Akademik Veri Yönetim Sistemi
10th International Congress of Cognitive Psychotherapy, Roma, İtalya, 13 - 15 Mayıs 2021, ss.42-43
INTRODUCTION
Medication adherence has been defined as the extent to which a person’s behavior coincides with the medical advice given. Medication nonadherence is common among patients with schizophrenia spectrum disorders(SSD) due to a variety of factors including including lack of insight,
psychopathology, substance use disorder, issues associated with treatment, stigma and cultural influences. However, whether medication adherence is determined by personality disorders in schizophrenia spectrum
disorders(SSD) remains poorly known. Here, we aimed to assess effects
of personality disorder dysfunctional beliefs upon medication adherence
and clinical features in outpatients with SSD.
METHODS
Cross sectional data were collected. Participants were outpatients who
were using only oral medications with SSD according to DSM-IV. 37 outpatients were enrolled in the study. Patients participated in an interview and
sociodemoghraphic, clinical and treatment variables were collected. The
4- item Morisky Medication Adherence Scale(MMAS) was used to assess
medication adherence. According to MMAS scores, patients’ medication
adherence have been grouped as high, moderate and poor. Personality
disorder dysfunctional beliefs were evaluated by Personality Belief Questionnaire-Short Form (PBQ-SF).
10.45 – 12.15
ROOM 7
Symposium 59
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FRIDAY, 14th May 2021
RESULTS
11(29,7%) outpatients were reported as high, 20(54,1%) outpatients were
reported as moderate and 6(16,2%) outpatients were reported as poor
medication adherence group, respectively. Poor medication adherence
group had higher total personality disorder dysfunctional beliefs scores
than other medication adherence groups. However, no significant association was found between each type of personality disorder dysfunctional
beliefs scores or total personality disorder dysfunctional beliefs scores and
any medication adherence groups. Total number of hospitalization was
significantly asssociated with dependent personality disorder dysfunctional
beliefs (p<0.01) and borderline personality disorder dysfunctional beliefs
(p<0.03). Besides this, number of suicide attempts were significanly related
with dependent personality disorder dysfunctional beliefs (p<0.03).
DISCUSSION
Low medication adherence group showed tendency to have higher total
personality disorder dysfunctional beliefs. This could be an expected finding,
however no significant association was found between total personality
disorder dysfunctional beliefs, each type of type personality disorder dysfunctional beliefs and each type of medication adherence group. Also total
number of hospitalization and total number of suicide attempts were significantly related with some specific personality disorder dysfunctional beliefs.
CONCLUSION
Evaluation and focusing on personality disorder dysfunctional beliefs as
part of psychosocial interventions in SSD outpatients may be useful in medication adherence, reducing number of suicide attempts and hospitalization numbers. However, these results should be evaluated in future studies