Factors Influencing Compliance in Schizophrenia Patients
J Clin Psychiatry 2003;64(suppl 16):10-13
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Scientifically, compliance can be expressed as the ratio between an observed treatment behavior
and given treatment standards. Although the factors that influence compliance often overlap or influence
each other, it is possible to differentiate between factors that are related to the patient, the
patient’s environment, the treating clinician, and treatment itself. Although this differentiation is in
some ways artificial, it may aid the practicing clinician in assessing the various reasons why a particular
patient is likely to develop or has already developed compliance problems. The fact that a number
of circumstances and parties are involved in the multifaceted issue of compliance makes it evident
that patients must never be solely blamed for compliance problems. Despite the fact that compliance
behavior is difficult to study from a methodological point of view, the scientific information available
to date does provide many important leads for the engaged clinician to prevent and manage compliance