Positive psychological determinants of treatment adherence among primary care patients
Patient adherence to medical treatment recommendations can affect disease prognosis, and may be beneficially or deleteriously influenced by psychological factors. Aim We examined the relationships between both adaptive and maladaptive psychological factors and treatment adherence among a sample of p...
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| Veröffentlicht in: | Primary health care research & development 2015-07, Vol.16 (4), p.398-406 |
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| creator | Nsamenang, Sheri A. Hirsch, Jameson K. |
| description | Patient adherence to medical treatment recommendations can affect disease prognosis, and may be beneficially or deleteriously influenced by psychological factors. Aim We examined the relationships between both adaptive and maladaptive psychological factors and treatment adherence among a sample of primary care patients.
One hundred and one rural, primary care patients completed the Life Orientation Test-Revised, Trait Hope Scale, Future Orientation Scale, NEO-FFI Personality Inventory (measuring positive and negative affect), and Medical Outcomes Study General Adherence Scale.
In independent models, positive affect, optimism, hope, and future orientation were beneficially associated with treatment adherence, whereas pessimism and negative affect were negatively related to adherence. In multivariate models, only negative affect, optimism and hope remained significant and, in a comparative model, trait hope was most robustly associated with treatment adherence.
Therapeutically, addressing negative emotions and expectancies, while simultaneously bolstering motivational and goal-directed attributes, may improve adherence to treatment regimens. |
| doi_str_mv | 10.1017/S1463423614000292 |
| format | Article |
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One hundred and one rural, primary care patients completed the Life Orientation Test-Revised, Trait Hope Scale, Future Orientation Scale, NEO-FFI Personality Inventory (measuring positive and negative affect), and Medical Outcomes Study General Adherence Scale.
In independent models, positive affect, optimism, hope, and future orientation were beneficially associated with treatment adherence, whereas pessimism and negative affect were negatively related to adherence. In multivariate models, only negative affect, optimism and hope remained significant and, in a comparative model, trait hope was most robustly associated with treatment adherence.
Therapeutically, addressing negative emotions and expectancies, while simultaneously bolstering motivational and goal-directed attributes, may improve adherence to treatment regimens.</description><identifier>ISSN: 1463-4236</identifier><identifier>EISSN: 1477-1128</identifier><identifier>DOI: 10.1017/S1463423614000292</identifier><identifier>PMID: 25158934</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adaptation, Psychological ; Adolescent ; Adult ; Emotions ; Female ; Health behavior ; Health care policy ; Hope ; Humans ; Male ; Middle Aged ; Motivation ; Optimism ; Patient Compliance - psychology ; Patient Compliance - statistics & numerical data ; Patients ; Pessimism ; Primary care ; Primary Health Care - statistics & numerical data ; Quality of life ; Rural Population - statistics & numerical data ; Young Adult</subject><ispartof>Primary health care research & development, 2015-07, Vol.16 (4), p.398-406</ispartof><rights>Cambridge University Press 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c449t-3ff1a63a2f736f37e94a0c4f0eb51d8a4513702f317b698b3018de93e715c4f73</citedby><cites>FETCH-LOGICAL-c449t-3ff1a63a2f736f37e94a0c4f0eb51d8a4513702f317b698b3018de93e715c4f73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25158934$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nsamenang, Sheri A.</creatorcontrib><creatorcontrib>Hirsch, Jameson K.</creatorcontrib><title>Positive psychological determinants of treatment adherence among primary care patients</title><title>Primary health care research & development</title><addtitle>Primary Health Care</addtitle><description>Patient adherence to medical treatment recommendations can affect disease prognosis, and may be beneficially or deleteriously influenced by psychological factors. Aim We examined the relationships between both adaptive and maladaptive psychological factors and treatment adherence among a sample of primary care patients.
One hundred and one rural, primary care patients completed the Life Orientation Test-Revised, Trait Hope Scale, Future Orientation Scale, NEO-FFI Personality Inventory (measuring positive and negative affect), and Medical Outcomes Study General Adherence Scale.
In independent models, positive affect, optimism, hope, and future orientation were beneficially associated with treatment adherence, whereas pessimism and negative affect were negatively related to adherence. In multivariate models, only negative affect, optimism and hope remained significant and, in a comparative model, trait hope was most robustly associated with treatment adherence.
Therapeutically, addressing negative emotions and expectancies, while simultaneously bolstering motivational and goal-directed attributes, may improve adherence to treatment regimens.</description><subject>Adaptation, Psychological</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Emotions</subject><subject>Female</subject><subject>Health behavior</subject><subject>Health care policy</subject><subject>Hope</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Motivation</subject><subject>Optimism</subject><subject>Patient Compliance - psychology</subject><subject>Patient Compliance - statistics & numerical data</subject><subject>Patients</subject><subject>Pessimism</subject><subject>Primary care</subject><subject>Primary Health Care - statistics & numerical data</subject><subject>Quality of life</subject><subject>Rural Population - statistics & numerical data</subject><subject>Young Adult</subject><issn>1463-4236</issn><issn>1477-1128</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkU1LxDAQhoMofv8AL1Lw4qWaSdKkOYr4BYKCH9eStpPdLm2zJlnBf28WVxFFPGUgzzzDzEvIAdAToKBOH0BILhiXICilTLM1sg1CqRyAlevLWvJ8-b9FdkKYUQollWqTbLECilJzsU2e713oYveK2Ty8NVPXu0nXmD5rMaIfutGMMWTOZtGjiQOOMTPtFD2ODWZmcOMkm_tuMP4ta4xPEhO7BIU9smFNH3B_9e6Sp8uLx_Pr_Pbu6ub87DZvhNAx59aCkdwwq7i0XKEWhjbCUqwLaEsjCuCKMstB1VKXNU8btKg5KigSpvguOf7wzr17WWCI1dCFBvvejOgWoQLFgBdMMPk_KjVl6XBCJ_ToBzpzCz-mRRJV6lKUnC5nwwfVeBeCR1utTlEBrZb5VL_yST2HK_OiHrD96vgMJAF8JTVD7bt2gt9m_6l9B2-umSY</recordid><startdate>20150701</startdate><enddate>20150701</enddate><creator>Nsamenang, Sheri A.</creator><creator>Hirsch, Jameson K.</creator><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>20150701</creationdate><title>Positive psychological determinants of treatment adherence among primary care patients</title><author>Nsamenang, Sheri A. ; 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Aim We examined the relationships between both adaptive and maladaptive psychological factors and treatment adherence among a sample of primary care patients.
One hundred and one rural, primary care patients completed the Life Orientation Test-Revised, Trait Hope Scale, Future Orientation Scale, NEO-FFI Personality Inventory (measuring positive and negative affect), and Medical Outcomes Study General Adherence Scale.
In independent models, positive affect, optimism, hope, and future orientation were beneficially associated with treatment adherence, whereas pessimism and negative affect were negatively related to adherence. In multivariate models, only negative affect, optimism and hope remained significant and, in a comparative model, trait hope was most robustly associated with treatment adherence.
Therapeutically, addressing negative emotions and expectancies, while simultaneously bolstering motivational and goal-directed attributes, may improve adherence to treatment regimens.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>25158934</pmid><doi>10.1017/S1463423614000292</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adaptation, Psychological Adolescent Adult Emotions Female Health behavior Health care policy Hope Humans Male Middle Aged Motivation Optimism Patient Compliance - psychology Patient Compliance - statistics & numerical data Patients Pessimism Primary care Primary Health Care - statistics & numerical data Quality of life Rural Population - statistics & numerical data Young Adult |
| title | Positive psychological determinants of treatment adherence among primary care patients |
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