Adherence to antidepressant treatment.

Adherence to antidepressant treatment.
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DOI:
10.1586/14737175.7.1.57
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发表时间:
2007-01-01
影响因子:
4.3
通讯作者:
Kessing, Lars Vedel
Kessing, Lars Vedel
中科院分区:
医学3区
文献类型:
--
作者:
Hansen, Hanne Vibe;Kessing, Lars Vedel

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抑郁症是一种常见的疾病,具有疼痛症状,并且经常出现社交障碍和生活质量下降。这种疾病往往会持续很长时间,而且症状经常复发。复发的风险和症状的严重程度可以通过正确的抗抑郁药物来降低。然而,药物往往是不够的,无论是在剂量和时间长度。不正确用药的原因有很多,其中最重要的是缺乏治疗依从性。虽然一些服用抗抑郁药物的患者会出现副作用,但这可能不是不成熟停止治疗的最常见原因。近年来研究了其他降低依从性的原因。患者对疾病和抗抑郁药物的信念,包括缺乏对药物需要的信念和对抗抑郁药物依赖的恐惧,对治疗的依从性有很大的影响。
Depression is a common disorder with painful symptoms and, frequently, social impairment and decreased quality of life. The disorder has a tendency to be long lasting, often with frequent recurrence of symptoms. The risk of relapse and the severity of the symptoms may be reduced by correct antidepressant medication. However, the medication is often insufficient, both in respect to dosage and length of time. The reasons for incorrect medication are many, with lack of adherence to treatment being the most important. Although some patients taking antidepressant medication experience side effects, this may not be the most frequent reason for immature discontinuation of treatment. Other reasons for decreased adherence have been investigated in recent years. The patient's beliefs about the disorder and beliefs about antidepressants, including lack of conviction that the medication is needed and fear of dependence of antidepressant medicine, have a great influence on adherence to treatment.