Selected psychological aspects and medication adherence in oncological patients

Gruszczyńska, Magdalena; Bąk‐Sosnowska, Monika; Szemik, Szymon

doi:10.1002/cam4.2691

Cited by 10 publications

(12 citation statements)

References 19 publications

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“…This finding is consistent with the results of a study conducted in a group of oncological patients, which confirmed a significant correlation between the level of medication adherence and the use of avoidance-oriented strategies of coping with stress, including the willingness to engage in social relationships [ 16 ].…”

Section: Discussionsupporting

confidence: 91%

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Selected psychological factors and medication adherence in patients with rheumatoid arthritis

Bąk‐Sosnowska¹,

Wyszomirska²,

Daniel‐Sielańczyk³

2021

Reumatologia

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Objectives The aim of the study was to determine the relationship between medication adherence (MA) and selected psychological factors in a group of patients with rheumatoid arthritis (RA). Material and methods The cross-sectional study was conducted in four rheumatology outpatient clinics in Silesia, Poland. The tests used were the Medication Adherence Questionnaire (MAQ), the Multidimensional Health Locus of Control Scale (MHLC), the Coping Inventory for Stressful Situations (CISS), and the Mindful Attention Awareness Scale (MAAS). The analysis involved 106 adult patients diagnosed with RA at least 6 months before, who were prescribed medication, with disease at any stage and with stable comorbidities. Software was used to perform analyses of frequency, basic descriptive statistics, including the Kolmogorov-Smirnov test, Student’s t -test for independent samples, intergroup univariate variance, Pearson’s r correlation coefficient, Spearman’s rank correlation ρ coefficient, Fisher’s exact test and stepwise linear regression. Results Powerful Others Health Locus of Control (PHLC), Internal Health Locus of Control (IHLC) and age of the subjects, F (3, 102) = 8.05; p < 0.001 explained 16.8% of the variation in the adherence level for the entire group. In the group of women PHLC and IHLC, F (2, 80) = 10.04; p < 0.001 were included in the model, which explained 18.1% of variation in MA. PHLC was the most significant factor in the group of women (β = 0.55; p < 0.001) and in the entire group (β = 0.48; p < 0.001). In the group of men, Social Diversion Style (SDS), F (1, 21) = 5.81; p = 0.02 was included in the model, which explained 17.9% of the variation in the MA level. Conclusions The study identified some psychological predictors of adherence, which explained 16.8% of the variability. Factors increasing the likelihood of medication adherence in patients with rheumatoid arthritis include a strong belief in the power of others, low level of internal health locus of control, and advanced age.

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Section: Discussionsupporting

confidence: 91%

“…Studies exploring the relationships between coping strategies and medication adherence are not extensive. For instance, such a study was conducted in a group of oncological patients [ 16 ]. However, no reports analysing this relationship in RA patients have been found.…”

Section: Introductionmentioning

confidence: 99%

Selected psychological factors and medication adherence in patients with rheumatoid arthritis

Bąk‐Sosnowska¹,

Wyszomirska²,

Daniel‐Sielańczyk³

2021

Reumatologia

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“…Nevertheless, education level was significantly associated with the participants’ beliefs about medication which in turn was significantly associated with adherence level. Focus on modifiable predictors including factors related to behavioral aspects [ 35 ], costs [ 36 ], and therapy regimens complexity [ 37 ] has recently increased. Consistent with earlier research findings [ 25 , 27 , 38 , 39 ], patients’ beliefs about diabetes medications was significantly associated with medication adherence in the present study.…”

Section: Discussionmentioning

confidence: 99%

Exploring variables associated with medication non-adherence in patients with type 2 diabetes mellitus

et al. 2021

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Objective This study aims to assess medication adherence and explore its predictors in outpatients with type 2 diabetes. Method This cross-sectional study collected socio-demographics, disease-related information, and different biomedical variables for type 2 diabetes patients attending a Jordanian Diabetes center. The four-item medication adherence scale (4-IMAS) and the beliefs about medications questionnaire (BMQ) which includes necessity and concerns were used. Stepwise backward quartile regression models were conducted to evaluate variables associated with the Necessity and Concerns scores. Stepwise ordinal regression was conducted to evaluate variables associated with adherence. Results 287 diabetic patients participated in the study. Almost half of the participants (46.5%) reported moderate adherence and 12.2% reported low adherence. Significant predictors of the adherence were necessity score (OR = 14.86, p <0.01), concern score (OR = 0.36, p <0.05), and frequency of medication administration (OR = 0.88, p- <0.01). Education was a significant predictor of Necessity and Concerns scores (β = 0.48, -0.2, respectively). Conclusion Simplifying the medication regimen, emphasizing medication necessity and overcoming medication concerns should be targeted in future diabetes intervention programs to improve medication adherence and hence glycemic control among diabetic patients.

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“…For example, it was found that adherent versus non-adherent patients used more active coping strategies (i.e., seeking information about illness and therapy), and also reported more diverting (i.e., distracting with something pleasant) and self-encouraging (i.e., seeking success, indulge oneself) behavior [ 21 ]. The results of a study conducted in a group of oncological patients confirmed a significant correlation between the level of medication adherence and the use of avoidance-oriented strategies of coping with stress, including willingness to engage in social relationships [ 22 ]. Additionally, a study in a group of patients with rheumatological diseases showed that a low level of internal health locus of control increased the likelihood of medication adherence [ 23 ].…”

Section: Introductionmentioning

confidence: 95%

The Influence of Selected Psychological Factors on Medication Adherence in Patients with Chronic Diseases

et al. 2022

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Background: Insufficient adherence to treatment is a relevant problem. This study aims to determine the impact of health locus of control, stress coping style and level of mindfulness on medication adherence in patients with a chronic illness. Methods: The study included 768 people. The diagnostic survey involved the use of: Medication Adherence Questionnaire (MAQ), Multidimensional Health Locus of Control Scale (MHLC), The Coping Inventory for Stressful Situations (CISS), and The Mindful Attention Awareness Scale (MAAS). Results: Participants were divided into two subgroups, i.e., adherent (n = 219) and non-adherent (n = 549). We observed significant differences between the subgroups in age, BMI, sex, place of residence, education, and for all MHLC subscales, two CISS subscales and MAAS. The identified medication adherence variables were: female gender (OR = 1.55), BMI (OR = 0.95), MHLC/Internal (OR = 0.95), CISS/Emotional (OR = 1.03), MAAS (OR = 0.97). Conclusions: A strong internal health locus of control, a higher level of mindfulness and a lower level of emotional-stress coping style increase the likelihood of adherence with medication recommendations in patients with chronic diseases.

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Selected psychological aspects and medication adherence in oncological patients

Cited by 10 publications

References 19 publications

Selected psychological factors and medication adherence in patients with rheumatoid arthritis

Selected psychological factors and medication adherence in patients with rheumatoid arthritis

Exploring variables associated with medication non-adherence in patients with type 2 diabetes mellitus

The Influence of Selected Psychological Factors on Medication Adherence in Patients with Chronic Diseases

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