Predictors of psychiatrist-reported treatment-compliance problems among patients in routine U.S. psychiatric care

Psychiatry Research
Michael T ComptonNadine J Kaslow

Abstract

Characteristics associated with psychiatrist-reported treatment-compliance problems were investigated using the 1999 Study of Psychiatric Patients and Treatments from the Practice Research Network of the American Psychiatric Institute for Research and Education (n=1,843). Logistic regression was used to study characteristics associated with compliance problems as perceived by treating psychiatrists. Among the 22 potential predictors of interest, all but three (age, gender, and problems with primary support group) were found to be significantly associated with treatment-compliance problems in bivariate analyses. A predictive model was developed consisting of eight independently significant predictors from diagnostic, clinical, psychosocial, and treatment-history domains. These predictors included substance use disorder diagnosis, medication side effects, moderate to severe psychotic symptoms, personality disorder diagnosis, economic problems, prior hospitalization, current Global Assessment of Functioning scale score, and duration of treatment with current psychiatrist. This predictive model correctly identified the presence or absence of treatment-compliance problems in 91% of patients in a sample randomly drawn from the datase...Continue Reading

References

Apr 1, 1991·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·B CampbellM Matas
Sep 1, 1988·General Hospital Psychiatry·D A Krulee, R E Hales
Jan 1, 1988·The Psychiatric Quarterly·P Solomon, B Gordon
Apr 1, 1983·The American Journal of Psychiatry·S R MarderT Van Putten
Mar 1, 1983·The American Journal of Psychiatry·R W BurgoyneJ Yamamoto
Jan 1, 1995·International Clinical Psychopharmacology·P E Bebbington
Jan 1, 1994·Schizophrenia Bulletin·P WeidenA Frances
May 1, 1993·The American Journal of Psychiatry·L F SparrM F Ward
Sep 1, 1997·The American Journal of Psychiatry·D A ZarinJ S McIntyre
Sep 26, 1997·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·B BenderC Rand
Jan 1, 1997·Schizophrenia Bulletin·W S FentonR K Heinssen
May 9, 1998·Psychiatric Services : a Journal of the American Psychiatric Association·J A Cramer, R Rosenheck
Nov 5, 1999·Community Mental Health Journal·S K DobschaM L Young
Mar 10, 2001·Psychiatric Services : a Journal of the American Psychiatric Association·F CentorrinoR J Baldessarini
Jan 26, 2002·The Nurse Practitioner·S D Schaffer, S J Yoon
Dec 11, 2002·JAMA : the Journal of the American Medical Association·Heather P McDonaldR Brian Haynes
Jan 14, 2003·The Journal of Clinical Psychiatry·Diana O Perkins
Mar 29, 2003·Psychiatric Services : a Journal of the American Psychiatric Association·Patricia ThiedaJohn Kane
Apr 30, 2003·Psychiatric Services : a Journal of the American Psychiatric Association·Dawn I VelliganAlexander L Miller
Aug 12, 2003·Community Mental Health Journal·Betsy SleathTim Lowery

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Citations

Apr 29, 2009·Administration and Policy in Mental Health·J Curtis McMillenVictoria A Osborne
Jan 1, 2008·Patient Preference and Adherence·Ann-Charlotte AkerbladLisa Ekselius
Apr 27, 2011·American Journal of Pharmaceutical Education·Kelly N GableMark A Celio
Jan 11, 2013·Depression Research and Treatment·Rachel E Maddux, Lars-Gunnar Lundh
Nov 10, 2013·Complementary Therapies in Clinical Practice·Bulent BahceciCicek Hocaoglu
Apr 7, 2009·Social Psychiatry and Psychiatric Epidemiology·Andrew G M Bulloch, Scott B Patten
May 25, 2010·Psychiatry Research·Hector Wing-hong TsangRaymond Chi-keung Chung
Feb 12, 2008·Psychiatry Research·Giovanni SantoneGabriele Borsetti
Feb 19, 2009·Journal of Advanced Nursing·Terence V McCannSai Lu
Aug 13, 2011·Nordic Journal of Psychiatry·David MisdrahiPierre-Michel Llorca
Apr 18, 2008·Journal of Behavior Therapy and Experimental Psychiatry·Hector W H TsangPatrick W Corrigan
Dec 20, 2007·The Journal of Nervous and Mental Disease·Alexandra PhilipsenBernd Hesslinger
Jul 21, 2010·Clinical Schizophrenia & Related Psychoses·Dawn VelliganJulian Jamison

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