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Predictors of antidepressant adherence: Results of a Japanese Internet‐based survey
Abstract
Aim: The purpose of the present study was to identify the psychosocial/pharmacological predictors of antidepressant (AD) adherence. Methods: An Internet‐based survey was conducted among 1151 Japanese individuals with major depressive disorder. Subjects were asked to report their degree of non‐adherence for each AD taken using a 5‐point Likert scale: 0, never forget; 1, rarely forget; 2, occasionally forget; 3, sometimes forget; and 4, often forget. The highest number reported among each subject was assigned as their low adherence index (LAI). Individuals with an LAI ≥ 3 were defined as members of the low adherence (LA) group. Predictors of LA was analyzed using bivariate and multivariate models, both among the total number of subjects and single AD subgroup (n = 657). Results: Nearly one‐third of subjects (n = 381, 33.1%) reported LA. On bivariate analysis, LA was associated with lower age, worker or student status (vs unemployed or housewife), higher daily dosing frequency (DDF), low drug satisfaction, and a neutral/negative doctor–patient relationship (DPR; P < 0.001). In a multivariate model, LA was predicted by age (≤34 years: odds ratio [OR], 1.64), worker or student status (OR, 1.87), higher DDF (≥twice daily: OR, 1.61), and neutral/negative DPR (OR, 1.54; P < 0.01). Among the single‐AD subgroup, adherence was similar between those on selective serotonin reuptake inhibitors/serotonin‐noradrenaline reuptake inhibitors and tricyclics. Use of neither medication was associated with adherence in a multivariate model. Conclusion: LA was predicted by lower age, worker or student status, higher DDF, and neutral/negative DPR. Adherence was not significantly different between subjects on newer agents and tricyclics.
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Young age (less than 34 years) patients were more likely to have medication non-adherence in one study.
“Nevertheless, one study [60] reported that young age (less than 34 years) patients were also more likely to have medication non-adherence.”
From Psychotropic medication non-adherence and its associated factors among patients with major psychiatric disorders: A systematic review and meta-analysis (2020) · cites this paper as [60]
Unemployment was associated with medication non-adherence in four studies.
“In four studies, unemployment was one of the factors associated with medication non-adherence [25, 31, 56, 60].”
From Psychotropic medication non-adherence and its associated factors among patients with major psychiatric disorders: A systematic review and meta-analysis (2020) · cites this paper as [60]
Unfriendly, judgmental behavior, inflexible appointment systems, mistrust, and having negative patient-physician relationships were factors associated with patients' psychotropic medication non-adherence in three studies.
“Consequently, unfriendly, judgmental behavior, inflexible appointment systems, mistrust, and having negative patient-physician relationships were the factors associated with patients’ psychotropic mediation non-adherence [28, 30, 60].”
From Psychotropic medication non-adherence and its associated factors among patients with major psychiatric disorders: A systematic review and meta-analysis (2020) · cites this paper as [60]
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Metadata
- Authors
- Shigemura, J., Ogawa, T., Yoshino, A., Sato, Y., & Nomura, S.
- Affiliations
- National Defense Medical College Hospital (JP)
- Corresponding author
- Shigemura, Jun
- Venue
- Psychiatry and Clinical Neurosciences
- Publisher
- Wiley
- Published
- 2010-03-24
- Volume
- 64
- Issue
- 2
- Pages
- 179-186
- ISSN
- 1323-1316 (ISSN-L)
- 1440-1819
- OpenAlex
- W2060173044
- Cited by
- 61
- References
- 27
- Citations by year
- 2026: 1 · 2025: 25 · 2024: 2 · 2022: 1 · 2021: 4 · 2020: 4 · 2019: 3 · 2017: 1 · 2016: 2 · 2015: 4 · 2014: 1 · 2013: 2 · 2012: 7
- FWCI
- 3.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry and Clinical Neurosciences (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- antidepressant adherence, medication non-adherence, major depressive disorder, predictors of adherence, physician-patient relationship, age, employment status, selective serotonin reuptake inhibitors, serotonin-norepinephrine reuptake inhibitors, tricyclic antidepressants, Japanese patients
- MeSH terms
- Adult, Antidepressive Agents, Depressive Disorder, Female, Health Surveys, Humans, Japan, Male, Middle Aged, Surveys and Questionnaires, Drug Monitoring, Patient Satisfaction, Internet
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