compliance would help formulate plans and policies to increase compliance.
Aims:
To find out the prevalence and reasons of non-compliance in patients with schizophrenia and its association with socio-
demographic variables.
Methodology:
Patients attending psychiatric services, who are diagnosed as Schizophrenia as per ICD-10/DCR were enrolled
and socio-demographic details obtained. Patients were evaluated using the PANSS to assess severity of illness. Subjective
reasons of medication non-compliance were assessed using ROMI scale. The relation between non-compliance and socio-
demographic profile was analyzed and reasons for non-compliance were studied.
Findings:
In the study the mean age of patients was 30.78±12.53 years (mean±SD). It was observed that 46.3% were compliant
and 53.8% were non-compliant. A significant association was found between duration of illness and mean negative score.
The main reason for non-compliance identified in the present study was denial of illness followed by no current need for
medications which may be due to the lack of knowledge about the illness.
Conclusion & Significance:
More than half of the patients were non-compliant. The main reason for non-compliance was denial
of illness and considering no current need for medications which may be because of lack of knowledge about the illness that
signifies the importance of psychoeducation. Recommendations are made for starting support groups to tackle the problems of
the family members in managing the patient effectively and developing standard protocol for providing consistent medication
adherence counseling for the mental health professionals, which will improve the compliance to medication and treatment.
Recent Publications
1. Chandra I S, Kumar K L, Reddy M P and Reddy C M P K (2014) Attitudes toward medication and reasons for non-
compliance in patients with schizophrenia.
Indian Journal of Psychological Medicine
; 36: 294.
2. Eticha T, Teklu A, Ali D, Solomon G and Alemayehu A (2015) Factors associated withmedication adherence among patients
with schizophrenia in Mekelle, Northern Ethiopia.
PloS one
; 10(3): 1-11. e0120560.
3. Galani V J, Patel J, Patel K and Patel D (2013) An epidemiological survey of patients suffering from schizophrenia in
Gujarat. 2013.
Mintage J Pharmaceut Med Sci
.; 2: 15-7.
4. Higashi K, Medic G, Littlewood K J, Diez T, Granström O and De Hert M (2013) Medication adherence in schizophrenia:
factors influencing adherence and consequences of nonadherence, a systematic literature review.
Therapeutic Advances in
Psychopharmacology
; 3: 200-218.
5. Maan C, Hussain M, Heramani N and Lenin R (2015) Factors Affecting Non-Compliance among Psychiatric Patients in the
Regional Institute of Medical Sciences, Imphal.
IOSR J Pharm
; 5: 1-7.
Biography
Rinku Gautam Joshi is an Associate Professor of Psychiatry in B.P. Koirala Institute of Health Sciences, Dharan, Nepal. Her research interest focuses in women’s
mental health.
rinkugautam@hotmail.comRinku Gautam Joshi et al., J Psychiatry 2017, 20:7 (Suppl)
DOI: 10.4172/2378-5756-C1-030