Psychotropic Medication Adherence and Its Associated Factors Among Schizophrenia Patients: Exploring the Consistency of Adherence Scales

Background and objectiveNon-adherence to psychotropic medication can aggravate an individual's illness, diminish treatment efficacy, or make patients less responsive to future therapeutic interventions. There are several scales available to measure non-adherence to medications. In this study, w...

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Veröffentlicht in:Curēus (Palo Alto, CA) CA), 2023-09, Vol.15 (9), p.e46118-e46118
Hauptverfasser: Ali, Maghzoub M, Taha, Manal M, Ahmed, Anas E, Ali, Suhaila, Baiti, Maisa A, Alhazmi, Atyaf A, Alfaifi, Bushra A, Majrabi, Rania Q, Khormi, Nidaa Q, Hakami, Alyaj A, Alqaari, Rafa A, Alhasani, Raffan A, Abdelwahab, Siddig I
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container_title Curēus (Palo Alto, CA)
container_volume 15
creator Ali, Maghzoub M
Taha, Manal M
Ahmed, Anas E
Ali, Suhaila
Baiti, Maisa A
Alhazmi, Atyaf A
Alfaifi, Bushra A
Majrabi, Rania Q
Khormi, Nidaa Q
Hakami, Alyaj A
Alqaari, Rafa A
Alhasani, Raffan A
Abdelwahab, Siddig I
description Background and objectiveNon-adherence to psychotropic medication can aggravate an individual's illness, diminish treatment efficacy, or make patients less responsive to future therapeutic interventions. There are several scales available to measure non-adherence to medications. In this study, we aimed to measure psychotropic medication adherence and its associated factors among schizophrenic outpatients in Saudi Arabia.MethodologyA cross-sectional study was conducted with a view to measuring psychotropic medication adherence and its associated factors. The Medication Adherence Rating Scale (MARS) and the Drug Attitude Inventory-10 (DAI-10) were translated into Arabic, and their internal consistency was measured. The adjusted odds ratios (AOR) were calculated using logistic regression in the IBM SPSS Statistics software version 23 (IBM Corp., Armonk, NY).ResultsSpearman's rho correlation indicated a negative association between DAI-10 and MARS scores (r = -0.579; p
doi_str_mv 10.7759/cureus.46118
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There are several scales available to measure non-adherence to medications. In this study, we aimed to measure psychotropic medication adherence and its associated factors among schizophrenic outpatients in Saudi Arabia.MethodologyA cross-sectional study was conducted with a view to measuring psychotropic medication adherence and its associated factors. The Medication Adherence Rating Scale (MARS) and the Drug Attitude Inventory-10 (DAI-10) were translated into Arabic, and their internal consistency was measured. The adjusted odds ratios (AOR) were calculated using logistic regression in the IBM SPSS Statistics software version 23 (IBM Corp., Armonk, NY).ResultsSpearman's rho correlation indicated a negative association between DAI-10 and MARS scores (r = -0.579; p&lt;0.05). The Arabic version of MARS was more reliable than DAI-10, as evidenced by Cronbach's alpha value. Of note, 60.20% (n = 59) of the sample demonstrated high adherence levels. The adherence level based on MARS scoring remained unaffected (p&gt;0.05) in terms of gender, age, employment, marital status, educational level, income level, and duration of sickness. These results were obtained by using the multivariate logistic regression model; 89% of respondents reported not using psychiatric drugs given by someone else, despite the adherence rate not affecting this number.ConclusionThe rate of non-adherence to psychotropic treatment was found to be high in our cohort. Hence, it is imperative to develop comprehensive intervention methods targeting the causes of non-adherence to psychiatric medication.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.46118</identifier><language>eng</language><publisher>Palo Alto: Cureus Inc</publisher><subject>Consent ; Data analysis ; Data collection ; Drug abuse ; Mental disorders ; Outpatient care facilities ; Patient compliance ; Pilot projects ; Psychiatry ; Psychology ; Psychotropic drugs ; Public Health ; Questionnaires ; Regression analysis ; Schizophrenia ; Validation studies ; Validity</subject><ispartof>Curēus (Palo Alto, CA), 2023-09, Vol.15 (9), p.e46118-e46118</ispartof><rights>Copyright © 2023, Ali et al. This work is published under https://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2023, Ali et al. 2023 Ali et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c320t-454a07edbeaca8d22c3c432ba0482abc500ee5243dacb665829c81520344b9593</citedby><cites>FETCH-LOGICAL-c320t-454a07edbeaca8d22c3c432ba0482abc500ee5243dacb665829c81520344b9593</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10612138/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10612138/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids></links><search><creatorcontrib>Ali, Maghzoub M</creatorcontrib><creatorcontrib>Taha, Manal M</creatorcontrib><creatorcontrib>Ahmed, Anas E</creatorcontrib><creatorcontrib>Ali, Suhaila</creatorcontrib><creatorcontrib>Baiti, Maisa A</creatorcontrib><creatorcontrib>Alhazmi, Atyaf A</creatorcontrib><creatorcontrib>Alfaifi, Bushra A</creatorcontrib><creatorcontrib>Majrabi, Rania Q</creatorcontrib><creatorcontrib>Khormi, Nidaa Q</creatorcontrib><creatorcontrib>Hakami, Alyaj A</creatorcontrib><creatorcontrib>Alqaari, Rafa A</creatorcontrib><creatorcontrib>Alhasani, Raffan A</creatorcontrib><creatorcontrib>Abdelwahab, Siddig I</creatorcontrib><title>Psychotropic Medication Adherence and Its Associated Factors Among Schizophrenia Patients: Exploring the