Susanne Jaeger1, Sabine Weißhaupt2, Erich Flammer2, Tilman Steinert2. 1. Department of Psychiatry and Psychotherapy I, Ulm University, ZfP Suedwuerttemberg, Health Services Research Unit, Weissenau, Germany. susanne.jaeger@zfp-zentrum.de. 2. Department of Psychiatry and Psychotherapy I, Ulm University, ZfP Suedwuerttemberg, Health Services Research Unit, Weissenau, Germany.
Abstract
OBJECTIVES: To examine the interactions among the different dimensions of the health locus of control (HLC), the patient-doctor relationship and medication adherence in patients with schizophrenia. METHODS: In a cross-sectional design, 69 chronically ill schizophrenia outpatients were assessed by established self-rating scales. The statistical analyses were based on multiple regression models. RESULTS: Patients' ratings of the therapeutic relationship and the powerful others dimension of the HLC were significantly correlated with medication adherence. The effect of the powerful others HLC on adherence was mediated by therapeutic relationship. CONCLUSIONS: A trustful working alliance between therapists and patients is supportive for medication adherence in patients with schizophrenia.
OBJECTIVES: To examine the interactions among the different dimensions of the health locus of control (HLC), the patient-doctor relationship and medication adherence in patients with schizophrenia. METHODS: In a cross-sectional design, 69 chronically ill schizophrenia outpatients were assessed by established self-rating scales. The statistical analyses were based on multiple regression models. RESULTS:Patients' ratings of the therapeutic relationship and the powerful others dimension of the HLC were significantly correlated with medication adherence. The effect of the powerful others HLC on adherence was mediated by therapeutic relationship. CONCLUSIONS: A trustful working alliance between therapists and patients is supportive for medication adherence in patients with schizophrenia.
Authors: Clarissa Hsu; Stephanie Cruz; Hilary Placzek; Michelle Chapdelaine; Sara Levin; Fabiola Gutierrez; Sara Standish; Ian Maki; Mary Carl; Miriam Rosa Orantes; Duffy Newman; Allen Cheadle Journal: J Gen Intern Med Date: 2019-12-02 Impact factor: 5.128