The impact of depressive symptoms and psychosocial factors on medication adherence in cardiovascular disease
The impact of depressive symptoms and psychosocial factors on medication adherence in cardiovascular disease
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DOI：
10.1016/j.pec.2005.01.003
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发表时间：
2006-02-01
影响因子：
3.5
通讯作者：
McElnay, JC
中科院分区：
文献类型：
--
作者：
Bane, C;Hughes, CM;McElnay, JC
目的：探讨抑郁和心理社会因素对心血管疾病患者用药依从性的影响。方法：对122例心血管病门诊患者进行问卷调查，内容包括抑郁测量、对药物的信念、健康心理控制源和用药依从性。结果：14.8%的患者不坚持用药，41.7%的患者有抑郁症状评分。该量表得分较高，药物信念问卷中关于按处方用药的潜在不良反应的强烈关注分与自我报告的不依从性有关。讨论与结论：这些发现表明，心血管患者抑郁症状与某些心理社会因素的关系，可能会对坚持用药产生负面影响。实践意义：鉴于有新的证据表明抑郁症和不坚持用药之间存在联系，医疗保健专业人员在处理心血管患者时应该考虑这一点。(C)2005爱思唯尔爱尔兰有限公司。保留所有权利。
Objective: This study sought to determine the influence of depression and psychosocial factors on medication adherence in cardiovascular disease.Methods: A questionnaire including measures of depression, beliefs about medicines, health locus of control and adherence to medication (self-report) was completed by 122 outpatients attending a cardiac clinic.Results: Analysis revealed that 14.8% of participants were non-adherent with their cardiovascular medication and 41.7% had scores indicative of depressive symptoms as determined by the Center for Epidemiological Studies Depression Scale (CES-D). Higher scores on this scale and strong concern scores on the Beliefs about Medicines Questionnaire about the potential adverse effects of using medication as prescribed were found to be associated with self-reported non-adherence.Discussion and conclusion: These findings imply that the relationship between depressive symptoms in cardiovascular patients, to-ether with certain psychosocial factors, could have negative consequences for adherence to medication. Practice implications: Given that there is emerging evidence to suggest an association between depression and medication non-adherence, healthcare professionals should consider this when dealing with cardiovascular patients. (c) 2005 Elsevier Ireland Ltd. All rights reserved.