Title:

The effect of patient's insight and cooperation in pharmacological treatment on long-term outcomes in schizophrenic psychoses

Author:

Błądziński, Piotr

Subject:

compliance ; schizophrenia ; psychosis ; insight ; adherence

Abstract:

The first section of the research offers a multi-dimensional account of insight in the illness of people suffering from schizophrenic psychoses and their cooperation in pharmacological treatment as indicators of long-term treatment outcomes, while the second assesses the relationship of these indicators as prognostic factors of long-term treatment outcomes for schizophrenic psychoses in two different therapeutic programmes in the first three years of illness. At the individual level insight was found to be unstable. A relationship was demonstrated between deep, satisfying, extra-familial social contacts, a higher level of education and a shorter first period of hospitalisation and the formation of full insight into the illness and dynamic insight. At the individual level full cooperation was found to be stable. In the linear regression analysis insight had no relationship with treatment results for schizophrenia at any of the long-term measurement points. Cooperation in pharmacological treatment explained some of the results at a high percentage of the variation explained. As assessed after seven years, better cooperation was associated with a more beneficial course of the illness, better social functioning, recovery in some measurement periods, fewer relapses, and fewer and shorter re-hospitalisations in each of the later measurement periods.

Place of publishing:

Kraków

Level of degree:

2 - studia doktoranckie

Degree discipline:

psychiatria

Degree grantor:

Wydział Nauk o Zdrowiu

Promoter:

Cechnicki, Andrzej ; Cichocki, Łukasz

Date:

2015

Date issued:

2015

Type:

Praca doktorska

Call number:

ZB-123158

Language:

pol

Access rights:

nieograniczony