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The reliability of compliance assessments performed by doctors and patients during neuroleptic treatment: a comparison of compliance ratings

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Objective: To compare compliance assessments made by doctors and patients during neuroleptic drug treatment and to detect any variables explaining the discrepancies between their ratings.

Method: Compliance reports regarding neuroleptic medication were collected from 100 in-patients and out-patients and from their doctors. Re-ratings were performed after 1–2 weeks. Compliance ratings were compared with demographic, treatment and symptom-related variables and with the Attitudes to Neuroleptic Treatment (ANT) questionnaire using logistic regression analysis.

Results: The doctors' and patients' compliance ratings showed good test–retest reliability (r=0.80, doctors; r=0.81, patients) and concordance (79% of the cases within the limits of ±25%-units deviation). Variables explaining discrepancies between the ratings included female gender, a low level of education, the diagnosis of mania, a high neuroleptic dose and several items from the ANT scale.

Conclusion: Manic episodes, negative attitudes to neuroleptic medication and a high-dose treatment increase the risk for deviating views of compliance in the doctor–patient relationship.
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Keywords: antipsychotic agents; patient compliance; psychiatric status rating scales; psychotic disorders; schizophrenia

Document Type: Research Article

Affiliations: 1: Tampere University Hospital, Department of Psychiatry and Tampere Community Mental health Care, 2: University of Tampere, Medical School and Tampere University Hospital, Department of Psychiatry and 3: Seinäjoki Central Hospital, Department of Psychiatry, Finland

Publication date: 2001-10-01

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