Adherence To Antipsychotic Medication In The Schizophrenic Popuation

Towards the Development of a Cognitive /Health Belief ensample (HBSTraining Program to Improve Medication adherencein the Schizophrenic PopulationbyFrank L . TornatoreA language ProposalSubmitted in Partial Fulfillmentof the Requirements for the Degree ofDoctor of Philosophy in PsychologyCalifornia border University2005TABLE OF CONTENTSCHAPTER INTRODUCTION . 1Background of the Problem . 3Statement of the Problem . 15Purpose of the deal . 17Definition of Terms . 19Limitations of the Study .202 . OUTLINE OF THE CENTRAL CHAPTERS 223 . REFERENCES . 24CHAPTER ONEIntroductionBackground of the ProblemSchizophrenia (Greek word liter entirelyy meaning split straits , the term often used by the lay shrink ) is a severe and a persistent psychiatric chequer affecting nearly 1 of the adult population and indeed , putting an economic burden of nearly 45 billion annually with 7 billion in direct discussion costs in the United States (National Co morbidness examine . Archives of General Psychiatry 51 :8-19 , 1994 . Expectedly , the Government and the medical community as a whole , is trying its top hat to find out ways to prevent requirement of re-hospitalization and to have back the patient to a normal life at the earliestSchizophrenia generally strikes individuals in their late adolescence or early due date years and results in a partial or nab genial and professional malfunction of the individual . Schizophrenia mickle be divided into two distinct types of symptoms-positive and negative (Crow , T .J (1980 ) British Medical Journal , 280 , 66-68The positive symptoms (also known as Type I or Acute Schizophrenia ) ar associated with a rise in dopaminergic transmission . These positive symptoms take on delusions , auditory and visual hallucinations and thought dis . These positive symptoms respond surface to neuroleptic treatment since the drugs used in this treatment ar dopamine antagonists and thus , are reversibleThe negative symptoms (also known as Type II or Chronic schizophrenia plainly associated with structural ace abnormalities , include disorganized and disconcerted thoughts , get-go motivation levels , poor emotional expression and impaired sense of reality .

These symptoms further result in a social and psychological impairment of the patientIt is believed that the symptoms are associated more with neurobiological theories than they are with the environmental factors These neurobiological theories , especially genetics , play a significant role in the manifestation of the dis . Some environmental factors like street drug use and abnormal family dynamics also play a role in causation the disThe symptoms experienced vary significantly from individual to individual and so does the treatment . Each patient has to undergo a uncommon treatment program based on the symptoms he experiences . A typical treatment program generally includes either all or some of the below mentioned treatmentsPharmacotherapy : Antipsychotic medicines (atypical and typical , which set aside dopamine activity in the mesocortex and mesolimbic dopamine centers in the brain . The dose of medication used is a based on clinical response and dosage titration . The response to medication is about 70 (Kessler RC , McGonagle KA , Zhao S , et al : National Co morbidity Survey . Archives of General Psychiatry 51 :8-19 , 1994Psychological : Includes mental hygiene , Cognitive...If you want to get a full essay, order it on our website: Ordercustompaper.com

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