Cross-sectional study of internalised stigma and medication adherence in patients with obsessive compulsive disorder

• 作者: Eram Ansari Sudha Mishra Adarsh Tripathi Sujita Kumar Kar Pronob Kumar Dalai
• 来源期刊: 综合精神医学
• 年，卷（期）: 2020,（2）
• 所属期刊栏目: Original research
• 页码范围: 94-100
• 页数: 7页
• 语种: 中文
• DOI: 10.1136/gpsych-2019-100180

摘要

Background Patients suffering from psychiatric disorders tend to stigmatise themselves which had been linked to poor adherence to treatment.Aims The aim of the present study was to study internalised stigma and medication adherence and to assess the relationship between them in patients with obsessive compulsive disorder (OCD).Methods A cross-sectional study was conducted on 112 patients diagnosed with OCD who were attending the Out-patient's department at Department of Psychiatry of a tertiary care hospital in North India.Internalised stigma and current medication adherence were assessed with Internalized Stigma of Mental Illness Scale (ISMI) and Medication Adherence Rating Scale,respectively.Yale-Brown Obsessive Compulsive Scale was used to assess the current severity of OCD symptoms.Sociodemographic and clinical details were also obtained from the patients by using a semistructured sociodemographic proforma.Results Most of the patients reported moderate level of internalised stigma with a mean ISMI score of 77.98(10.82).Most of the patients were compliant while 41.96％reported poor medication adherence.Internalised stigma was negatively correlated with the current medication adherence.Current severity of OCD symptoms also showed a significant positive correlation with intemalised stigma and a significant negative correlation with medication adherence.Conclusion High levels of internalised stigma were associated with lower adherence to treatment which suggests that intemalised stigma may be a very important factor influencing medication adherence in patients with OCD.