Factors Associated with Adherence to Follow-up Among Patients with Depressive Disorders in a Collaborative Care Program in Iran
Open Access
- 17 October 2021
- journal article
- research article
- Published by Briefland in Iranian Journal of Psychiatry and Behavioral Sciences
- Vol. In Press (In Press)
- https://doi.org/10.5812/ijpbs.115045
Abstract
Background: This study aimed to investigate factors associated with adherence to follow-up in patients diagnosed with a depressive disorder in the collaborative care program in Tehran between May 2017 to October 2017. Methods: A retrospective cross-sectional study was performed in three community mental health centers (CMHCs) in Tehran. Results: A total of 435 cases were recruited, and their adherence to follow-up rate was 41.6%. According to multivariate regression, being visited in a particular center, having a high school or higher level of education, having a positive family history with effective treatment, taking selective serotonin reuptake inhibitors (SSRIs), experiencing a lower level of perceived mental health before the first visit, and referral to a psychiatrist could predict adherence to follow-up. Patients who had a chief complaint of typical depressive symptoms and those who were employed were less likely to be adherent to follow-up. Conclusions: More population-based studies in various settings and cultures are needed to enhance our knowledge regarding interventions necessary to deliver quality care to depressed patients. Keywords Low- and Middle-income Countries Follow-up Adherence Healthcare Access Depressive DisordersKeywords
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