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Cited by 47Medication Adherence and ComplianceFamily Caregiving in Mental IllnessMental Health Treatment and Access

Family involvement, medication adherence, and depression outcomes among patients in veterans affairs primary care

Bolkan, Cory R., Bonner, Laura M., Campbell, Duncan G., Lanto, Andy, Zivin, Kara, Chaney, Edmund, Rubenstein, Lisa V.·2013·Psychiatric Services
DOI 10.1176/appi.ps.201200160
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Abstract

OBJECTIVE Family involvement and social support are associated with recovery from mental disorders. This project explored how family involvement in health care and social support among depressed veterans in primary care related to medication adherence and depression outcomes. METHODS During a longitudinal telephone survey, 761 Veterans Affairs (VA) primary care patients (mean age=60 years) with probable major depression were asked about depression symptoms, self-reported health, medication adherence, social support, family involvement with care, and satisfaction with clinicians' efforts to involve the patients' families in their care. Follow-up interviews at seven and 18 months assessed depression severity and medication adherence. RESULTS Most participants lived with others (71%) and reported moderately high social support. Most participants (62%) reported being very likely to discuss treatment of a major medical condition with family, but 64% reported that VA providers had not involved the participants' family in their care within the prior six months. In multivariate regression analyses, lower depression severity and better medication adherence over time were significantly linked to higher satisfaction with limited efforts by clinicians to involve families in care. Neither social support nor the extent of family involvement by itself was associated with outcomes. CONCLUSIONS The results suggested a link between patient satisfaction with family involvement by clinicians and clinical outcomes among depressed veterans. In addition, clinician responsiveness to patient wishes may be more important than the amount of family involvement per se. Further research is needed to clarify when and how clinicians should involve a patient's family in depression treatment in primary care.

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  • Therapeutic adherence is described as a fluid process that reinforces collaborative approaches between the patient and the clinician and improves the relationship with professionals, affecting satisfaction with treatment.

    “Some articles described therapeutic adherence as a fluid process that reinforces the collaborative approaches between the patient and the clinician [38,56,76] and improves the relationship with professionals [46], affecting satisfaction with treatment [34,45,62,77,78].”

    From Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis (2023) · cites this paper as [78]

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Authors
Bolkan, C. R., Bonner, L. M., Campbell, D. G., Lanto, A., Zivin, K., Chaney, E., & Rubenstein, L. V.
Affiliations
United States Department of Veterans Affairs (US)
ORCID
Venue
Psychiatric Services
Publisher
American Psychiatric Association Publishing
Published
2013-05
Volume
64
Issue
5
Pages
472-478
ISSN
  • 0022-1597 (ISSN-L)
  • 1075-2730
  • 1557-9700
DOI
10.1176/appi.ps.201200160
OpenAlex
W2117706727
Cited by
47
References
34
Citations by year
2026: 2 · 2025: 1 · 2024: 2 · 2023: 3 · 2022: 1 · 2021: 9 · 2020: 4 · 2018: 4 · 2017: 5 · 2016: 7 · 2015: 4 · 2014: 5
FWCI
4.53
Type
journal article
Language
en
Open access
closed
Locations
  • Psychiatric Services (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health
  • National Institute of Mental Health
Topics
  • Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
  • Social Sciences › Psychology › Clinical Psychology › Family Caregiving in Mental Illness
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
family involvement, medication adherence, depression, veterans, primary care, social support, patient satisfaction, family involvement in care, depression severity, Department of Veterans Affairs
MeSH terms
Adult, Aged, Aged, 80 and over, Depressive Disorder, Family, Female, Humans, Longitudinal Studies, Male, Middle Aged, Primary Health Care, Professional-Family Relations, Severity of Illness Index, Social Support, United States, United States Department of Veterans Affairs, Veterans, Multivariate Analysis, Logistic Models, Treatment Outcome, Drug Monitoring, Patient Satisfaction, Young Adult

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