1
|
Tsoumbou-Bakana G, Salihi I, Raoui S, Traore B, Mchichi Alami K, Nani S. Dterminants of medication adherence in Moroccan schzophrenic patients. Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab165.606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
Schizophrenia is a psychiatric condition in which patient adherence is a key issue in its management.
Objectives
To estimate the prevalence and determine the factors associated with medication adherence in patients with schizophrenia.
Methods
This was a cross-sectional study conducted at the psychiatry department of the CHU IBN Rochd of Casablanca among schizophrenic patients followed from May 2019 to January 2020. The sample size was calculated apriori and the measurement of therapeutic compliance and Insight (patients' perception of the disorders related to their pathology) was made thanks to the Medication Adherence Rating Scale (MARS) and the Birchwood insight scale (BIS) respectively. Socio-demographic data and data on the management of schizophrenia were also collected. Statistical analyses were performed with RStudio software and the multivariate analysis method of logistic regression was used. The threshold of significance was set at 5%.
Results
A total of 370 were collected, the median age was 31 years and the most represented class was the over 28 years (26.25%). The female gender represented 28% and the majority was single (72%). Substance abuse was 68.8%, 46% were on dual therapy and 43.2% of patients were on regular follow-up. The prevalence of therapeutic compliance was 25.6% and 30.3% were aware of their pathology. The determinants of medication adherence in the schizophrenic patients included in the final model were: regularity of follow-up (p < 0.001), insight (p < 0.001), number of medications (p = 0.011), history of substance use (p = 0.008), place of residence (p = 0.082).
Conclusions
Therapeutic compliance was low, the knowledge of the factors associated with therapeutic compliance in schizophrenia allows us to put forward hypotheses in order to improve the management of patients.
Key messages
Patient adherence to treatment is important in the management of Schizophrenia. Therapeutic compliance is poor.
Collapse
Affiliation(s)
| | - I Salihi
- Departement of Psychiatry, UHC Ibn Rochd, Casablanca, Morocco
| | - S Raoui
- Departement of Psychiatry, UHC Ibn Rochd, Casablanca, Morocco
| | - B Traore
- Epidemiology Laboratory, Hassan II University, Casablanca, Morocco
| | - K Mchichi Alami
- Departement of Psychiatry, UHC Ibn Rochd, Casablanca, Morocco
| | - S Nani
- Epidemiology Laboratory, Hassan II University, Casablanca, Morocco
| |
Collapse
|
2
|
El Jaddaoui I, Allali M, Raoui S, Sehli S, Habib N, Chaouni B, Al Idrissi N, Benslima N, Maher W, Benrahma H, Hamamouch N, El Bissati K, El Kasmi S, Hamdi S, Bakri Y, Nejjari C, Amzazi S, Ghazal H. A review on current diagnostic techniques for COVID-19. Expert Rev Mol Diagn 2021; 21:141-160. [PMID: 33593219 DOI: 10.1080/14737159.2021.1886927] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
INTRODUCTION SARS-Cov-2 first appeared in Wuhan, China, in December 2019 and spread all over the world soon after that. Given the infectious nature ofSARS-CoV-2, fast and accurate diagnosis tools are important to detect the virus. In this review, we discuss the different diagnostic tests that are currently being implemented in laboratories and provide a description of various COVID-19 kits. AREAS COVERED We summarize molecular techniques that target the viral load, serological methods used for SARS-CoV-2 specific antibodies detection as well as newly developed faster assays for the detection of SARS-COV 2 in various biological samples. EXPERT OPINION In the light of the widespread pandemic, the massive diagnosis of COVID-19, using various detection techniques, appears to be the most effective strategy for monitoring and containing its propagation.
Collapse
Affiliation(s)
- Islam El Jaddaoui
- Laboratory of Human Pathologies Biology, Department of Biology, Faculty of Sciences, and Genomic Center of Human Pathologies, Faculty of Medicine and Pharmacy, University Mohammed V, Rabat, Morocco
| | - Malika Allali
- Laboratory of Human Pathologies Biology, Department of Biology, Faculty of Sciences, and Genomic Center of Human Pathologies, Faculty of Medicine and Pharmacy, University Mohammed V, Rabat, Morocco.,Environmental Health Laboratory, Department of Research, Institut Pasteur Maroc, Casablanca, Morocco
| | - Sanae Raoui
- Laboratory of Human Pathologies Biology, Department of Biology, Faculty of Sciences, and Genomic Center of Human Pathologies, Faculty of Medicine and Pharmacy, University Mohammed V, Rabat, Morocco
| | - Sofia Sehli
- Department of Fundamental Sciences, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco
| | - Nihal Habib
- Department of Fundamental Sciences, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco
| | - Bouchra Chaouni
- , Laboratory of Biotechnology and Plant Physiology, Center of Plant and Microbial Biotechnology, Biodiversity and Environment, Department of Biology, Faculty of Sciences, University Mohammed V, Rabat, Morocco
| | - Najib Al Idrissi
- , Department of Surgery, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco
| | - Najwa Benslima
- Department of Radiology, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco
| | - Wissal Maher
- Research Center, Abulcasis University of Health Sciences, Rabat, Morocco
| | - Houda Benrahma
- Department of Fundamental Sciences, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco
| | - Noureddine Hamamouch
- , Laboratory of Biotechnology and Plant Physiology, Center of Plant and Microbial Biotechnology, Biodiversity and Environment, Department of Biology, Faculty of Sciences, University Mohammed V, Rabat, Morocco
| | - Kamal El Bissati
- Coalition Center for Innovation and Prevention of Epidemies in Morocco (CIPEM), Mohammed VI Polytechnical University (UM6P), Ben Guerir, Morocco
| | - Sahar El Kasmi
- Faculty of Scineces, University Mohammed V, Rabat, Morocco
| | - Salsabil Hamdi
- Environmental Health Laboratory, Department of Research, Institut Pasteur Maroc, Casablanca, Morocco
| | - Youssef Bakri
- Laboratory of Human Pathologies Biology, Department of Biology, Faculty of Sciences, and Genomic Center of Human Pathologies, Faculty of Medicine and Pharmacy, University Mohammed V, Rabat, Morocco
| | - Chakib Nejjari
- Department of Epidemiology and Biostatistics, International School of Public Health, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.,Department of Epidemiology and Public Health, Faculty of Medicine, University Sidi Mohammed Ben Abdellah, Fez, Morocco
| | - Saaïd Amzazi
- Laboratory of Human Pathologies Biology, Department of Biology, Faculty of Sciences, and Genomic Center of Human Pathologies, Faculty of Medicine and Pharmacy, University Mohammed V, Rabat, Morocco
| | - Hassan Ghazal
- Department of Fundamental Sciences, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.,Scientific Department, National Center for Scientific and Technical Research (CNRST),Rabat, Morocco
| |
Collapse
|