Patients' with schizophrenia spectrum and affective spectrum disorders satisfaction correlation with compliance to treatment after discharge

The study was conducted after the adaptation process of the PIPEQ-OS (Psychiatric Inpatient Patients Experience questionnaire on-site) tool. There were no studies in Latvia on an exploration of adult patients’ satisfaction correlation with compliance ratios among mental health care patients.  The aim of the study was to determine patients’ satisfaction with the quality of health care in the psychiatric acute and subacute wards and to explore satisfaction correlation with compliance to treatment. A cross-sectional study was conducted over 12 months period in 2018. The total amount of 823 patients returned the questionnaire. The descriptive statistic analysis and regression analysis were performed. Spearman correlation coefficient was used for the relationship detection between different indicators in diagnostic groups, satisfaction in questionnaire factors and ratios of compliance. Patients with schizophrenia spectrum disorders showed less satisfaction with care received. In patients with affective spectrum disorders and schizophrenia spectrum disorders, a positive correlation was observed between satisfaction with interaction factor (ρ 0.207, p=0.010; ρ 0.151, p=0.000 as appropriate) and structure and facilities factor (ρ 0.236, p=0.000; ρ 0.184,p=0.001 as appropriate) and frequency of medication use. PIPEQ-OS questionnaire all three factors were identified for poor correlation of satisfaction with the number of subsequent outpatient visits in patients with affective spectrum disorders. A positive correlation was established for all questionnaire factors (interactions (ρ 0.174, p<0.001), structure (ρ 0.086, p<0.001) and outcomes (ρ 0.073, p=0.039)) and further medication use. Higher satisfaction generally correlated with medication use and all three questionnaire factors showed a positive correlation with further medication use. Our findings could be used for improvements in the treatment process in inpatient care facilities. Our results could help to improve compliance in patients with different diagnoses and influence patients' adjustment to the treatment.