American Journal of Applied Psychology
ISSN (Print): 2333-472X ISSN (Online): 2333-4738 Website: http://www.sciepub.com/journal/ajap Editor-in-chief: Apply for this position
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American Journal of Applied Psychology. 2014, 2(5), 104-108
DOI: 10.12691/ajap-2-5-1
Open AccessArticle

Studying the Belief of Borderline Personality Disorder Patient about the Necessity of Medication and the Role of Demographic Factors in Adherence to Treatment

Bani Asad MH1, , Vahdat Shariaat Pana M2 and Hemmati MA1

1Psychiatrist, Faculty Member and Assistant Professor of Islamic Azad University of Tehran

2Director of Psychology Department and Associate Professor of Islamic Azad University of Tehran

Pub. Date: October 12, 2014

Cite this paper:
Bani Asad MH, Vahdat Shariaat Pana M and Hemmati MA. Studying the Belief of Borderline Personality Disorder Patient about the Necessity of Medication and the Role of Demographic Factors in Adherence to Treatment. American Journal of Applied Psychology. 2014; 2(5):104-108. doi: 10.12691/ajap-2-5-1

Abstract

Adherence to appropriate treatment and medicine taking plays a crucial role in the success of treatment especially in treating chronic diseases and total quality in patient as “user- client”. Patient adherence to treatment is dependent on their belief about the necessity of the taking medicine and their concerns over its effects. This paper aims at studying the effect of patient belief about the prescribed medicine and the role of some demographic factors including gender, age and educational level in adherence to disease. This descriptive-analytical via cross-sectional study was done through interviewing 38 patients with border line personality disorder and three valid and reliable questionnaires including demographic, BMQ and Morisky features. Result showed there was a significant and reverse relationship between the patients’ age and their adherence to treatment, but this did not apply to the patient gender. There was a significant and reverse relationship between educational level and adherence to treatment, in patients with a history of violence and history of hospitalized there was also a significant relationship between patient belief in the necessity of prescribed medicine and adherence. So, through demographic features, age was a significant and reverse relationship (P=0.001) to adherence. There was a significant and reverse relationship between educational level and adherence to treatment in two groups of outpatients and patients with a history of violence too. Accordingly the more educated patients adhered less to treatment, there was no significant relationship between adherence to treatment and educational level. Therefore, we concluded applying educational interventions in order to improve patient awareness about medication and their belief on necessity of treatment will promote their health.

Keywords:
adherence to treatment patient belief borderline personality disorder educational level demographic features educated patients

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References:

[1]  Grahame-Smith DG, Aronson JK. Oxford Textbook of Clinical Pharmacology and Drug Therapy. 3rd ed. Oxford: Oxford University Press. 2002; p. 141-5.
 
[2]  Sackett DL, Snow JC. The magnitude of adherence and non-adherence. In: Haynes RB. Taylor DW, Sackett DL, Eds. Compliance in Health Care. Maryland: Johns Hopkins University Press. 1979; p. 207-25.
 
[3]  Adherence to Long-Term Therapies: Evidence for Action. World Health Organization 2003.
 
[4]  Osterberg, L. and Blaschke, T. Adherence to Medication; N. Engl J Med 2005; 353: 487-97.
 
[5]  Smith WE. Role of a pharmacist in improving rational drug therapy as part of the patient care team. Ann Pharmacother. 2007; 41 (2): 330-5.
 
[6]  Osterberg, L. and Blaschke, T. Adherence to Medication; N. Engl J Med 2005; 353: 487-97.
 
[7]  Horne R, Weinman J. Patient's beliefs about prescribed medicines and their role in adherence to treatment in chronic physical illness. J Psychosom Res. 1999; 47 (6): 555-67.
 
[8]  Katzung BG. Basic and Clinical Pharmacology. 9th ed. New York: MackGraw Hill. 2007.
 
[9]  Schoenthaler A, Chaplin W F. Provider communication affects medication adherence in hypertensive African Americans. Patient EducCouns. 2009; 75 (2); 185-91.
 
[10]  Olimpia Pino1, Davide Dazzi, The Role of Collaborative Arrangements on Quality Perception in Ambulatory Care. Recent Experiences in Italy and Implications for Future Research. Sciknow Publications Ltd. DOI: 10.12966/psbr.08.01.2013. PSBR 2013, 1 (3): 34-43.
 
