eISSN: 2084-9885
ISSN: 1896-6764
Neuropsychiatria i Neuropsychologia/Neuropsychiatry and Neuropsychology
Current issue Archive Manuscripts accepted About the journal Editorial board Abstracting and indexing Subscription Contact Instructions for authors Ethical standards and procedures
SCImago Journal & Country Rank
2/2011
vol. 6
 
Share:
Share:
more
 
 
abstract:

Review article
Compliance in anxiety disorders

Rafał Jaeschke
,
Marcin Siwek
,
Dominika Dudek

Neuropsychiatria i Neuropsychologia 2011; 6, 2: 51–59
Online publish date: 2011/09/30
View full text
Get citation
ENW
EndNote
BIB
JabRef, Mendeley
RIS
Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
 
Anxiety disorders are a serious problem in both psychiatric practice and research, affecting about 20% of the general population. This paper highlights the problem of interactions between quality of treatment compliance and the course of anxiety disorders, as well as the outcomes of therapy.

There is a general scarcity of data concerning compliance in anxiety disorders, and coherence of the available evidence is not a rule. Everyday clinical experience suggests that compliance among patients with anxiety disorders is generally satisfactory (the validity of this statement is supported by the results of some trials), but some data indicate that up to 50% of patients belonging to this group are at risk of treatment drop-out. Drop-out rates are higher among people receiving psychotherapy in outpatient settings than among inpatients. Published evidence indicates that the quality of compliance is positively correlated with the outcomes of cognitive-behavioural therapy of panic disorder; the analogous data regarding obsessive-compulsive disorder, social anxiety disorder and generalized anxiety disorder are unclear. Various authors advocate psychoeducation (regardless of the type of disorder) as the best way of enhancing compliance, as ‘knowledge is an important factor in change’.

Compliance with antidepressant treatment seems to be unsatisfactory. Side effects are the most frequent reason for discontinuing or switching antidepressants. Patients with comorbid depressive disorders seem to be more compliant with pharmacotherapy.
keywords:

anxiety disorders, compliance, psychotherapy, pharmacotherapy

Quick links
© 2021 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.
PayU - płatności internetowe