The reliability of compliance assessments performed by doctors and patients during neuroleptic treatment: a comparison of compliance ratings. |
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Authors: | O Kampman K Lehtinen V Lassila |
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Affiliation: | Tampere University Hospital, Department of Psychiatry and Tampere Community Mental Health Care, Rautatienkatu 10, FIN-33100 Tampere, Finland. |
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Abstract: | OBJECTIVE: To compare compliance assessments made by doctors and patients during neuroleptic drug treatment and to detect any variables explaining the discrepancies between their ratings. METHOD: Compliance reports regarding neuroleptic medication were collected from 100 in-patients and out-patients and from their doctors. Re-ratings were performed after 1-2 weeks. Compliance ratings were compared with demographic, treatment and symptom-related variables and with the Attitudes to Neuroleptic Treatment (ANT) questionnaire using logistic regression analysis. RESULTS: The doctors' and patients' compliance ratings showed good test-retest reliability (r=0.80, doctors; r=0.81, patients) and concordance (79% of the cases within the limits of +/-25%-units deviation). Variables explaining discrepancies between the ratings included female gender, a low level of education, the diagnosis of mania, a high neuroleptic dose and several items from the ANT scale. CONCLUSION: Manic episodes, negative attitudes to neuroleptic medication and a high-dose treatment increase the risk for deviating views of compliance in the doctor-patient relationship. |
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Keywords: | patient compliance psychotic disorders schizophrenia psychiatric status rating scales antipsychotic agents |
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