Risk factors for medication non-adherence among psychiatric patients with substance misuse histories

Stephen Magura, Pedro F. Mateu, Andrew Rosenblum, Harlan Matusow, Chunki Fong

Research output: Contribution to journalArticle in a journalpeer-review

14 Scopus citations

Abstract

Medication non-adherence among psychiatric patients is known to be associated with poorer treatment outcomes. The study examined a comprehensive set of modifiable risk factors for non-adherence in a theoretical framework among a diverse, high-risk sample of psychiatric patients with substance misuse histories (N = 299). Medication side effects and excessive alcohol use were related to lower medication adherence, and higher motivation for mental health treatment and recovery support were related to greater adherence. The results suggest that a multifaceted model for intervention to increase psychiatric medication adherence should be developed and tested.
Original languageEnglish
Pages (from-to)381-390
Number of pages10
JournalMental Health and Substance Use: Dual Diagnosis
Volume7
Issue number4
DOIs
StatePublished - 1 Jan 2014
Externally publishedYes

Keywords

  • adherence
  • medication
  • mental health
  • substance use

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