Using Motivational Interviewing to promote medication adherence in patients with major depressive disorder

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing Pub Date : 2025-09-02 DOI:10.1016/j.apnu.2025.151968

Ololade Bello , Kelly Kearney

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引用次数: 0

Abstract

Background

Medication non-adherence is common in patients with major depressive disorder (MDD) and leads to high relapse rates. Motivational Interviewing (MI), a patient-centered psychotherapy technique, can improve adherence and has been effective in various psychiatric diagnoses.

Local problem

Despite integrated pharmacotherapy and psychotherapy, high readmission rates persist due to medication non-adherence.

Method

The project, conducted at an outpatient psychiatric center in the United State, involved patients with MDD. The project employed a pretest-posttest design to evaluate the effect of MI.

Implementation

Nurses, nurse practitioners, physicians, and licensed counselors are the key stakeholders in the QI project. MDD patients received four MI sessions, with data collected using the Medication Adherence Rating Scale (MARS).

Results

The post-intervention report showed an average increase of 50 % in the participants' MARS score.

Conclusion

Incorporating MI reduced relapse rates, improved medication adherence, and enhanced communication between patients and providers.

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运用动机性访谈促进重度抑郁症患者的药物依从性

背景：药物不依从性在重度抑郁症（MDD）患者中很常见，并导致高复发率。动机访谈（MI）是一种以患者为中心的心理治疗技术，可以提高依从性，并在各种精神病诊断中有效。局部问题尽管综合药物治疗和心理治疗，但由于药物依从性不高，再入院率仍然很高。该项目在美国一家精神病门诊中心进行，涉及重度抑郁症患者。该项目采用了前测后测设计来评估mi的效果。实施护士、护士从业人员、医生和执业咨询师是QI项目的关键利益相关者。重度抑郁症患者接受四次MI治疗，使用药物依从性评定量表（MARS）收集数据。结果干预后报告显示，参与者的MARS评分平均提高了50%。结论：合并心肌梗死可降低复发率，提高药物依从性，并加强患者与医护人员之间的沟通。

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 Psychiatric Nursing 医学-护理

CiteScore

3.70

自引率

0.00%

发文量

131

审稿时长

160 days

期刊介绍： Archives of Psychiatric Nursing disseminates original, peer-reviewed research that is of interest to psychiatric and mental health care nurses. The field is considered in its broadest perspective, including theory, practice and research applications related to all ages, special populations, settings, and interdisciplinary collaborations in both the public and private sectors. Through critical study, expositions, and review of practice, Archives of Psychiatric Nursing is a medium for clinical scholarship to provide theoretical linkages among diverse areas of practice.