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KMID : 0897520110160020105
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Journal of Korean Association of Social Psychiatry
2011 Volume.16 No. 2 p.105 ~ p.111
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Retrospective Study of Relationships between Out-Patient Treatment Compliance and Clinical Factors in Psychotic Patients - Out-patient Treatment Compliance of Psychotic Patients -
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Kim Sou-Jung
Kim So-Eun
Jon Duk-In
Hong Hyun-Ju
Chung Myung-Hoon
Hong Na-Rei
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Abstract
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Objective : This study aims to identify variables which predicts the compliance of outpatient treatment that is known to be related to recurrence of psychotic patients.
Methods : The medical records of 213 patients who discharged with the diagnosis of psychotic disorder from Department of Psychiatry, Hallym University Sacred Heart Hospital from Jan, 2006 to Dec, 2008 were reviewed. The patients were divided into compliance group and non-compliance group. Data on sociodemographic and clinical variables, and profiles of drug use were analyzed.
Results : The patients in compliance group showed better insight at discharge, higher rate of male, earlier onset, higher rate of schizophrenia, paranoid type, lower CGI-S score and higher CGI-I score at discharge than those in non-compliance group. And compliance group consists of higher rate of Quetiapine and Clozapine-use subjects and lower rate of Amisulpiride and Risperidone Long-Acting Injection-use subjects than non-compliance group. The most influential clinical variable on compliance was insight at discharge. Other variables such as side-effect of drugs, occupation, marital status, education, period of illness, age, number of admission, and number of drugs showed no influence on compliance.
Conclusion : The most important factor to compliance seems to be the insight at discharge than other clinical factors. Thus improving the insight at discharge by drug treatment and education might be able to improve the compliance of outpatient treatment and reduce the recurrence rate.
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KEYWORD
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Psychotic disorder, Compliance, Insight
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