The DOI matches its Crossref record; 38 of the 39 references it cites were found in a registry or an index.
Self-Efficacy Mediates the Relationship Between Depressive Symptoms and Medication Adherence Among Hypertensive African Americans
Abstract
Many studies have documented the negative effects of depression on adherence to recommended treatment; however, little is known about the mechanism underlying this relationship. Using the Kenny and Baron analytic framework of mediation, the authors assessed whether self-efficacy mediated the relationship between depression and medication adherence in 167 hypertensive African Americans followed in a primary care practice. Depressive symptoms are associated with poor medication adherence (β = .013, p = .036) and low self-efficacy (β = —.008, p = .023). Self-efficacy is negatively associated with medication adherence at follow-up (β = —.612, p < .001). The relationship between depressive symptoms and medication adherence becomes nonsignificant when controlling for self-efficacy (β = .010, p = .087). Implications for further examination into the mediating role of self-efficacy and the deleterious effect of depression on medication adherence are discussed.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Moreover, higher levels of self-efficacy can buffer against the effects of depression, which is a major adverse side effect of interferon-based therapies (13;14;34).”
From Reliability and validity of a self‐efficacy instrument for hepatitis C antiviral treatment regimens (2012) · cites this paper as [34]
Citations
Cites
Baron, R. M., & Kenny, D. A. (1986) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.51.6.1173 · Cited by 91,532
Charlson, M. E., Pompei, P., Ales, K. L., & MacKenzie, C. R. (1987) · Journal of Chronic Diseases · doi:10.1016/0021-9681(87)90171-8 · Cited by 49,742
Self-efficacy: Toward a unifying theory of behavioral change
Bandura, A. (1977) · Psychological Review · doi:10.1037/0033-295x.84.2.191 · Cited by 43,925
Chobanian, A. V. (2003) · JAMA · doi:10.1001/jama.289.19.2560 · Cited by 25,386
Asymptotic Confidence Intervals for Indirect Effects in Structural Equation Models
Sobel, M. E. (1982) · Sociological Methodology · doi:10.2307/270723 · Cited by 12,810
Self-efficacy: Toward a unifying theory of behavioral change
Bandura, A. (1978) · Advances in Behaviour Research and Therapy · doi:10.1016/0146-6402(78)90002-4 · Cited by 10,586
Adherence to Long-Term Therapies: Evidence for Action
Geest, S. D., & Sabate, E. J. (2003) · European Journal of Cardiovascular Nursing · doi:10.1016/s1474-5151(03)00091-4 · Cited by 6,310
Concurrent and Predictive Validity of a Self-reported Measure of Medication Adherence
Morisky, D. E., Green, L. W., & Levine, D. M. (1986) · Medical Care · doi:10.1097/00005650-198601000-00007 · Cited by 5,399
Depression. Clinical, Experimental, and Theoretical Aspects.
(1968) · Annals of Internal Medicine · doi:10.7326/0003-4819-68-2-502 · Cited by 5,233
A Simulation Study of Mediated Effect Measures
MacKinnon, D. P., Warsi, G. M., & Dwyer, J. H. (1995) · Multivariate Behavioral Research · doi:10.1207/s15327906mbr3001_3 · Cited by 1,715
Depression and Diabetes: Impact of Depressive Symptoms on Adherence, Function, and Costs
Ciechanowski, P. S., Katon, W. J., & Russo, J. E. (2000) · Archives of Internal Medicine · doi:10.1001/archinte.160.21.3278 · Cited by 1,465
Prevalence, Awareness, Treatment, and Control of Hypertension Among United States Adults 1999–2004
Ong, K. L., Cheung, B. M. Y., Man, Y. B., Lau, C. P., & Lam, K. S. L. (2007) · Hypertension · doi:10.1161/01.hyp.0000252676.46043.18 · Cited by 1,395
Depression: Clinical, Experimental, and Theoretical Aspects
Friedman, S. (1968) · JAMA · doi:10.1001/jama.1968.03140130056023 · Cited by 1,125
O’Leary, A. (1985) · Behaviour Research and Therapy · doi:10.1016/0005-7967(85)90172-x · Cited by 802
Contribution of major diseases to disparities in mortality.
Wong, M. D., Shapiro, M. F., Boscardin, W. J., & