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Remission, functioning and treatment adherence in psychotic patients

Published online by Cambridge University Press:  16 April 2020

M.M. Serrano Carton
Affiliation:
Department of Psychiatry, Juan Canalejo-Maritimo Oza, A Coruna, Spain
M. Serrano Vazquez
Affiliation:
Department of Psychiatry, Juan Canalejo-Maritimo Oza, A Coruna, Spain
M.C. Serrano Carton
Affiliation:
Department of Psychiatry, Juan Canalejo-Maritimo Oza, A Coruna, Spain

Abstract

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Introduction:

In the last years a greater attention to the clinical results that result in the quality of life of the patients, surpassing the clinical concept of recovery (positive symptoms, to extend it to the long-term symptoms(remission).

Objective:

To determine the different levels of remission of negative, positive symptoms or of conceptual disorganization, evaluating the clinical and epidemiological factors related to the attainment of the remission, identifying factors of good prognosis.

Methods:

138 patients with acute psychotic episode attended in a psychiatric unit in 2004 were studied. Six months later all patients were cited for a second interview, evaluating 80 patients. Three items were evaluated: remission, compliment and functioning, utilizing remission criteria of Andreassen y cols (2005), the Drug Attitude Inventory (DAI), the Global Activity Evaluation Scale (EEAG) and the Discapacity Assessment Scale de la OMS (WHO-DAS).

Results:

The majority of the patients (80%) obtained the psychopathologic remission. The greater remission related to high levels of performance (EEAG) and smaller values of disability (WHO-GIVE) in all the subscales of functionality (familiar, social and labor), with significant differences. The therapeutic adherence was an important factor in the remission (DAI), with high statistical meaning (alpha=0,000).

Conclusions:

The finds support the use of the criteria of remission and they suggest a clinically significant association among the clinical state, the levels of health and the family, labor, and social functioning. The improvement in the psychopathologic would favor the attitude of the patients toward the medication and the therapeutic fulfillment.

Type
Poster Session 1: Schizophrenia and Other Psychosis
Copyright
Copyright © European Psychiatric Association 2007
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