Reasons for schizophrenia patients remaining out of treatment: Results from a prospective study in a rural south indian community

Channaveerachari Naveen Kumar, Jagadisha Thirthalli, Kudumallige Krishnappa Suresha, Basappa K. Venkatesh, Kengeri V. Kishorekumar, Udupi Arunachala, Bangalore N. Gangadhar

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: A few studies have examined the factors associated with schizophrenia patients remaining untreated in India. Materials and Methods: We identified 184 schizophrenia patients in a rural community, offered the treatment with antipsychotics and followed them up in their Primary Health Centers for 1-year. Twenty-nine (15.8%) patients remained untreated at both the baseline and 1-year follow-up despite our best attempts to keep them under the treatment umbrella. They were interviewed in detail regarding the reasons for remaining untreated. This group was compared with another group of patients (n = 69) who had stopped the treatment at baseline but were successfully brought under the treatment umbrella throughout the 1-year follow-up period. Results: The reasons for remaining untreated were (n; %): (a) Unsatisfactory improvement with previous treatment attempts (19; 65.5%), (b) poor bond between the patients and the families (6; 20.7%), (c) active symptoms not allowing any treatment efforts from the family members (6; 20.7%), (d) magico-religious beliefs about the illness and its treatment (4; 13.8%), (e) poor social support (3; 10.3%), (f) adverse effects of the medications (2; 6.9%), and (g) perception of recovery and cure (1; 3.4%). For many patients, a constellation of these reasons was responsible for them remaining untreated. In contrast, the common reasons for those who restarted medications to have stopped the treatment at some time were the lack of awareness, the need to continue medications (47; 68.1%), and the financial constraints (28; 40.6%). Conclusion: The predominant reason for schizophrenia patients not remaining on the treatment in this rural community was the families' lack of faith in antipsychotic treatment. Provision of comprehensive treatment package including medical, psychosocial and rehabilitative services, and sensitizing the community about benefits of the treatment may help in ensuring that all patients with psychosis receive the best care.

Original languageEnglish (US)
Pages (from-to)101-104
Number of pages4
JournalIndian Journal of Psychological Medicine
Volume38
Issue number2
DOIs
StatePublished - Mar 1 2016

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Schizophrenia
Prospective Studies
Therapeutics
Rural Population
Antipsychotic Agents
Religion
Social Support
Psychotic Disorders
India
Health

All Science Journal Classification (ASJC) codes

  • Clinical Psychology

Cite this

Kumar, Channaveerachari Naveen ; Thirthalli, Jagadisha ; Suresha, Kudumallige Krishnappa ; Venkatesh, Basappa K. ; Kishorekumar, Kengeri V. ; Arunachala, Udupi ; Gangadhar, Bangalore N. / Reasons for schizophrenia patients remaining out of treatment : Results from a prospective study in a rural south indian community. In: Indian Journal of Psychological Medicine. 2016 ; Vol. 38, No. 2. pp. 101-104.
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abstract = "Background: A few studies have examined the factors associated with schizophrenia patients remaining untreated in India. Materials and Methods: We identified 184 schizophrenia patients in a rural community, offered the treatment with antipsychotics and followed them up in their Primary Health Centers for 1-year. Twenty-nine (15.8{\%}) patients remained untreated at both the baseline and 1-year follow-up despite our best attempts to keep them under the treatment umbrella. They were interviewed in detail regarding the reasons for remaining untreated. This group was compared with another group of patients (n = 69) who had stopped the treatment at baseline but were successfully brought under the treatment umbrella throughout the 1-year follow-up period. Results: The reasons for remaining untreated were (n; {\%}): (a) Unsatisfactory improvement with previous treatment attempts (19; 65.5{\%}), (b) poor bond between the patients and the families (6; 20.7{\%}), (c) active symptoms not allowing any treatment efforts from the family members (6; 20.7{\%}), (d) magico-religious beliefs about the illness and its treatment (4; 13.8{\%}), (e) poor social support (3; 10.3{\%}), (f) adverse effects of the medications (2; 6.9{\%}), and (g) perception of recovery and cure (1; 3.4{\%}). For many patients, a constellation of these reasons was responsible for them remaining untreated. In contrast, the common reasons for those who restarted medications to have stopped the treatment at some time were the lack of awareness, the need to continue medications (47; 68.1{\%}), and the financial constraints (28; 40.6{\%}). Conclusion: The predominant reason for schizophrenia patients not remaining on the treatment in this rural community was the families' lack of faith in antipsychotic treatment. Provision of comprehensive treatment package including medical, psychosocial and rehabilitative services, and sensitizing the community about benefits of the treatment may help in ensuring that all patients with psychosis receive the best care.",
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Reasons for schizophrenia patients remaining out of treatment : Results from a prospective study in a rural south indian community. / Kumar, Channaveerachari Naveen; Thirthalli, Jagadisha; Suresha, Kudumallige Krishnappa; Venkatesh, Basappa K.; Kishorekumar, Kengeri V.; Arunachala, Udupi; Gangadhar, Bangalore N.

In: Indian Journal of Psychological Medicine, Vol. 38, No. 2, 01.03.2016, p. 101-104.

Research output: Contribution to journalArticle

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AU - Kumar, Channaveerachari Naveen

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N2 - Background: A few studies have examined the factors associated with schizophrenia patients remaining untreated in India. Materials and Methods: We identified 184 schizophrenia patients in a rural community, offered the treatment with antipsychotics and followed them up in their Primary Health Centers for 1-year. Twenty-nine (15.8%) patients remained untreated at both the baseline and 1-year follow-up despite our best attempts to keep them under the treatment umbrella. They were interviewed in detail regarding the reasons for remaining untreated. This group was compared with another group of patients (n = 69) who had stopped the treatment at baseline but were successfully brought under the treatment umbrella throughout the 1-year follow-up period. Results: The reasons for remaining untreated were (n; %): (a) Unsatisfactory improvement with previous treatment attempts (19; 65.5%), (b) poor bond between the patients and the families (6; 20.7%), (c) active symptoms not allowing any treatment efforts from the family members (6; 20.7%), (d) magico-religious beliefs about the illness and its treatment (4; 13.8%), (e) poor social support (3; 10.3%), (f) adverse effects of the medications (2; 6.9%), and (g) perception of recovery and cure (1; 3.4%). For many patients, a constellation of these reasons was responsible for them remaining untreated. In contrast, the common reasons for those who restarted medications to have stopped the treatment at some time were the lack of awareness, the need to continue medications (47; 68.1%), and the financial constraints (28; 40.6%). Conclusion: The predominant reason for schizophrenia patients not remaining on the treatment in this rural community was the families' lack of faith in antipsychotic treatment. Provision of comprehensive treatment package including medical, psychosocial and rehabilitative services, and sensitizing the community about benefits of the treatment may help in ensuring that all patients with psychosis receive the best care.

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