Attitude towards adherence in patients with schizophrenia at discharge.

Rebecca Schennach-Wolff; Markus Jäger; Florian Seemüller; Michael Obermeier; Thomas Messer; Gerd Laux; Herbert Pfeiffer; Dieter Naber; Lutz G Schmidt; Wolfgang Gaebel; Joachim Klosterkötter; Isabella Heuser; Wolfgang Maier; Matthias R Lemke; Eckart Rüther; Stefan Klingberg; Markus Gastpar; Hans-Jürgen Möller; Michael Riedel

Attitude towards adherence in patients with schizophrenia at discharge.

Standard

Attitude towards adherence in patients with schizophrenia at discharge. / Schennach-Wolff, Rebecca; Jäger, Markus; Seemüller, Florian; Obermeier, Michael; Messer, Thomas; Laux, Gerd; Pfeiffer, Herbert; Naber, Dieter; Schmidt, Lutz G; Gaebel, Wolfgang; Klosterkötter, Joachim; Heuser, Isabella; Maier, Wolfgang; Lemke, Matthias R; Rüther, Eckart; Klingberg, Stefan; Gastpar, Markus; Möller, Hans-Jürgen; Riedel, Michael.

in: J PSYCHIATR RES, 2009.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Schennach-Wolff, R, Jäger, M, Seemüller, F, Obermeier, M, Messer, T, Laux, G, Pfeiffer, H, Naber, D, Schmidt, LG, Gaebel, W, Klosterkötter, J, Heuser, I, Maier, W, Lemke, MR, Rüther, E, Klingberg, S, Gastpar, M, Möller, H-J & Riedel, M 2009, 'Attitude towards adherence in patients with schizophrenia at discharge.', J PSYCHIATR RES. <http://www.ncbi.nlm.nih.gov/pubmed/19505697?dopt=Citation>

APA

Schennach-Wolff, R., Jäger, M., Seemüller, F., Obermeier, M., Messer, T., Laux, G., Pfeiffer, H., Naber, D., Schmidt, L. G., Gaebel, W., Klosterkötter, J., Heuser, I., Maier, W., Lemke, M. R., Rüther, E., Klingberg, S., Gastpar, M., Möller, H-J., & Riedel, M. (2009). Attitude towards adherence in patients with schizophrenia at discharge. J PSYCHIATR RES. http://www.ncbi.nlm.nih.gov/pubmed/19505697?dopt=Citation

Vancouver

Schennach-Wolff R, Jäger M, Seemüller F, Obermeier M, Messer T, Laux G et al. Attitude towards adherence in patients with schizophrenia at discharge. J PSYCHIATR RES. 2009.

Bibtex

@article{dc1d24ab644d45e9a47a1b0bef9d5c5e,

title = "Attitude towards adherence in patients with schizophrenia at discharge.",

abstract = "BACKGROUND: Purpose of the present study was to assess the attitude towards adherence at discharge and to verify its predictability using anamnestic and sociodemographic variables, factors influencing clinical treatment as well as the medical treatment applied. METHODS: Attitude towards adherence was evaluated in 369 inpatients with schizophrenic spectrum disorders within a naturalistic multicenter trial using the Compliance Rating Scale (CRS) by Kemp. Biweekly ratings of the PANSS, UKU and the Subjective Well-being under Neuroleptic Treatment Scale (SWN-K) were applied. Logistic regression and CART analyses were used to determine significant predictor variables for the attitude towards adherence at discharge. RESULTS: Sixty-seven percent of the patients were rated to have an attitude of active participation and moderate participation (=positive attitude towards adherence) and 33% of the patients to have an attitude of passive acceptance, occasional or permanent reluctance towards treatment as well as refusing treatment (=negative attitude towards adherence). A significant correlation was found between patients with a positive attitude towards adherence and course of all PANSS subscales. Statistical analyses revealed a reduction in PANSS general psychopathology subscore, employment status, greater illness insight and treatment with atypical antipsychotics to be significantly predictive for a positive attitude towards adherence at discharge. CONCLUSIONS: The importance of an adequate antipsychotic treatment as a precondition for a favourable adherence attitude and the need to incorporate adherence-focused psychotherapy and psychoeducation into daily clinical practice are highlighted.",

