Skip to main content
. 2020 Nov 19;10(11):260–271. doi: 10.5498/wjp.v10.i11.260

Table 2.

Psychopathological, treatment-related, and other characteristics of nonadherent patients during hospitalization and at 6 mo post discharge, and differences between unintentional and intentional nonadherence

Hospitalization
6 mo
Total Nonadherence (n = 64)
Unintentional (n = 32)
Intentional (n = 32)
P value
Total nonadherence (n = 64)
Unintentional (n = 32)
Intentional (n = 32)
P value
Amador insight scale, general disorder awareness 11 (9-15) 11 (9-15) 11 (9-15) 0.634 9 (9-11) 9 (6-11) 9 (9-13) 0.467
Mental disorder 5 (3-5) 5 (3-5) 5 (3-5) 0.750 3.0 (3.0-5.0) 3.0 (2.0-4.5) 3.0 (3.0-5.0) 0.177
Effects of the medication 3.0 (3.0-5.0) 3.0 (3.0-5.0) 3.0 (3.0-5.0) 0.638 3.0 (2.0-3.0) 3.0 (2.2-3.0) 3.0 (2.5-4.0) 0.907
Social consequences 3.0 (3.0-5.0) 3.0 (3.0-5.0) 4.0 (3.0- 5.0) 0.441 3.0 (2.0-5.0) 3.0 (2.2-4.8) 3.0 (2.5-5.0) 0.861
CGI-SCH severity. Total score 11 (10-13) 11 (10-13) 10 (9-12) 0.086 10 (9-12) 12 (10-13) 9 (8-10) 0.003
Psychotic symptoms 3.0 (3.0-3.0) 3.0 (3.0-3.0) 3.0 (3.0- 3.0) 0.645 2.0 (2.0- 3.0) 3.0 (2.0-3.0) 2.0 (2.0-3.0) 0.118
Negative symptoms 2.0 (1.0-2.2) 2.0 (1.0-2.2) 2.0 (1.0-2.2) 0.186 2.0 (1.0-2.0) 2.0 (2.0-3.0) 2.0 (1.0-2.0) < 0.001
Depressive symptoms 1.0 (1.0-2.0) 1.0 (1.0-2.0) 1.0 (1.0-2.0) 0.413 1.0 (1.0-2.0) 1.0 (1.0-2.0) 1.0 (1.0-2.0) 0.346
Cognitive symptoms 2.0 (1.0-2.0) 2.0 (2.0-2.0) 1.0 (1.0-2.0) < 0.001 2.0 (1.0-2.0) 2.0 (2.0-2.8) 1.0 (1.0-2.0) < 0.001
Global severity 3.0 (3.0-3.0) 3.0 (3.0- 3.0) 3.0 (2.8-3.0) 0.679 3.0 (2.0-3.0) 3.0 (2.0-3.0) 2.0 (2.0-3.0) 0.210
SCIP. Total score 49 (40-55) 42 (32-52) 52 (46-59) 0.002 48 (41-59) 42 (33-49) 56 (48-62) < 0.001
Verbal learning-immediate 13 (10-15) 12 (9-15) 13 (11-15) 0.073 15 (11-17) 13 (10-16) 15 (12-18) 0.032
Working memory 16 (13-20) 14 (11-18) 18 (16-21) 0.004 17 (14-20) 14 (12-17) 19 (17-20) 0.001
Verbal fluency 10 (8-13) 10 (7-11) 12 (9-14) 0.022 11 (8-12) 10 (7-11) 11 (8-13) 0.045
Verbal learning-delayed 4.0 (2.0-5.0) 3.0 (2.0-4.0) 4.0 (3.0-5.0) 0.003 4.0 (3.0-5.0) 3.0 (1.2-4.0) 5.0 (4.0-6.0) < 0.001
Processing speed 4.0 (3.0-6.0) 3.0 (2.0-5.0) 5.0 (3.0-7.0) 0.004 4.0 (3.0-5.0) 3.0 (2.0-4.0) 5.0 (4.0-6.0) < 0.001
Type of antipsychotic treatment 0.114 0.114
Oral 22 (34.4) 8 (25.0) 14 (43.8) 22 (34.4) 8 (25.0) 14 (43.8)
Injectable or injectable + oral 42 (65.6) 24 (75) 18 (56.2) 42 (65.6) 24 (75) 18 (56.2)
Supervision of the treatment 40 (65.6) 21 (67.7) 19 (63.3) 0.717 51 (79.7) 29 (90.6) 22 (68.8) 0.03
SDM-Q-9. total score 17 (9-23) 10 (8-19) 20 (11-30) 0.010 18 (11-21) 17 (10-21) 18 (14-22) 0.235
BMQ, beliefs about medicines, general 22 (18-27) 22 (20-27) 22 (17-25) 0.509 22 (18-26) 22 (18-26) 22 (16-25) 0.623
BMQ, beliefs about medicines, specific 6 (5-7) 6 (6-7) 6 (5-7) 0.142 31 (26-34) 31 (27-35) 30 (26-34) 0.479
DAI 3.0 (-3.0-7.0) 3.0 (-1.0-5.0) 1.0 (-3.0-7.0) 0.914 1.0 (-3.0-3.0) 1.0 (-3.0-6.5) 1.0 (-3.0-3.0) 0.374
Morisky-Green test 2.0 (2.0-3.0) 2.0 (1.8-2.2) 2.0 (2.0-3.0) 0.302 2.0 (2.0-3.0) 2.0 (2.0-3.0) 2.5 (2.0-3.0) 0.084
BARS 100 (100-100) 100 (100-100) 100 (100-100) 0.329 55 (30-74) 60 (20-78) 50 (40-70) 0.586
Knowledge of the treatment at 1 h1 75 (58-92) 67 (58-75) 83 (75-92) < .001
Knowledge of the treatment at 20 d1 79 (62-92) 65 (42-77) 83 (81-92) < .001
Knowledge of the treatment at 6 mo1 80 (60-90) 60 (40-70) 90 (80-100) < 0.001

Data are means ± SD, frequencies (%) and medians (IQR).

1

There were 3 lost cases regarding knowledge of the treatment (n = 61; unintentional, n = 30; intentional, n = 31). Knowledge of the treatment: Knowledge of the treatment, diagnosis, and follow-up from the time of instruction. The values represent means of percentages. BMQ: Beliefs about medicines questionnaire; CGI-SCH: Clinical Global Impression–Schizophrenia; IQR: Inter-quartile range; SCIP: Screen for Cognitive Impairment in Psychiatry; SDM-Q-9: Shared Decision Making Questionnaire; SD: Standard deviation; DAI: Drug attitude inventory; BARS: Brief adherence rating scale.