Department of Neuropsychiatry and Behavioral Science, University of South Carolina School of Medicine, 3555 Harden St., Suite 301, Columbia, SC 29203, USA.
Psychiatr Serv. 2010 Apr;61(4):405-8. doi: 10.1176/ps.2010.61.4.405.
Treatment nonadherence is a formidable challenge in today's clinical practice. Despite decades of focused research, medication adherence continues to be a significant risk factor for poor prognosis in schizophrenia. Studies demonstrate that no single strategy is effective for all patients and that a multidisciplinary approach customized to the patient's individual needs results in improved adherence rates. This Open Forum presents a comprehensive model for organizing and incorporating current and future evidence-based strategies with a focus on educational strategies, psychotherapeutic techniques, and a strong therapeutic alliance.
治疗不依从是当今临床实践中的一个巨大挑战。尽管经过了几十年的集中研究,但药物依从性仍然是精神分裂症预后不良的一个重要危险因素。研究表明,没有单一的策略对所有患者都有效,只有采用针对患者个体需求的多学科方法,才能提高依从率。本论坛提出了一个综合模型,用于组织和整合当前和未来基于证据的策略,重点是教育策略、心理治疗技术和强大的治疗联盟。