Manuel Glauco Carbone, Concetta Polizzi, Maria Maddalena Di Pasqua, Maria Regina Morales, Giovanna Perricone, Gaspare Cucinella, Rosalia Sutera, Sofia Burgio, Giulia Giordano
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引用次数: 0
Abstract
Objective: Therapeutic adherence during pregnancy is critical for maternal and fetal health. This study examines personality traits, sensitivity to stimuli and socio-demographic factors influencing adherence among Italian women with high-risk pregnancies.
Methods: Ninety women from "Villa Sofia-V. Cervello Hospital", in Palermo, Italy, participated. Personality traits were assessed via the Personality Inventory (PI), covering Extraversion, Conscientiousness, Neuroticism, Mental Openness, and Friendliness. Sensitivity to stimuli was evaluated using the Highly Sensitive Person (HSP) Scale, which includes Low Sensory Threshold (LST), Ease of Excitement (EOE), and Aesthetic Sensitivity (AES). Treatment adherence was measured using the Morisky Medication Adherence Scale (MMAS).
Results: Conscientiousness was identified as a positive predictor of medication adherence (OR = 1.08, p = .010), while Mental Openness (OR = 0.81, p = .003) and EOE (OR = 0.92, p = .014) were negative predictors. Higher education levels were associated with better adherence (OR = 2.34, p = .006). Significant occupational differences emerged, with office clerks exhibiting higher adherence compared to housekeepers (OR = 3.18, p = .008). Planned (OR = 0.38, p = .025) and unplanned but wanted pregnancies (OR = 0.42, p = .045) showed lower adherence. Regression analysis indicated that Neuroticism (β = -0.21, p = .032) and EOE (β = -0.28, p = .008) negatively impacted adherence.
Conclusion: Specific personality traits, sensitivity, education, occupation, and pregnancy significantly influence adherence. Tailored interventions that enhance conscientiousness, address mental openness and sensitivity, and consider individual socio-demographic context are needed to promote better adherence and improve maternal and fetal health outcomes in high-risk pregnancies.
期刊介绍：
CNS Spectrums covers all aspects of the clinical neurosciences, neurotherapeutics, and neuropsychopharmacology, particularly those pertinent to the clinician and clinical investigator. The journal features focused, in-depth reviews, perspectives, and original research articles. New therapeutics of all types in psychiatry, mental health, and neurology are emphasized, especially first in man studies, proof of concept studies, and translational basic neuroscience studies. Subject coverage spans the full spectrum of neuropsychiatry, focusing on those crossing traditional boundaries between neurology and psychiatry.
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