Pan P C, Tantam D
Department of Psychiatry, University of Manchester, United Kingdom.
Acta Psychiatr Scand. 1989 Jun;79(6):564-70. doi: 10.1111/j.1600-0447.1989.tb10304.x.
This study investigated the relationship between clinical characteristics, health beliefs and compliance with depot neuroleptic maintenance treatment in schizophrenic patients by comparing a group of 40 irregular clinic attenders with another group of regular attenders matched by age and sex. While the 2 groups showed no difference in drug-induced extrapyramidal effects, the former were significantly more often depressed than the latter. Test-retest reliability coefficients of a 4-section health belief questionnaire showed marked variation in individual items. The 2 groups showed no difference in their perception of past effect of illness, likelihood of a relapse if maintenance treatment was stopped and effects of maintenance treatment.
本研究通过比较40名不定期就诊的精神分裂症患者与另一组年龄和性别匹配的定期就诊患者，调查了临床特征、健康信念与长效抗精神病药物维持治疗依从性之间的关系。虽然两组在药物引起的锥体外系反应方面没有差异，但前者比后者更常出现抑郁症状。一份4部分的健康信念问卷的重测信度系数在各个项目上显示出明显差异。两组在对疾病过去影响的认知、停止维持治疗后复发的可能性以及维持治疗的效果方面没有差异。
