Hostname: page-component-78c5997874-v9fdk Total loading time: 0 Render date: 2024-11-13T00:02:31.929Z Has data issue: false hasContentIssue false

Cognitive and behavioural approaches to medication adherence

Published online by Cambridge University Press:  02 January 2018

Rights & Permissions [Opens in a new window]

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

“The desire to take medication is perhaps the greatest feature which distinguishes man from animals.” (Sir William Osler)

Medication non-adherence is a major obstacle to translating treatment efficacy in research settings into effectiveness in clinical practice (Dickson & Kendall, 1986; Scott, 1995). Randomised controlled trials indicate that brief interventions such as cognitive-behavioural educational packages for depression, cognitive therapy for lithium clinic attenders and compliance therapy for people with schizophrenia may be beneficial (Cochran, 1984; Katon et al, 1995; Kemp et al, 1996). However, clinical psychiatry has been surprisingly slow to investigate individual risk factors for medication non-adherence or to use strategies to enhance adherence that have been used extensively in other chronic illness populations.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 1999 

References

Adams, J. & Scott, J. (1999) Predicting medication non-adherence in severe mental disorders. Acta Psychiatrica Scandinavica, in press.Google Scholar
Becker, M. H. & Maimon, L. A. (1975) Sociobehavioural determinants of compliance with health and medical care recommendations. Medical Care, 13, 1024.CrossRefGoogle Scholar
Buchanan, A. (1996) Compliance with Treatment in Schizophrenia. Maudsley Monographs. Hove: Psychology Press.Google Scholar
Cochran, S. (1984) Preventing medication non-compliance in the outpatient treatment of bipolar affective disorder. Journal of Nervous and Mental Diseases, 176, 457464.Google Scholar
Dickson, W. E. & Kendell, R. E. (1986) Does maintenance lithium therapy prevent recurrence of mania under ordinary clinical conditions? Psychological Medicine, 16, 521530.Google Scholar
Goodwin, F. & Jamison, K. (1990) Manic Depressive Illness. Oxford: Oxford University Press.Google Scholar
Haynes, B., Taylor, D. & Sackett, D. (1979) Compliance in Health Care. Baltimore, MD: Johns Hopkins Press.Google Scholar
Horne, R. (1997) Representations of medication and treatment: advances in theory and measurement. In Perceptions of Health and Illness (eds Petrie, K. J. & Weinman, J.) pp. 155188. Amsterdam: Harwood Academic.Google Scholar
Horne, R. & Weinman, J. (1998) Predicting treatment adherence: An overview of theoretical models. In Adherence to Treatment in Medical Conditions (eds Myers, L. and Midence, K.) pp. 113132. Amsterdam: Harwood Academic.Google Scholar
Katon, W., von Korff, M., Lin, E. et al (1995) Collaborative management to achieve treatment guidelines. Journal of American Medical Association, 273, 10261031.Google Scholar
Keck, P., McElroy, B., Strakowski, S. et al (1998) Factors associated with pharmacologic non-compliance in patients with mania. Journal of Clinical Psychiatry, 57, 292297.Google Scholar
Kemp, R., Hayward, P., Applewhaite, G. et al (1996) Compliance therapy in psychotic patients: randomized controlled trial. British Medical Journal, 312, 345349.Google Scholar
Lin, E., von Korff, M., Katon, W. et al (1995) The role of the primary care physician in patients' adherence to antidepressant therapy. Medical Care, 33, 6774.Google Scholar
Myers, E. D. & Branthwaite, A. (1992) Outpatient compliance with antidepressant medication. British Journal of Psychiatry, 160, 8386.Google Scholar
Scott, J. (1995) Psychotherapy for bipolar disorder. British Journal of Psychiatry, 167, 581588.Google Scholar
Scott, J. & Wright, J. (1997) Cognitive therapy for severe mental disorders. In American Psychiatric Association Review of Psychiatry, Vol. 16, pp. 171199. Washington DC: APA Press.Google Scholar
Skelton, J. & Croyle, R. (1991) Mental Representation in Health and Illness. New York: Springer Verlag.Google Scholar
Stephenson, B. J., Rowe, B. H., Haynes, R. B. et al (1993) Is this patient taking the treatment as prescribed? Journal of the American Medical Association, 269, 27792781.Google Scholar
Weinstein, N. D. (1988) The precaution adoption process. Health Psychology, 7, 355386.Google Scholar
Weintraub, M. (1990) Compliance in the elderly. Clinics in Geriatric Medicine, 6, 445452.CrossRefGoogle ScholarPubMed
Wright, E. (1993) Non-compliance – or how many aunts has Matilda? Lancet, 342, 909913.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.