A comparison of electronic monitoring vs. clinician rating of antipsychotic adherence in outpatients with schizophrenia

被引:144
作者
Byerly, M [1 ]
Fisher, R [1 ]
Whatley, K [1 ]
Holland, R [1 ]
Varghese, F [1 ]
Carmody, T [1 ]
Magouirk, B [1 ]
Rush, AJ [1 ]
机构
[1] Univ Texas, SW Med Ctr Dallas, Dept Psychiat, Dallas, TX 75230 USA
关键词
antipsychotic adherence and non-adherence; electronic monitoring; clinician rating;
D O I
10.1016/j.psychres.2004.11.002
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Antipsychotic non-adherence rates of outpatients with schizophrenia or schizoaffective disorder was assessed by electronic monitoring and clinician rating. Antipsychotic adherence was determined monthly over 3 consecutive months with (1) the Medication Event Monitoring System (MEMS (R)) cap and (2) the Clinician Rating Scale. Non-adherence was defined as daily adherence of < 70% during any one of three monthly evaluations for MEMS (R) and ratings of <= 4 (scale of 1-7) on the Clinician Rating Scale. Non-adherence was detected in 12 of 25 patients (48%) by MEMS (R) and 0% by the Clinician Rating Scale. Clinician assessment dramatically underestimated antipsychotic non-adherence. (c) 2004 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:129 / 133
页数:5
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