Analysis of Medication Adherence Status and Influencing Factors in Adolescents with Major Depressive Episodes.

IF 1 4区医学 Q4 NEUROSCIENCES

Actas espanolas de psiquiatria Pub Date : 2024-08-01 DOI:10.62641/aep.v52i4.1800

Jiacheng Li, Nanshi Li, Hua Sun

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引用次数: 0

Abstract

Background: By analyzing the current status and influencing factors of medication adherence in adolescent patients with major depressive episode, this study aimed to provide more evidence on clinical medication treatment of such patients.

Methods: This was a retrospective study. A total of 218 adolescents with major depressive disorder (MDD) admitted to the mental health center of the First Affiliated Hospital of Guangxi Medical University from June 2022 to June 2023 were selected as the study subjects. The 8-item Morisky Medication Adherence Questionnaire (MAQ-8) was used to group the patients. All of the patients were collected in accordance with general sociological characteristics and disease characteristics. Conducted χ2 test, t-test, and binary logistic regression analysis. p values less than 0.05 indicated statistically significant differences.

Results: A total of 218 adolescents with MDD were included in this study. The average score of MAQ-8 was 4.44 ± 2.09, of which 139 (63.76%) with a score less than 6 were included in the medication non-adherence group. Six to eight points with 79 cases (36.24%) were included in the medication compliance group. Family economic status (odds ratio (OR) = 6.211, 95% confidence interval (CI) 2.761-13.974), family history (OR = 2.298, 95% CI 1.043-5.062), course of diseases (OR = 2.107, 95% CI 1.002-4.429), Beck Depression Inventory (BDI) score (OR = 2.303, 95% CI 1.043-5.084), drug side effects (OR = 7.139, 95% CI 3.257-15.647), attitude to treatment (OR = 2.583, 95% CI 1.221-5.466), and satisfaction with doctors (OR = 2.338, 95% CI 1.08-5.064) were the effect of medication adherence.

Conclusion: Severe depression of adolescent patients with poor medication compliance, as well as influencing factors, including family economic conditions, family history, course of diseases, BDI score, and drug side effects, were clinically investigated to formulate corresponding measures and improve patients' medication adherence.

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分析重度抑郁发作青少年的用药依从性状况和影响因素。

研究背景本研究旨在通过分析青少年重度抑郁症患者服药依从性的现状和影响因素，为此类患者的临床药物治疗提供更多证据：这是一项回顾性研究。选取2022年6月至2023年6月广西医科大学第一附属医院精神卫生中心收治的218名青少年重性抑郁障碍（MDD）患者作为研究对象。采用8项Morisky用药依从性问卷（MAQ-8）对患者进行分组。收集所有患者的一般社会学特征和疾病特征。进行χ2检验、t检验和二元逻辑回归分析，P值小于0.05表示差异有统计学意义：本研究共纳入 218 名患有 MDD 的青少年。MAQ-8平均分为4.44±2.09分，其中139例（63.76%）得分低于6分，被纳入药物治疗不依从组。6-8 分的 79 例（36.24%）被列入用药依从性组。家庭经济状况（几率比（OR）= 6.211，95% 置信区间（CI）2.761-13.974）、家族史（OR = 2.298，95% CI 1.043-5.062）、病程（OR = 2.107，95% CI 1.002-4.429）、贝克抑郁量表（BDI）评分（OR = 2.303，95% CI 1.043-5.084）、药物副作用（OR = 7.139，95% CI 3.257-15.647）、治疗态度（OR = 2.583，95% CI 1.221-5.466）和对医生的满意度（OR = 2.338，95% CI 1.08-5.064）是药物治疗依从性的影响因素：结论：对服药依从性差的青少年重度抑郁症患者及其家庭经济条件、家族史、病程、BDI评分、药物副作用等影响因素进行临床研究，以制定相应措施，提高患者的服药依从性。

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

Actas espanolas de psiquiatria 医学-精神病学

CiteScore

1.70

自引率

6.70%

发文量

审稿时长

>12 weeks

期刊介绍： Actas Españolas de Psiquiatría publicará de manera preferente trabajos relacionados con investigación clínica en el área de la Psiquiatría, la Psicología Clínica y la Salud Mental.