Towards the Development of a Cognitive /Health Belief ensample (HBSTraining programme 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 invention . 1Background of the Problem . 3Statement of the Problem . 15Purpose of the deal . 17Definition of Terms . 19Limitations of the Study .202 . delimitate OF THE CENTRAL CHAPTERS 223 . REFERENCES . 24CHAPTER ONEIntroductionBackground of the Problemschizophrenic disorder (Greek word liter entirelyy meaning split straits , the margin often mapd by the lay shrink ) is a severe and a persistent psychiatric chequer modify nearly 1 of the adult population and indeed , put a n economic burden of nearly 45 billion per year with 7 billion in direct discussion cost in the United States (National Co morbidness examine . account of world-wide Psychiatry 51 :8-19 , 1994 . Expectedly , the Government and the medical participation as a whole , is trying its top don to find out ways to prevent requirement of re-hospitalization and to substantiate back the patient to a normal life at the earliest schizophrenic psychosis for the most part strikes soulfulnesss in their late adolescence or early callable 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- decreed and ostracize (Crow , T .J (1980 ) British Medical Journal , 280 , 66-68The supreme symptoms (also cognize as Type I or Acute Schizophrenia ) ar associated with a rise in dopaminergic transmission . These positive symptoms take on delusions , auditory and visual halluci nations and thought dis . These positive sym! ptoms respond surface to neu usageptic treatment since the drugs apply in this treatment ar dopamine antagonists and thus , are reversibleThe ban symptoms (also known as Type II or continuing schizophrenia plainly associated with structural ace abnormalities , include disorganize and disconcerted thoughts , belong-go motivation levels , poor emotional feel 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 to a greater extent with neurobiological theories than they are with the environmental factors These neurobiological theories , especially genetics , play a significant role in the saying 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 afford 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 dot 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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