title: Prevalence of non-adherence among psychiatric patients in Jordan, a cross sectional study.
abstract: BACKGROUND
  It has been estimated that up to 50% of any patient population is at least partially non-adherent to their prescribed treatment. Identifying barriers to adherence is required to develop effective interventions for psychiatric patients.
  
  
  OBJECTIVE
  To explore the prevalence and factors of non-adherence among psychiatric patients present at four psychiatric clinics.
  
  
  METHODS
  A cross-sectional questionnaire-based study. A sample of psychiatric patients attending outpatient psychiatric clinics was enrolled between March and April 2011.
  
  
  RESULTS
  A total of 243 psychiatric patients took part in this study with the majority of patients (92.5%) being prescribed more than one psychiatric disorder. The majority (64.2%) of the patients was classified as non-adherent according to the Morisky adherence questionnaire and forgetfulness was the most prevalent reason for that.
  
  
  CONCLUSIONS
  Non-adherence is a common and important issue among psychiatric patients. Polypharmacy, safety concerns and lack of insight towards the prescribed treatment were reported as the main reasons of non-adherence.
authors.affiliation: Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan.
authors.forename: Tareq L
authors.initials: TL
authors.lastname: Mukattash
authors.affiliation: Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan.
authors.forename: Karem H
authors.initials: KH
authors.lastname: Alzoubi
authors.affiliation: Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan.
authors.forename: Ejlal
authors.initials: E
authors.lastname: Abu El-Rub
authors.affiliation: Department of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, Amman, Jordan.
authors.forename: Anan S
authors.initials: AS
authors.lastname: Jarab
authors.affiliation: Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan.
authors.forename: Sayer I
authors.initials: SI
authors.lastname: Al-Azzam
authors.affiliation: Faculty of Pharmacy, AlQuds University, Jerusalem, Palestine.
authors.forename: Maher
authors.initials: M
authors.lastname: Khdour
authors.affiliation: Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan.
authors.forename: Mohd
authors.initials: M
authors.lastname: Shara
authors.affiliation: EPICORE Centre Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Yazid N
authors.initials: YN
authors.lastname: Al Hamarneh
mesh_terms: D000328:Adult; D000553:Ambulatory Care / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007597:Jordan; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D055815:Young Adult; D016903:Drug Monitoring
keywords: adherence; patient behaviour; pharmaceutical care; psychiatric medicines; psychiatric patient