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Cognitive and behavioural approaches to medication adherence

Published online by Cambridge University Press:  02 January 2018

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“The desire to take medication is perhaps the greatest feature which distinguishes man from animals.” (Sir William Osler)

Medication non-adherence is a major obstacle to translating treatment efficacy in research settings into effectiveness in clinical practice (Dickson & Kendall, 1986; Scott, 1995). Randomised controlled trials indicate that brief interventions such as cognitive-behavioural educational packages for depression, cognitive therapy for lithium clinic attenders and compliance therapy for people with schizophrenia may be beneficial (Cochran, 1984; Katon et al, 1995; Kemp et al, 1996). However, clinical psychiatry has been surprisingly slow to investigate individual risk factors for medication non-adherence or to use strategies to enhance adherence that have been used extensively in other chronic illness populations.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 1999 

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