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Year : 2017  |  Volume : 12  |  Issue : 1  |  Page : 61-65

Noncompliance in psychosis

Department of Psychiatry, JNMC, DMIMS (DU), Wardha, Maharashtra, India

Correspondence Address:
Siddharth Kalucha
Department of Psychiatry, JNMC, DMIMS (DU), Wardha, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jdmimsu.jdmimsu_28_17

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Introduction: Compliance broadly means the degree to which a person's behaviour, is constant with taking the drugs prescribed, life style changes advised, keeping with appointment date. Psychosis by its very nature impairs patient's judgement and insight so it's very natural that chances of non-compliance in psychosis is high. Jim Rosack explained the phenomenon of adherence to medication in terms of refill rate. Aim and Objective: The study was aimed at assessing reasons for drug non-compliance among patients receiving neuroleptic medications. Objective to study socio-demographics variables of these non-compliant psychiatric patients. Material and Method: 180 consecutive non-compliant psychotic patients were interviewed using ROMI scale and soico-demographic proforma. Results: Most common reason for drug non-compliance was denial of illness, financial obstacles, side effects of medications, stigma of mental illness among others as accessed by ROMI scale. Age at onset of mental illness was significantly associated with mean scores for non-compliance of ROMI scale. Conclusion: psychosis has high chances of drug non-compliance. These are patient related, illness related and doctor related. This issues like denial of illness or financial obstacles need to be dealt with judiciously to improve compliance and quality of life.

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