Attitudes towards Medication Intake in Patients with Mental Illness are influenced by Their Own and Relatives’ Beliefs about Medication

Q3 Medicine
Bhogaraju Anand, Deenaz Amreen, Anuj Parvathaneni, Anusha Korem, Prashanthi Muchipalli, Shaik Iftikharuddi, Sameena Sultana
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Abstract

Aim: In patients with psychiatric illness, beliefs and attitudes towards psychotropic medications influence their treatment adherence, in turn on treatment outcomes. Purpose: We examined the components of a relative’s beliefs about medication influencing the components of the patient’s beliefs about medication that in turn influences drug taking attitudes. Subjects and Methods: Patients and their relatives attending Psychiatry department who consented were both administered BMQ (Beliefs about Medication questionnaire). For patients, Drug attitude Inventory (DAI) was administered. Medication adherence was ascertained. Pearson’s correlation on the Patient’s BMQ sub-scales, relatives BMQ sub-scales and DAI was done. Multiple linear Regression analysis with Relatives and Patient BMQ sub scale on DAI was done. A mediation analysis to assess strengths of Direct and Indirect effects on the dependent variable as DAI was done. Results: 79 subjects participated in the study. Mediation analysis showed that DAI is directly negatively influenced by the Patient’s BMQ specific concern, coefficient (- 0.99), 95 % CI (-1.44, -0.55) and positively by patient’s BMQ specific necessity coefficient (0.55), 95 % CI (0.22, 0.88). Total indirect effect of Pt. Specific concerns through pt. specific necessity on DAI was coefficient (0.24), 95 % CI (0.05, 0.53). Patient specific concerns are in turn influenced by relatives specific concern, coefficient (0.43), 95 % CI (0.202, 0.507) and relative’s specific necessity, coefficient (0.295, 05 % CI [0.117, 0.387). Conclusion: Patient’s with high concerns about medication have more negative attitude towards medication intake which are in turn influenced by relative’s concerns and need for medication intake. Identification of such targets could help in counseling about medication use.
精神疾病患者对药物摄入的态度受其自身和亲属对药物的信念的影响
目的:在精神病患者中,对精神药物的信念和态度会影响他们的治疗依从性,进而影响治疗效果。目的:我们研究了亲属的用药观念对患者用药观念的影响,而患者的用药观念又会反过来影响患者的服药态度。研究对象和方法:对在精神科就诊并同意的患者及其亲属进行 BMQ(用药信念问卷)调查。对患者进行药物态度量表(DAI)调查。确定服药依从性。对患者的 BMQ 分量表、亲属的 BMQ 分量表和 DAI 进行了皮尔逊相关性分析。对亲属和患者 BMQ 分量表与 DAI 进行了多元线性回归分析。进行了中介分析,以评估对因变量 DAI 的直接和间接影响的强度。结果79名受试者参与了研究。中介分析表明,DAI 受患者 BMQ 特定关注度的直接负面影响,系数为 (- 0.99),95 % CI (-1.44, -0.55);受患者 BMQ 特定必要性的正面影响,系数为 (0.55),95 % CI (0.22, 0.88)。铂金的总间接影响通过患者特定需求对 DAI 的特定关注的间接影响系数为 (0.24),95 % CI (0.05, 0.53)。患者的特殊关注反过来又受到亲属的特殊关注(系数 (0.43),95 % CI (0.202, 0.507))和亲属的特殊需要(系数 (0.295, 05 % CI [0.117, 0.387))的影响。结论高度关注药物治疗的患者对药物摄入持更消极的态度,而这又受到亲属对药物摄入的关注和需求的影响。识别这些目标有助于提供用药咨询。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Archives of Psychiatry Research
Archives of Psychiatry Research Social Sciences-Health (social science)
CiteScore
1.20
自引率
0.00%
发文量
29
审稿时长
21 weeks
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