Psychotropic medication non-adherence among patients with severe mental disorder attending at Bahir Dar Felege Hiwote Referral hospital, north west Ethiopia, 2017.

Journal: BMC research notes

Volume: 12

Issue: 1

Year of Publication: 2019

Affiliated Institutions:  School of Nursing, Department of Community Health Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. School of Medicine, Department of Psychiatry, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Amanuel Mental Health Specialized Hospital, Addis Ababa, Ethiopia. School of Nursing, Department of Pediatric and Child Health Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. School of Pharmacy, Department of Clinical Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. School of Public Health, Department of Biostatistics and Epidemiology, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. dessieabebaw@gmail.com.

Abstract summary 

Medication non-adherence is a major public health problem that has been called an "invisible epidemic". Globally, non-adherence rates among patients with severe mental illness ranged between 30 and 65%. It greatly increases the risk of illness exacerbation and hospitalizations. However, there is a paucity of studies examining treatment non-adherence and its associated factors among patients with severe mental disorder. Therefore, this study was aimed at determining the magnitude of medication non-adherence and associated factors among patients with severe mental disorder.A total of 409 study subjects were participated making a response rate of 92%. The overall prevalence of medication non-adherence was found to be 55.2% (95%, CI; 49.9%, 60.2%). Study participants whose age group of (25-34) [AOR = 3.04 (95% CI 1.27, 7.29)], study subjects taking their medication twice per day [AOR = 4.60 (95% CI 2.25, 9.43)], no social support [AOR = 4.4 (95% CI 1.78, 11.08)] and no insight for their treatment [AOR = 5.88 (CI 2.08, 16.59)] were significantly associated with medication non-adherence. The result of this study showed that non-adherence among patients with severe mental disorder was found to be high. Psychiatry health care providers have to consider the frequency of medication become once per day, continual awareness creation among professionals and engaging significant others for good social support system and continual treatment alliance is strongly commended for adherence.

Authors & Co-authors:  Gebeyehu Daniel Ayelegne DA Mulat Haregewoin H Bekana Lulu L Asemamaw Nega Tezera NT Birarra Mequanent Kassa MK Takele Wubet Worku WW Angaw Dessie Abebaw DA

Study Outcome 

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Statistics
Citations :  Dutt L, Mistry K, Zankhanjetfire M. A study of reasons of non-compliance to psychiatric treatment. Indian J Appl Basic Med Sci. 2016;18(26):15–23.
Authors :  7
Identifiers
Doi : 102
SSN : 1756-0500
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Ethiopia;Medication non-adherence;Severe mental disorder
Study Design
Cross Sectional Study
Study Approach
Country of Study
Ethiopia
Publication Country
England