Adherence to Antipsychotic and Nonpsychiatric Medications in Middle-Aged and Older Patients With Psychotic Disorders
Bibliographic Data
| ID | 19308699 |
|---|---|
| Authors | Christian R Dolder (University of California San Diego), Jonathan P Lacro (0000-0003-0259-9072), Dilip V Jeste (0000-0002-1161-7351) |
| Year | 2003 |
| Volume | 65 |
| Issue | 1 |
| Pages | 156-162 |
| Publication date | 2003-01-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Psychosomatic Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0033-3174 • E-ISSN: 1534-7796 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/01.psy.0000040951.22044.59 |
| PMID | 12554828 |
| OpenAlex | W2076434827 |
| Language | EN |
| Citations received | 4 |
| References cited | 46 |
OBJECTIVE: The prevalence and consequences of nonadherence to antipsychotic medications in schizophrenia and related psychotic disorders have been well described; however, little is known about adherence to medications for nonpsychiatric conditions in patients with psychotic disorders. We wished to determine medication adherence in nondemented middle-aged and older Veterans Affairs outpatients with schizophrenia or other psychotic disorders who had been prescribed oral medications for hypertension, hyperlipidemia, or diabetes. METHODS: Medication adherence was assessed by review of medication fill records for 76 patients aged 40 years and older who had been prescribed an oral antipsychotic in addition to an oral agent for hypertension (N = 60), hyperlipidemia (N = 28), or diabetes (N = 24). Up to 12 months of therapy was reviewed, and a compliant fill rate (the number of adherent fills in proportion to the total number of prescription fills) and cumulative mean gap ratio (the number of days when medication was unavailable in relation to the total number of days) were calculated for each medication. RESULTS: The 12-month mean compliant fill rates for antipsychotics, antihypertensives, antihyperlipidemics, and antidiabetics ranged from 52% to 64%. Nonpsychiatric medication adherence rates were similar in patients on typical vs. atypical antipsychotics and did not correlate significantly with antipsychotic adherence rates. CONCLUSIONS: Nonadherence rates were found to be equally problematic for both antipsychotic and nonpsychiatric medications in middle-aged and older patients with psychotic disorders. Interventions to improve adherence to both antipsychotic and nonpsychiatric medications are needed
Antipsychotic · Diabetes mellitus · Hyperlipidemia · Medical prescription · Psychiatry · Schizophrenia (object-oriented programming) · Endocrinology · Family Caregiving in Mental Illness · Internal Medicine · Medication Adherence and Compliance · Medicine · Pharmacology · Schizophrenia research and treatment · Pediatrics
No health without mental health
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Adherence of patients with schizophrenia to hypothyroidism treatment
Differences in Adherence to Antihypertensive Medication Regimens According to Psychiatric Diagnosis
The assessment of refill compliance using pharmacy records
Non-Compliance With Treatment in Patients Suffering From Schizophrenia
A General Method of Compliance Assessment Using Centralized Pharmacy Records
Medical Care Expenditures for Hypertension, Its Complications, and Its Comorbidities
Validation of Patient Reports, Automated Pharmacy Records, and Pill Counts With Electronic Monitoring of Adherence to Antihypertensive Therapy
Adherence to Pharmacologic Management of Hypertension
Utility of the health belief model in examining medication compliance among psychiatric outpatients
| Citations per year | 0.21 |
|---|---|
| Citation span | 2007 - 2025 (19) |
| Highly cited | No |