Table 2.
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).
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.