OBJECTIVE: We examined the prevalence and determinants of the reasons given for non-adherence to psychiatric medication in a representative community survey. METHOD: We used data for all participants taking oral psychotropic medication (n = 634) from the 2000 British Survey of National Psychiatric Morbidity. RESULTS: Of participants interviewed, 217 (34.2%) reported incomplete adherence to their psychiatric medication. Reasons given included forgetting, losing, running out (37.4%); thinking medication unnecessary (24.6%); reluctance to take drugs (18.9%) and side-effects (14.2%). Those giving forgetfulness or side-effects as reasons were younger. Side-effects were reported more frequently by people with a lower IQ or with psychosis. Those taking Selective Serotonin Reuptake Inhibitors were more likely to forget to take their medication. CONCLUSION: Two-fifths of people reported that missing their medication was a decision taken because they did not want it or think it necessary. Side-effects are a relatively uncommon reason for under-medication. Our results have implications for interventions to assist adherence.
OBJECTIVE: We examined the prevalence and determinants of the reasons given for non-adherence to psychiatric medication in a representative community survey. METHOD: We used data for all participants taking oral psychotropic medication (n = 634) from the 2000 British Survey of National Psychiatric Morbidity. RESULTS: Of participants interviewed, 217 (34.2%) reported incomplete adherence to their psychiatric medication. Reasons given included forgetting, losing, running out (37.4%); thinking medication unnecessary (24.6%); reluctance to take drugs (18.9%) and side-effects (14.2%). Those giving forgetfulness or side-effects as reasons were younger. Side-effects were reported more frequently by people with a lower IQ or with psychosis. Those taking Selective Serotonin Reuptake Inhibitors were more likely to forget to take their medication. CONCLUSION: Two-fifths of people reported that missing their medication was a decision taken because they did not want it or think it necessary. Side-effects are a relatively uncommon reason for under-medication. Our results have implications for interventions to assist adherence.
Authors: Adam M Reid; Joseph P H McNamara; Tanya K Murphy; Andrew G Guzick; Eric A Storch; Wayne K Goodman; Gary R Geffken; Regina Bussing Journal: J Psychiatr Res Date: 2015-10-14 Impact factor: 4.791
Authors: Willem Kuyken; Sarah Byford; Richard Byng; Tim Dalgleish; Glyn Lewis; Rod Taylor; Edward R Watkins; Rachel Hayes; Paul Lanham; David Kessler; Nicola Morant; Alison Evans Journal: Trials Date: 2010-10-20 Impact factor: 2.279
Authors: Rita Bauer; Tasha Glenn; Martin Alda; Kemal Sagduyu; Wendy Marsh; Paul Grof; Rodrigo Munoz; Greg Murray; Philipp Ritter; Ute Lewitzka; Emanuel Severus; Peter C Whybrow; Michael Bauer Journal: Int J Bipolar Disord Date: 2013-12-09
Authors: H J Rogier Hoenders; Agna A Bartels-Velthuis; Nina K Vollbehr; Richard Bruggeman; Henderikus Knegtering; Joop T V M de Jong Journal: J Nerv Ment Dis Date: 2018-02 Impact factor: 2.254