Adherence to Treatment Regimen in a Lithium Carbonate Clinic

Catherine Ecock Connelly, Yolande B. Davenport, John Nurnberger

Research output: Contribution to journalArticle

63 Citations (Scopus)

Abstract

Adherence to a prophylactic regimen for primary affective disorder was studied with the Standardized Compliance Questionnaire given to 48 outpatients to determine perceptions of their illness, treatment, mood state, and side effects. Clinicians rated the course of the illness for 12 months. Adherence was defined as lithium level between 0.5 and 1.5 meq/L and attendance at 75% of clinic appointments for nine months. One patient was nonadherent with both indices, whereas 11 were nonadherent with either medication regimen or appointment keeping, suggesting that each behavior should be scrutinized separately. Elevated mood was associated with overall nonadherence, marriage was associated with adherence to drug regimen, and perception of continuity of care was associated with appointment-keeping adherence. No association was found between nonadherence and diagnostic subcategory or between adherence and reported side effects. The relationship between nonadherence and poor outcome was significant.

Original languageEnglish (US)
Pages (from-to)585-588
Number of pages4
JournalArchives of General Psychiatry
Volume39
Issue number5
DOIs
StatePublished - 1982
Externally publishedYes

Fingerprint

Lithium Carbonate
Appointments and Schedules
Continuity of Patient Care
Marriage
Mood Disorders
Lithium
Compliance
Outpatients
Therapeutics
Pharmaceutical Preparations
Carbonate
Adherence
Clinic

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Psychiatry and Mental health

Cite this

Adherence to Treatment Regimen in a Lithium Carbonate Clinic. / Connelly, Catherine Ecock; Davenport, Yolande B.; Nurnberger, John.

In: Archives of General Psychiatry, Vol. 39, No. 5, 1982, p. 585-588.

Research output: Contribution to journalArticle

Connelly, Catherine Ecock ; Davenport, Yolande B. ; Nurnberger, John. / Adherence to Treatment Regimen in a Lithium Carbonate Clinic. In: Archives of General Psychiatry. 1982 ; Vol. 39, No. 5. pp. 585-588.
@article{dffeb344506644d983f76f58391c17f6,
title = "Adherence to Treatment Regimen in a Lithium Carbonate Clinic",
abstract = "Adherence to a prophylactic regimen for primary affective disorder was studied with the Standardized Compliance Questionnaire given to 48 outpatients to determine perceptions of their illness, treatment, mood state, and side effects. Clinicians rated the course of the illness for 12 months. Adherence was defined as lithium level between 0.5 and 1.5 meq/L and attendance at 75{\%} of clinic appointments for nine months. One patient was nonadherent with both indices, whereas 11 were nonadherent with either medication regimen or appointment keeping, suggesting that each behavior should be scrutinized separately. Elevated mood was associated with overall nonadherence, marriage was associated with adherence to drug regimen, and perception of continuity of care was associated with appointment-keeping adherence. No association was found between nonadherence and diagnostic subcategory or between adherence and reported side effects. The relationship between nonadherence and poor outcome was significant.",
author = "Connelly, {Catherine Ecock} and Davenport, {Yolande B.} and John Nurnberger",
year = "1982",
doi = "10.1001/archpsyc.1982.04290050057011",
language = "English (US)",
volume = "39",
pages = "585--588",
journal = "JAMA Psychiatry",
issn = "2168-622X",
publisher = "American Medical Association",
number = "5",

}

TY - JOUR

T1 - Adherence to Treatment Regimen in a Lithium Carbonate Clinic

AU - Connelly, Catherine Ecock

AU - Davenport, Yolande B.

AU - Nurnberger, John

PY - 1982

Y1 - 1982

N2 - Adherence to a prophylactic regimen for primary affective disorder was studied with the Standardized Compliance Questionnaire given to 48 outpatients to determine perceptions of their illness, treatment, mood state, and side effects. Clinicians rated the course of the illness for 12 months. Adherence was defined as lithium level between 0.5 and 1.5 meq/L and attendance at 75% of clinic appointments for nine months. One patient was nonadherent with both indices, whereas 11 were nonadherent with either medication regimen or appointment keeping, suggesting that each behavior should be scrutinized separately. Elevated mood was associated with overall nonadherence, marriage was associated with adherence to drug regimen, and perception of continuity of care was associated with appointment-keeping adherence. No association was found between nonadherence and diagnostic subcategory or between adherence and reported side effects. The relationship between nonadherence and poor outcome was significant.

AB - Adherence to a prophylactic regimen for primary affective disorder was studied with the Standardized Compliance Questionnaire given to 48 outpatients to determine perceptions of their illness, treatment, mood state, and side effects. Clinicians rated the course of the illness for 12 months. Adherence was defined as lithium level between 0.5 and 1.5 meq/L and attendance at 75% of clinic appointments for nine months. One patient was nonadherent with both indices, whereas 11 were nonadherent with either medication regimen or appointment keeping, suggesting that each behavior should be scrutinized separately. Elevated mood was associated with overall nonadherence, marriage was associated with adherence to drug regimen, and perception of continuity of care was associated with appointment-keeping adherence. No association was found between nonadherence and diagnostic subcategory or between adherence and reported side effects. The relationship between nonadherence and poor outcome was significant.

UR - http://www.scopus.com/inward/record.url?scp=0020038491&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0020038491&partnerID=8YFLogxK

U2 - 10.1001/archpsyc.1982.04290050057011

DO - 10.1001/archpsyc.1982.04290050057011

M3 - Article

C2 - 6807256

AN - SCOPUS:0020038491

VL - 39

SP - 585

EP - 588

JO - JAMA Psychiatry

JF - JAMA Psychiatry

SN - 2168-622X

IS - 5

ER -