[11]  Landon, B.E., Gill, J. M., Antonelli, R.C., & Rich, E. C. (2010). Prospects for rebuilding primary care using the patient centered medical home. Health Affairs, 29, 827-834.
 
[12]  Source. Reprinted from Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision. Washington, DC, American Psychiatric Association, 2000. Copyright © 2000, American Psychiatric Association.
 
[13]  Nean R, Hammond A. Beliefs about medications: a questionnaire survey of people with rheumatoid arthritis. Rheumatology. 2005; 44 (6): 762-7.
 
[14]  “Beliefs about Medicines Questionnaire” and the correct reference is the following: Horne R, Weinman J, Hankins M. The Beliefs about Medicines Questionnaire: the development and evaluation of a new method for assessing the cognitive representation of medication. Psychol Health 1999; 14: 1-24.
 
[15]  “Morisky Medication Adherence Scale”: Morisky DE, Green LW, Levine DM. Concurrent and predictive validity of a self-reported measure of medication adherence. Med Care. 1986; 24: 67-74.
 
[16]  Jansa M, Hernldezb C, Nuezc M. Multi-dimensional analysis of treatment adherence in patients with multiple chronic conditions. Patient EducCouns. 2010; 81 (2): 161-8.
 
[17]  Davis NJ, Billet HH, Cohen HW, Arnsten JH. Impact of adherence, knowledge, and quality of life on anticoagulation control. Ann Pharmacother. 2005; 39 (4): 632-6.
 
[18]  Pino, O., & Rossini, G. (2012). Perceived organizational stressors and inter-personal relationships as predictors of job satisfaction and well-being among hospital nurses. International Journal of Psychology and Be-havioral Sciences, 2, 196-207.
 
[19]  Maxwell, R. (1984). Quality assessment in health. British Medical Journal, 288, 1470-1472.
 
[20]  Ndetan H, Evans MW Jr, Bae S, Felini M, Rupert R, Singh KP. The health care provider's role and patient compliance to health promotion advice from the user's perspective: analysis of the 2006 National Health Interview Survey data. J Manipulative PhysiolTher. 2010; 33 (6): 413-8.
 
[21]  Mardby A, Akerlind I, Jorgensen T. Beliefs about medicines and self-reported adherence among pharmacy clients. Patient EducCouns. 2007; 69 (1): 158-64.
 
[22]  Leggat E J, Orzol S M. Noncompliance in hemodialysis: Predictors and survival analysis. Am J Kidney Dis. 1998; 3 (1): 139-45.
 
[23]  Gottlieba S, Behara S. Age differences in the adherence to treatment guidelines and outcome in patients with ST-elevation myocardial infarction. Arch GerontolGeriatr. 2011; 52 (1): 118-24.
 
[24]  Gili M, Rosa M, Ferrer V. Psychosocial factors associated with adherence to colorectal cancer screening program. Cancer Detect Prev. 2006; 30 (4): 345-60.
 
[25]  Porteousa T, Francisb J, Bonda C. Temporal stability of beliefs about medicines: Implications for optimising adherence. Patient EducCouns 2000; 79 (2): 225-30.
 
[26]  Unnia E J, Farrisb K B. Unintentional non-adherence and beliefs in medicines in older adults. Patient EducCouns. 2011; 83 (2): 265-8.
 
[27]  Shahkhodabandeh S, Piri Z, Biglo MH, Asadi M. Breast cancer in Iran: Iranian scientists approach to breast cancer researchers in Medline database. Iranian J Breast Dis. 2009; 2 (2): 49-59.
 
[28]  Heydarnia M, Entezari A, MehrabiYad E, Pourpak Z, Moein M. Prevalence of asthma sympthom in Iran: A metha analysis. J Faculty Med. 2007; 31 (3): 217-25.
 
[29]  Khalkhali HR, EbrahimHajizadeh E, AnoushirvanKazeminezhad A. The prediction’s trend of graft survival in renal transplantation with chronic allograft dysfunction. Iranian J Epidemiol. 2010; 6 (2): 25.