Yasirah Gohar, Uroosa Talib, Nasir Mehmood.
Factors affecting treatment compliance in psychiatric setting.
Pak J Neurological Sci Jan ;15(4):19-23.

BACKGROUND Compliance with the medication has a direct relation to the outcome of patients under treatment. Various factors influence the compliance to treatment which includes a financial situation, age at onset, employment, the stigma of illness, relationship with a therapist, the severity of illness, access to treatment and side effects of medication. However socio-economic status is an important factor associated with the treatment compliance of people with psychiatric illness. The objective of the study was to find out the various factors that contribute to treatment with non-compliance among patients suffering from psychiatric disorders. DESIGN A cross-sectional retrospective study based on data from the Hospital Management System(HMS) of Karwan e Hayat. METHOD The data of admitted & OPD patients suffering from severe mental illness was retrieved from Hospital Management System(HMS) Karwan e Hayat from Jan 2004 to April 2016 and was evaluated through Medication Compliance Scale for treatment compliance. Then using SPSS the association of treatment compliance was assessed in relation to different demographic factors including gender, socio-economic status, and education. RESULT The Medication Compliance Scale reveals that 57.1% male and 47.5% female were adherent to treatment. The association between age and treatment compliance was statistically significant (p=0.00). Patients with no formal education were at higher risk of being non-adherent as compared to more educated patients (P=0.00). There were no relationship found between treatment adherence and socioeconomic status in this study. CONCLUSION The study highlighted that education, gender, and age are the major factors that contributed to therapeutic non-compliance in a psychiatric setting. KEY WORDS: Treatment Compliance, Severe psychiatric illness, Effecting Factors

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