科研之友
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摘要
psychiatric out-treatment drop-out is a relevant clinical and economical issue. drop-out rates in psychiatry are higher than in any other medical specialties. articles published in the last 15 years have identified several factors statistically associated to no-compliance and treatment dropping-out. objetive: the objective of this paper is to evaluate demographical, psychopathological, diagnose and treatment variables as possible predictors of attrition from a mental health out-service. method: natural experiment, evaluating 896 patients referred by primary care units from april 2004 till march 2006. results: single patients, unemployed people, and those whose age was below group-average (39.2 years) dropped-out significantly more than others. two variables related to psychopathological examination were associated to treatment drop-out (recent memory and relation of affective disposition to current circumstances). adult patients that received a diagnosis of mental retardation and those with a diagnosis related to groups f80-f98 (cid-10) also dropped-out significantly more. the identification of a psychiatric comorbidity and exclusively pharmacological treatment were associated to adherence. conclusion: results support the findings of different researchers as to the evidence of characteristics associated to treatment dropping-out. these findings suggest that certain group of patients need a more customized care, in order to positively influence their final adherence to their treatment.
