Babiker I E
Psychiatr Dev. 1986 Winter;4(4):329-37.
Compliance research is reviewed with particular reference to neuroleptic treatment of schizophrenia. Reported noncompliance rates of up to 50 per cent are likely to be an underestimate. Models of compliance and health-seeking behaviour borrowed from physical medicine are of questionable relevance to schizophrenia where perception of illness is often distorted. Factors thought to be implicated in noncompliance need to be evaluated and a theoretical model applicable to schizophrenia constructed. In the meantime there is evidence to suggest that behavioural intervention strategies may be superior to simple educational ones in the management of noncompliance. A discussion of methodological issues relating to the assessment of compliance is offered and a strategy for further research outlined.
本文回顾了依从性研究，特别提及了精神分裂症的抗精神病药物治疗。报告显示高达50%的不依从率很可能被低估了。从物理医学借鉴而来的依从性和求医行为模型与精神分裂症的相关性存疑，因为在精神分裂症中，对疾病的认知往往是扭曲的。需要对被认为与不依从有关的因素进行评估，并构建一个适用于精神分裂症的理论模型。与此同时，有证据表明，在处理不依从问题时，行为干预策略可能优于单纯的教育策略。本文还讨论了与依从性评估相关的方法学问题，并概述了进一步研究的策略。
