The psychosocial context impacts medication adherence after acute coronary syndrome.
Ann Behav Med
; 47(2): 158-64, 2014 Apr.
Article
en En
| MEDLINE
| ID: mdl-24163188
ABSTRACT
BACKGROUND:
Depression is associated with poor adherence to medications and worse prognosis in patients with acute coronary syndrome (ACS).PURPOSE:
To determine whether cognitive, behavioral, and/or psychosocial vulnerabilities for depression explain the association between depression and medication adherence among ACS patients.METHODS:
One hundred sixty-nine ACS patients who agreed to have their aspirin adherence measured using an electronic pill bottle for 3 months were enrolled within 1 week of hospitalization. Linear regression was used to determine whether depression vulnerabilities predicted aspirin adherence after adjustment for depressive symptoms, demographics, and comorbidity.RESULTS:
Of the depression vulnerabilities, only role transitions (beta = -3.32; P = 0.02) and interpersonal conflict (beta -3.78; P = 0.03) predicted poor adherence. Depression vulnerabilities did not mediate the association between depressive symptoms and medication adherence.CONCLUSIONS:
Key elements of the psychosocial context preceding the ACS including major role transitions and conflict with close contacts place ACS patients at increased risk for poor medication adherence independent of depressive symptoms.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Depresión
/
Síndrome Coronario Agudo
/
Cumplimiento de la Medicación
/
Relaciones Interpersonales
Tipo de estudio:
Prognostic_studies
Límite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Ann Behav Med
Asunto de la revista:
CIENCIAS DO COMPORTAMENTO
Año:
2014
Tipo del documento:
Article