Consistency of Adherence Scales</title><title>Curēus (Palo Alto, CA)</title><description>Background and objectiveNon-adherence to psychotropic medication can aggravate an individual's illness, diminish treatment efficacy, or make patients less responsive to future therapeutic interventions. There are several scales available to measure non-adherence to medications. In this study, we aimed to measure psychotropic medication adherence and its associated factors among schizophrenic outpatients in Saudi Arabia.MethodologyA cross-sectional study was conducted with a view to measuring psychotropic medication adherence and its associated factors. The Medication Adherence Rating Scale (MARS) and the Drug Attitude Inventory-10 (DAI-10) were translated into Arabic, and their internal consistency was measured. The adjusted odds ratios (AOR) were calculated using logistic regression in the IBM SPSS Statistics software version 23 (IBM Corp., Armonk, NY).ResultsSpearman's rho correlation indicated a negative association between DAI-10 and MARS scores (r = -0.579; p&lt;0.05). The Arabic version of MARS was more reliable than DAI-10, as evidenced by Cronbach's alpha value. Of note, 60.20% (n = 59) of the sample demonstrated high adherence levels. The adherence level based on MARS scoring remained unaffected (p&gt;0.05) in terms of gender, age, employment, marital status, educational level, income level, and duration of sickness. These results were obtained by using the multivariate logistic regression model; 89% of respondents reported not using psychiatric drugs given by someone else, despite the adherence rate not affecting this number.ConclusionThe rate of non-adherence to psychotropic treatment was found to be high in our cohort. 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Taha, Manal M ; Ahmed, Anas E ; Ali, Suhaila ; Baiti, Maisa A ; Alhazmi, Atyaf A ; Alfaifi, Bushra A ; Majrabi, Rania Q ; Khormi, Nidaa Q ; Hakami, Alyaj A ; Alqaari, Rafa A ; Alhasani, Raffan A ; Abdelwahab, Siddig I</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c320t-454a07edbeaca8d22c3c432ba0482abc500ee5243dacb665829c81520344b9593</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Consent</topic><topic>Data analysis</topic><topic>Data collection</topic><topic>Drug abuse</topic><topic>Mental disorders</topic><topic>Outpatient care facilities</topic><topic>Patient compliance</topic><topic>Pilot projects</topic><topic>Psychiatry</topic><topic>Psychology</topic><topic>Psychotropic drugs</topic><topic>Public Health</topic><topic>Questionnaires</topic><topic>Regression analysis</topic><topic>Schizophrenia</topic><topic>Validation studies</topic><topic>Validity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ali, Maghzoub M</creatorcontrib><creatorcontrib>Taha, Manal M</creatorcontrib><creatorcontrib>Ahmed, Anas E</creatorcontrib><creatorcontrib>Ali, Suhaila</creatorcontrib><creatorcontrib>Baiti, Maisa A</creatorcontrib><creatorcontrib>Alhazmi, Atyaf A</creatorcontrib><creatorcontrib>Alfaifi, Bushra A</creatorcontrib><creatorcontrib>Majrabi, Rania Q</creatorcontrib><creatorcontrib>Khormi, Nidaa Q</creatorcontrib><creatorcontrib>Hakami, Alyaj A</creatorcontrib><creatorcontrib>Alqaari, Rafa A</creatorcontrib><creatorcontrib>Alhasani, Raffan A</creatorcontrib><creatorcontrib>Abdelwahab, Siddig I</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; 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There are several scales available to measure non-adherence to medications. In this study, we aimed to measure psychotropic medication adherence and its associated factors among schizophrenic outpatients in Saudi Arabia.MethodologyA cross-sectional study was conducted with a view to measuring psychotropic medication adherence and its associated factors. The Medication Adherence Rating Scale (MARS) and the Drug Attitude Inventory-10 (DAI-10) were translated into Arabic, and their internal consistency was measured. The adjusted odds ratios (AOR) were calculated using logistic regression in the IBM SPSS Statistics software version 23 (IBM Corp., Armonk, NY).ResultsSpearman's rho correlation indicated a negative association between DAI-10 and MARS scores (r = -0.579; p&lt;0.05). The Arabic version of MARS was more reliable than DAI-10, as evidenced by Cronbach's alpha value. Of note, 60.20% (n = 59) of the sample demonstrated high adherence levels. The adherence level based on MARS scoring remained unaffected (p&gt;0.05) in terms of gender, age, employment, marital status, educational level, income level, and duration of sickness. These results were obtained by using the multivariate logistic regression model; 89% of respondents reported not using psychiatric drugs given by someone else, despite the adherence rate not affecting this number.ConclusionThe rate of non-adherence to psychotropic treatment was found to be high in our cohort. Hence, it is imperative to develop comprehensive intervention methods targeting the causes of non-adherence to psychiatric medication.</abstract><cop>Palo Alto</cop><pub>Cureus Inc</pub><doi>10.7759/cureus.46118</doi><oa>free_for_read</oa></addata></record>
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subjects Consent
Data analysis
Data collection
Drug abuse
Mental disorders
Outpatient care facilities
Patient compliance
Pilot projects
Psychiatry
Psychology
Psychotropic drugs
Public Health
Questionnaires
Regression analysis
Schizophrenia
Validation studies
Validity
title Psychotropic Medication Adherence and Its Associated Factors Among Schizophrenia Patients: Exploring the Consistency of Adherence Scales
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