Dushad Ram1, Adarsh Lakkur Siddappa2, Rajesh Raman3, Basavana Gowdappa Hattur4. 1. Associate Professor, Department of Psychiatry, JSS Medical College and Hospital , Mysore, Karnataka, India . 2. Assistant Professor, Department of Medicine, JSS Medical College and Hospital , Mysore, Karnataka, India . 3. Professor, Department of Psychiatry, JSS Medical College and Hospital , Mysore, Karnataka, India . 4. Professor, Department of Medicine, JSS Medical College and Hospital , Mysore, Karnataka, India .
Abstract
INTRODUCTION: Conceptualization of depression may have bearing on treatment seeking. It may affect adherence behaviour of the patients. AIM: To find out the explanatory models and their relationship with socio-demographic variables and medication adherence in patients with depression. MATERIALS AND METHODS: Fifty-eight consecutive patients with depression in remission were recruited as per selection criteria. Socio-demographic details were collected. Patients were assessed using Mental Distress Explanatory Model Questionnaire (MDEMQ) and Morisky Medication Adherence Scale (MMAS). RESULTS: Significant scores were observed in all dimensions of explanatory models. In the Mann-Whitney U test the patient's marital status (MU=113.500, p=0.05, sig≤0.05, 2-tailed), and family history of mental illness (MU=165.5, p=0.03, sig≤0.05, 2-tailed) had a statistically significant group difference in the score of MDEMQ. In linear regression analysis, four predictors (MDEMQ subscales Stress, Western physiology, Non-Western physiology and Supernatural) had significantly predicted the value of MMAS (R2=0.937, f=153.558, p<0.001). CONCLUSION: Findings of this study suggested that patients with depression harbor multidimensional explanatory model. The levels of explanatory models are inversely associated with levels of medication adherence.
INTRODUCTION: Conceptualization of depression may have bearing on treatment seeking. It may affect adherence behaviour of the patients. AIM: To find out the explanatory models and their relationship with socio-demographic variables and medication adherence in patients with depression. MATERIALS AND METHODS: Fifty-eight consecutive patients with depression in remission were recruited as per selection criteria. Socio-demographic details were collected. Patients were assessed using Mental Distress Explanatory Model Questionnaire (MDEMQ) and Morisky Medication Adherence Scale (MMAS). RESULTS: Significant scores were observed in all dimensions of explanatory models. In the Mann-Whitney U test the patient's marital status (MU=113.500, p=0.05, sig≤0.05, 2-tailed), and family history of mental illness (MU=165.5, p=0.03, sig≤0.05, 2-tailed) had a statistically significant group difference in the score of MDEMQ. In linear regression analysis, four predictors (MDEMQ subscales Stress, Western physiology, Non-Western physiology and Supernatural) had significantly predicted the value of MMAS (R2=0.937, f=153.558, p<0.001). CONCLUSION: Findings of this study suggested that patients with depression harbor multidimensional explanatory model. The levels of explanatory models are inversely associated with levels of medication adherence.
Entities:
Keywords:
Concept formation; Explanatory model; Major depressive disorder
Authors: Ronald C Kessler; Patricia Berglund; Olga Demler; Robert Jin; Doreen Koretz; Kathleen R Merikangas; A John Rush; Ellen E Walters; Philip S Wang Journal: JAMA Date: 2003-06-18 Impact factor: 56.272