Association of dissatisfaction with care and psychiatric morbidity with poor treatment compliance

Archives of Dermatology
C RenziMario Braga

Abstract

To examine factors associated with compliance with dermatologic treatment. Longitudinal study. Quality of life and psychological well-being were measured before the dermatologic visit with a self-completed questionnaire. Telephone interviews were performed 3 days and 4 weeks after the visit to evaluate patient satisfaction and medication adherence, respectively. Outpatient clinics of a large dermatologic hospital in Rome, Italy. A total of 1389 outpatients were contacted and 722 (52%) agreed to participate. Among them, 424 responded to the inclusion criteria and were enrolled in the study. Of these, 396 (93%) completed the telephone interviews. Self-reported compliance with dermatologic treatment. The dermatologists' prescriptions were not exactly followed by 44% of patients. In multiple logistic regression analysis, treatment adherence was strongly associated with complete satisfaction. Poor quality of life on the emotions scale (indicating mainly high levels of shame and embarrassment) was also associated with medication adherence. On the contrary, a strong negative association was observed between psychiatric morbidity and compliance. This is the first longitudinal study on dermatologic patients showing that dissatisfaction ...Continue Reading

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