The Cognitive profile of Treatment Compliance

In the psychoses, patient insight is now viewed to be a multi-dimensional concept that comprises several interdependent factors such as illness awareness, symptom appraisal and treatment compliance.

In this project we are examining cognition and compliance in a sample of 274 first-onset psychosis patients. In addition to a more 'traditional' analysis of compliance-cognition associations based on an insight interview and performance on a cognitive test battery we also report on a qualitative analysis of the verbal accounts provided by the patients when asked about their beliefs and attitudes about needs for treatment.

In this study we hope to identify the extent to which different neuropsychological processes such as fronto-executive functioning are aligned with the more complex attitude-behaviour profiles rather than a simple uni-dimensional measure of compliance.