Caqueo-Urízar Alejandra, Urzúa Alfonso, Mena-Chamorro Patricio, Bravo de la Fuente Josefa
Instituto de Alta Investigación, Universidad de Tarapacá, Arica 1001236, Chile.
Escuela de Psicología, Universidad Católica del Norte, Antofagasta 1270709, Chile.
Healthcare (Basel). 2021 Sep 18;9(9):1230. doi: 10.3390/healthcare9091230.
The aim of this study was to evaluate the effects of adherence to antipsychotic treatment on the recovery of patients with schizophrenia in northern Chile. One hundred and fifty-one patients diagnosed with schizophrenia completed the Drug Attitude Inventory (DAI-10), Positive and Negative Syndrome Scale for Schizophrenia (PANSS), Recovery Assessment Scale (RAS-24), sociodemographic information, and clinical and treatment characteristics of patients with schizophrenia. Multivariate analysis with multiple linear regression was then performed to identify variables that were potentially associated with the recovery assessment (variable criterion). A significant association was found between adherence to antipsychotic medication and the Willing to Ask for Help dimension of Recovery (β = 0.239, = 0.005). Association of clinical and socio-demographic variables with recovery were identified: negative symptoms with Personal Confidence and Hope (β = -0.341, = 0.001) and Goal and Success Orientation (β = -0.266, = 0.014); cognitive symptoms with Willing to Ask for Help (β = -0.305, = 0.018) and no domination by symptoms (β = -0.351, = 0.005); marital status with reliance on others (β = -0.181, = 0.045); age with Personal Confidence and Hope (β = -0.217, = 0.021), Goal and Success Orientation (β = -0.296, = 0.003), and no domination by symptoms (β = 0.214, = 0.025). Adherence has a positive relationship with personal recovery in this sample of Chilean patients with schizophrenia.
本研究的目的是评估坚持抗精神病药物治疗对智利北部精神分裂症患者康复的影响。151名被诊断为精神分裂症的患者完成了药物态度量表(DAI - 10)、精神分裂症阳性和阴性症状量表(PANSS)、康复评估量表(RAS - 24)、社会人口统计学信息以及精神分裂症患者的临床和治疗特征。然后进行了多元线性回归分析,以确定与康复评估(变量标准)潜在相关的变量。研究发现,坚持抗精神病药物治疗与康复的“愿意寻求帮助”维度之间存在显著关联(β = 0.239,P = 0.005)。还确定了临床和社会人口统计学变量与康复的关联:阴性症状与“个人信心和希望”(β = -0.341,P = 0.001)以及“目标和成功导向”(β = -0.266,P = 0.014)相关;认知症状与“愿意寻求帮助”(β = -0.305,P = 0.018)以及“不受症状支配”(β = -0.351,P = 0.005)相关;婚姻状况与“依赖他人”(β = -0.181,P = 0.045)相关;年龄与“个人信心和希望”(β = -0.217,P = 0.021)、“目标和成功导向”(β = -0.296,P = 0.003)以及“不受症状支配”(β = 0.214,P = 0.025)相关。在这个智利精神分裂症患者样本中,坚持治疗与个人康复呈正相关。