A consensus survey of 47 expert opinions on the pharmacologic treatment of psychotic disorders included the following questions:[Kane JM et al., 2003 (1)]

  • Please indicate what proportion of patients with schizophrenia you believe to be adherent, partially adherent, and nonadherent, based on your reading of the treatment literature.[Kane JM et al., 2003 (2)]
  • What proportion of your patients with schizophrenia are adherent, partially adherent, and nonadherent?[Kane JM et al., 2003 (2)]

Clinicians identified their own patients as being approximately >50% more adherent than patients described in the literature, with adherence defined as[Kane JM et al., 2003 (2)]

  • Adherent: only misses occasional doses (<20% of prescribed medication).
  • Partially adherent: misses more than occasional doses (20% to 80% of medication).
  • Nonadherent: misses >80% of medication.

References:
Kane JM, Leucht S, Carpenter D, Docherty JP; Expert Consensus Panel for Optimizing Pharmacologic Treatment of Psychotic Disorders. The expert consensus guideline series. Optimizing pharmacologic treatment of psychotic disorders. Introduction: methods, commentary, and summary. J Clin Psychiatry. 2003; 64(suppl 12): 5-19.

Kane JM, Leucht S, Carpenter D, Doherty JP; Expert Consensus Panel for Optimizing Pharmacologic Treatment of Psychotic Disorders. The expert consensus guideline series. Optimizing pharmacologic treatment of psychotic disorders. Expert survey results and guideline references. J Clin Psychiatry. 2003; 64(suppl 12): 52-94.