Differences in Adherence to Antihypertensive Medication Regimens According to Psychiatric Diagnosis: Results of a Korean Population-Based Study

Abstract

Adherence to medication is reduced in patients with various types of psychiatric disorders, usually those accompanied by functional impairment. Effective strategies for improving medication adherence should be tailored to individual levels of function and psychopathology.

Mental health in hypertension: assessing symptoms of anxiety, depression and stress on anti-hypertensive medication adherence

“…As a consequence such patients may be denied comprehensive clinical care which takes their mental health into consideration. Contrary to other studies which observed participants with depression exhibiting a higher likelihood of medication non-adherence [16,20,40], this association was not observed in the current study ( x 2  = 0.004, p  = 0.950) which draws the same conclusion as studies by Schweitzer et al [14] and Corvera-Tindel et al [22]. These studies showed no relationship between the two variables among patients with chronic heart failure.…”

“…Approximately 93% of participants poorly adhered to their anti-hypertensive medications (Table 1). Although previous studies had correlated anxiety and medication adherence [12,14-16] the present study did not observe any significant association between anxiety and adherence ( x 2  = 3.887, p  = 0.421), [(OR) = 1.6 (0.7 – 3.66), p  = 0.262]; yet our findings on the prevalence of anxiety calls for clinicians to take critical action in addressing the negative emotional needs of anxious hypertensive patients (Tables 2, 3 and 4). …”

“…Anxiety and lower adherence rates have been observed for asthma, heart failure, haemodialysis and contraceptive use [12-15], although Kim et al [16] noticed greater adherence among the majority of their patients with anxiety disorder.…”

Role of severity and gender in the association between late-life depression and all-cause mortality

“…Harmful health behaviors may mediate the excess mortality of MDD patients: depression has been associated with greater likelihood of smoking, alcohol and drug abuse, and poor therapeutic compliance for comorbid illnesses (Roeloffs et al, 2001;Dierker et al, 2002;Kim et al, 2010). Harmful health behaviors may mediate the excess mortality of MDD patients: depression has been associated with greater likelihood of smoking, alcohol and drug abuse, and poor therapeutic compliance for comorbid illnesses (Roeloffs et al, 2001;Dierker et al, 2002;Kim et al, 2010).…”

Compliance factors in patients with arterial hypertension (univariate statistical analysis data)

“…Особо следует отметить сообщение о том, что тревож-ные, невротические и соматоформные расстройства чаще наблюдают у комплаентных больных [13]. Это полностью соответствует обнаруженной нами взаимосвязи между приверженностью гипотензивной терапии и тревожными реакциями на заболевание.…”