author = "Rebecca Schennach-Wolff and Markus J{\"a}ger and Florian Seem{\"u}ller and Michael Obermeier and Thomas Messer and Gerd Laux and Herbert Pfeiffer and Dieter Naber and Schmidt, {Lutz G} and Wolfgang Gaebel and Joachim Klosterk{\"o}tter and Isabella Heuser and Wolfgang Maier and Lemke, {Matthias R} and Eckart R{\"u}ther and Stefan Klingberg and Markus Gastpar and Hans-J{\"u}rgen M{\"o}ller and Michael Riedel",

year = "2009",

language = "Deutsch",

journal = "J PSYCHIATR RES",

issn = "0022-3956",

publisher = "Elsevier Limited",

}

RIS

TY - JOUR

T1 - Attitude towards adherence in patients with schizophrenia at discharge.

AU - Schennach-Wolff, Rebecca

AU - Jäger, Markus

AU - Seemüller, Florian

AU - Obermeier, Michael

AU - Messer, Thomas

AU - Laux, Gerd

AU - Pfeiffer, Herbert

AU - Naber, Dieter

AU - Schmidt, Lutz G

AU - Gaebel, Wolfgang

AU - Klosterkötter, Joachim

AU - Heuser, Isabella

AU - Maier, Wolfgang

AU - Lemke, Matthias R

AU - Rüther, Eckart

AU - Klingberg, Stefan

AU - Gastpar, Markus

AU - Möller, Hans-Jürgen

AU - Riedel, Michael

PY - 2009

Y1 - 2009

N2 - BACKGROUND: Purpose of the present study was to assess the attitude towards adherence at discharge and to verify its predictability using anamnestic and sociodemographic variables, factors influencing clinical treatment as well as the medical treatment applied. METHODS: Attitude towards adherence was evaluated in 369 inpatients with schizophrenic spectrum disorders within a naturalistic multicenter trial using the Compliance Rating Scale (CRS) by Kemp. Biweekly ratings of the PANSS, UKU and the Subjective Well-being under Neuroleptic Treatment Scale (SWN-K) were applied. Logistic regression and CART analyses were used to determine significant predictor variables for the attitude towards adherence at discharge. RESULTS: Sixty-seven percent of the patients were rated to have an attitude of active participation and moderate participation (=positive attitude towards adherence) and 33% of the patients to have an attitude of passive acceptance, occasional or permanent reluctance towards treatment as well as refusing treatment (=negative attitude towards adherence). A significant correlation was found between patients with a positive attitude towards adherence and course of all PANSS subscales. Statistical analyses revealed a reduction in PANSS general psychopathology subscore, employment status, greater illness insight and treatment with atypical antipsychotics to be significantly predictive for a positive attitude towards adherence at discharge. CONCLUSIONS: The importance of an adequate antipsychotic treatment as a precondition for a favourable adherence attitude and the need to incorporate adherence-focused psychotherapy and psychoeducation into daily clinical practice are highlighted.

AB - BACKGROUND: Purpose of the present study was to assess the attitude towards adherence at discharge and to verify its predictability using anamnestic and sociodemographic variables, factors influencing clinical treatment as well as the medical treatment applied. METHODS: Attitude towards adherence was evaluated in 369 inpatients with schizophrenic spectrum disorders within a naturalistic multicenter trial using the Compliance Rating Scale (CRS) by Kemp. Biweekly ratings of the PANSS, UKU and the Subjective Well-being under Neuroleptic Treatment Scale (SWN-K) were applied. Logistic regression and CART analyses were used to determine significant predictor variables for the attitude towards adherence at discharge. RESULTS: Sixty-seven percent of the patients were rated to have an attitude of active participation and moderate participation (=positive attitude towards adherence) and 33% of the patients to have an attitude of passive acceptance, occasional or permanent reluctance towards treatment as well as refusing treatment (=negative attitude towards adherence). A significant correlation was found between patients with a positive attitude towards adherence and course of all PANSS subscales. Statistical analyses revealed a reduction in PANSS general psychopathology subscore, employment status, greater illness insight and treatment with atypical antipsychotics to be significantly predictive for a positive attitude towards adherence at discharge. CONCLUSIONS: The importance of an adequate antipsychotic treatment as a precondition for a favourable adherence attitude and the need to incorporate adherence-focused psychotherapy and psychoeducation into daily clinical practice are highlighted.

M3 - SCORING: Zeitschriftenaufsatz

JO - J PSYCHIATR RES

JF - J PSYCHIATR RES

SN - 0022-3956

ER -