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Explaining Attitudes and Adherence to Antipsychotic Medication: The Development of a Process Model

机译：解释抗精神病药物的态度和坚持性：过程模型的发展

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Although nonadherence to antipsychotic medication poses a threat to outcome of medical treatment, the processes preceding the intake behavior have not been investigated sufficiently. This study tests a process model of medication adherence derived from the Health Belief Model which is based on cost-benefit considerations. The model includes an extensive set of potential predictors for medication attitudes and uses these attitudes as a predictor for medication adherence. We conducted an online study of 84 participants with a self-reported psychotic disorder and performed a path analysis. More insight into the need for treatment, a higher attribution of the symptoms to a mental disorder, experience of less negative side effects, presence of biological causal beliefs, and less endorsement of psychological causal beliefs were significant predictors of more positive attitudes towards medication. The results largely supported the postulated process model. Mental health professionals should consider attitudes towards medication and the identified predictors when they address adherence problems with the patient in a shared and informed decision process.
机译：尽管不坚持服用抗精神病药物会威胁到药物治疗的结果，但对摄入行为之前的过程还没有进行充分的研究。这项研究测试了从健康信念模型得出的药物依从性过程模型，该模型基于成本效益考虑。该模型包括一组广泛的药物态度潜在预测因素，并将这些态度用作药物依从性的预测因素。我们对84名患有自我报告的精神病患者进行了在线研究，并进行了路径分析。对治疗需求的更多了解，对精神障碍症状的更高归因，不良副作用较少，存在生物学因果信念以及对心理因果信念的​​认可较少，这些都是对药物态度更加积极的重要预测因素。结果在很大程度上支持了假定的过程模型。精神卫生专业人员在共享和明智的决策过程中解决患者的依从性问题时，应考虑对药物的态度和已确定的预测因素。

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