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Patients' perception of family involvement and its relationship to medication adherence for persons with schizophrenia and schizoaffective disorders

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TypeOfResource
Text
TitleInfo
Title
Patients' perception of family involvement and its relationship to medication adherence for persons with schizophrenia and schizoaffective disorders
Identifier
ETD_2650
Identifier (type = hdl)
http://hdl.rutgers.edu/1782.1/rucore10001600001.ETD.000053415
Identifier (type = doi)
doi:10.7282/T3DF6R88
Language
LanguageTerm (authority = ISO639-2); (type = code)
eng
Genre (authority = marcgt)
theses
Subject (authority = RUETD)
Topic
Social Work
Subject (authority = ETD-LCSH)
Topic
Drugs--Administration
Subject (authority = ETD-LCSH)
Topic
Schizophrenia--Chemotherapy
Subject (authority = ETD-LCSH)
Topic
Schizophrenics--Home care
Subject (authority = ETD-LCSH)
Topic
Families of the mentally ill
Abstract (type = abstract)
It has been a consistent finding in the literature on patients with schizophrenia that poor medication adherence precipitates relapse of psychiatric symptoms. One of the most consistent findings in the research is that patients diagnosed with schizophrenic disorders who have close ties to family members that are critical of them tend to have much higher rates of relapse. The question of how affectionate and/or supportive family relationships impact psychiatric stability remains. This dissertation examined the connection between perception of family relationships and medication adherence among patients with schizophrenia. Utilizing the Rutgers Hospital and Community Survey, this study looked at the follow up surveys of 182 patients who were on oral anti-psychotic medications and who reported at least one family relationship. Data were analyzed using the patients' responses to questions about how they perceive their family relationships as well as their responses about their medication adherence in the previous two weeks and the previous three months. Chi-square and logistic regression were performed, while controlling for age, race, education, gender, Brief Psychiatric Rating Scale scores, Global Assessment Scale scores, side effects, substance abuse, therapeutic alliance, housing status, and objective family involvement scores (which measured the family's involvement behaviors while the patient had been hospitalized). The main hypothesis, that patients who perceive their families to be affectionate and/or high in instrumental support would have higher rates of adherence, was not supported. An objective measure of family involvement (which measured family behaviors such as visitation and participation in treatment when the patient was in the hospital) also did not correlate with medication adherence. This analysis did find that having a substance abuse diagnosis was a predictor of poor medication adherence and that a positive therapeutic alliance, when measured at the three month follow up, was a predictor of medication adherence. Limitations of this follow up treatment study include questionable validity and reliability of self report on both family relationships and medication adherence, loss of statistical power as variables were added into the regression, and possible memory problems related to the diagnosis of schizophrenia since both the illness and possibly the medication regimen may impact memory. However, it is possible, since the objective family involvement score also did not yield a relationship to medication adherence, that positive family relationships do not translate into medication taking behavior.
PhysicalDescription
Form (authority = gmd)
electronic resource
Extent
viii, 149 p. : ill.
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application/pdf
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text/xml
Note (type = degree)
Ph.D.
Note
Includes abstract
Note
Vita
Note (type = bibliography)
Includes bibliographical references
Note (type = statement of responsibility)
by Elaine M. Edelman
Name (type = personal)
NamePart (type = family)
Edelman
NamePart (type = given)
Elaine M.
NamePart (type = date)
1962-
Role
RoleTerm (authority = RULIB)
author
DisplayForm
Elaine Edelman
Name (type = personal)
NamePart (type = family)
Mayers
NamePart (type = given)
Raymond Sanchez
Role
RoleTerm (authority = RULIB)
chair
Affiliation
Advisory Committee
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Raymond Sanchez Mayers
Name (type = personal)
NamePart (type = family)
Akincigil
NamePart (type = given)
Ayse
Role
RoleTerm (authority = RULIB)
internal member
Affiliation
Advisory Committee
DisplayForm
Ayse Akincigil
Name (type = personal)
NamePart (type = family)
Peterson
NamePart (type = given)
N. Andrew
Role
RoleTerm (authority = RULIB)
internal member
Affiliation
Advisory Committee
DisplayForm
N. Andrew Peterson
Name (type = personal)
NamePart (type = family)
Boyer
NamePart (type = given)
Carol
Role
RoleTerm (authority = RULIB)
outside member
Affiliation
Advisory Committee
DisplayForm
Carol Boyer
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
Graduate School - New Brunswick
Role
RoleTerm (authority = RULIB)
school
OriginInfo
DateCreated (qualifier = exact)
2010
DateOther (encoding = w3cdtf); (qualifier = exact); (type = degree)
2010-05
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
RelatedItem (type = host)
TitleInfo
Title
Graduate School - New Brunswick Electronic Theses and Dissertations
Identifier (type = local)
rucore19991600001
Location
PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

RightsDeclaration (AUTHORITY = GS); (ID = rulibRdec0006)
The author owns the copyright to this work.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
RightsHolder (ID = PRH-1); (type = personal)
Name
FamilyName
Edelman
GivenName
Elaine
Role
Copyright Holder
RightsEvent (ID = RE-1); (AUTHORITY = rulib)
Type
Permission or license
DateTime
2010-04-16 23:58:01
AssociatedEntity (ID = AE-1); (AUTHORITY = rulib)
Role
Copyright holder
Name
Elaine Edelman
Affiliation
Rutgers University. Graduate School - New Brunswick
AssociatedObject (ID = AO-1); (AUTHORITY = rulib)
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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Technical

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ETD
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application/pdf
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application/x-tar
FileSize (UNIT = bytes)
1658880
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