Depression, anxiety, perceived stress, and their changes predicted medical adherence over 9 months among patients with coronary heart disease
| Autor: | Hung Yong Tay, Biing Jiun Shen, Yunge Fan |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Longitudinal study Medication adherence Coronary Disease Anxiety 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans 030212 general & internal medicine Longitudinal Studies Applied Psychology Disease prognosis Depression (differential diagnoses) 030505 public health business.industry Depression Mean age General Medicine Middle Aged Coronary heart disease Distress medicine.symptom 0305 other medical science business Stress Psychological |
| Zdroj: | British journal of health psychologyREFERENCES. 26(3) |
| ISSN: | 2044-8287 |
| Popis: | OBJECTIVES Although effective medical treatments have proved to successfully improve prognoses and outcomes of patients with coronary heart disease (CHD), low adherence to treatments is still common among patients. Deleterious impact of psychological distress on medical adherence has been recognized; however, few studies examined the influence of change in psychological distress on attenuation in adherence. This study investigated whether three common manifestations of distress (depression, anxiety, and perceived stress) and their changes predicted decline in medical adherence among CHD patient over 9 months. DESIGN A three-wave longitudinal study. METHODS Participants were 255 CHD patients with a mean age of 63 years. Psychological distress, medication adherence, and specific treatment adherence were assessed at baseline, 3 months, and 9 months. Hierarchical regression analyses were conducted to examine the influences of psychological distress on medical adherence over 9 months. All models were adjusted for baseline medication or specific adherence, demographic, and medical covariates. RESULTS Baseline depression and its changes over time significantly predicted greater decline in both medication adherence (βs = .15-.20, ps |
| Databáze: | OpenAIRE |
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