Kandukuri Rajeev C, Khan Mehnaz A, Soltys Stephen M
Department of Psychiatry, Southern Illinois University School of Medicine, Springfield, Illinois, USA.
Prim Care Companion J Clin Psychiatry. 2010;12(3). doi: 10.4088/PCC.09m00863gre.
This case report reviews the consequences of nonadherence to a hypothyroidism medication schedule and examines the complexity of hypothyroidism treatment. Both biologic and psychosocial aspects are discussed. The physician-patient relationship is a key to improving adherence, and medication alone is not sufficient to improve outcomes. It is essential for the physician to address and successfully manage the psychosocial factors involved as well.
本病例报告回顾了不遵守甲状腺功能减退症药物治疗方案的后果，并探讨了甲状腺功能减退症治疗的复杂性。文中讨论了生物学和心理社会两方面的内容。医患关系是提高依从性的关键，仅靠药物治疗不足以改善治疗效果。医生也必须关注并成功处理其中涉及的心理社会因素。
