RT info:eu-repo/semantics/article
T1 Practical Approach to Measuring and Predicting Medication Adherence by Outpatient's SelfReport After More than 10 Years of Research in Psychopharmacology
A1 Cuevas Castresana, Carlos De Las
A1 Lazary, Judit
A1 Pogany, Laszlo
A1 De León, José
A2 Medicina InternaDermatología y Psiquiatría
A2 Adherencia Terapéutica
K1 attitude to health
K1 bipolar disorder
K1 depression
K1 medication adherence
K1 health behavior
K1 psychopharmacology
K1 schizophrenia
AB Schizophrenia, bipolar disorder and major depression are associated with nonadherenceregistered mean fi gures of around 50%, highlighting the relevance of having simpleadherence tools to incorporate into daily clinical practice. For 10 years we have focusedon self-report as an assessment method and have studied thousands of outpatients takingthousands of psychiatric medications in three countries. Measurement of treatmentadherence during use of polypharmacy is a really complex task as patients could adherediff erently to the various medications prescribed, making it essential to assess adherence to each individual medication. This was not possible until the introduction of the Sidorkiewicz Adherence Tool that allows one to separate adherence to each medication, whether poor or not. Health psychologists have developed the Health Belief Model which has not received enough attention by psychiatrists. Based on this model, we have focused on personality styles and specifi c beliefs concerning specifi c medications as possible predictors of poor adherence. We developed the Patient Health Beliefs Questionnaire on Psychiatric Treatmentwhich provides 5 self-reported personality dimensions: negative aspects of medication(pharmacophobia), positive aspects of medication (pharmacophilia), high/low psychological reactance, high/low doctor health locus of control (HLOC) and high/low internal HLOC. Based on the Beliefs about Medicines Questionnaire we have developed a measure of skepticism, defi ned as a patient’s high concern about adverse reaction to an individual medication and a low belief in its necessity. Our research experience based on the tools for assessing and predicting adherence is presented in a practical manner by using seven boxes and examples.
YR 2021
FD 2021
LK http://riull.ull.es/xmlui/handle/915/39642
UL http://riull.ull.es/xmlui/handle/915/39642
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DS Repositorio institucional de la Universidad de La Laguna
RD 22-dic-2024