Medication Adherence Among Nigerians with Schizophrenia: Correlation Between Clinico-Demographic Factors and Quality of Life.

Journal: Mental illness

Volume: 9

Issue: 1

Year of Publication: 

Affiliated Institutions:  Department of Psychiatry, College of Medicine, University of Lagos, Nigeria. Neurology Unit, Department of Medicine, College of Medicine, University of Lagos, Nigeria.

Abstract summary 

Medication adherence contributes significantly to symptom remission, recovery and wellbeing in mental illnesses. We evaluated how medication adherence correlates with clinico-demographic factors and quality of life (QoL) in a sample of Nigerians with schizophrenia. This descriptive cross-sectional study involved 160 randomly selected participants with confirmed diagnosis of schizophrenia based on . Data on socio-demographic and clinical characteristics of participants were collected with a questionnaire. Medication adherence was assessed with , and participants completed the . The mean age of participants was 38.54 (±11.30) years, and all the participants were on antipsychotics, but only 45% were adherent to their medication. Out of all the participants, 45 (28.2%) considered their overall QoL to be good, 97 (60.6%) considered theirs to be fair, while 18 (11.2%) reported poor QoL. Medication non-adherence correlated negatively with good QoL across multiple dimensions including overall QoL (=-0.175), health satisfaction (r=-0.161), physical (r=-0.186) and psychological domain (r=-0.175). Again, participant's age (r=-0.190) and age of onset of illness (r=-0.172) correlated negatively with medication non-adherence, and a trend towards relapse delay with medication adherence was also observed (r=-0.155). The effect size of these correlations were however small. Our findings suggest a link between medication adherence and QoL in schizophrenia, such that strategy that addresses medication non-adherence and its determinants may have potential benefits on wellbeing. Further hypotheses-driven studies are desirable.

Authors & Co-authors:  Ogunnubi Oluseun P OP Olagunju Andrew T AT Aina Olatunji F OF Okubadejo Njideka U NU

Study Outcome 

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Statistics
Citations :  Adegbaju DA, Olagunju AT, Uwakwe RA. Comparative analysis of disability in individuals with bipolar affective disorder and schizophrenia in a sub-Saharan African mental health hospital: Towards evidence guided rehabilitation intervention. Soc Psychiatry Psychiatr Epidemiol J 2013;48:1405-15.
Authors :  4
Identifiers
Doi : 6889
SSN : 2036-7457
Study Population
Male,Female
Mesh Terms
Other Terms
Africa;Clinico-demographic;Medication Adherence;Schizophrenia;Wellbeing
Study Design
Descriptive Study,Cross Sectional Study
Study Approach
Country of Study
Niger
Publication Country
England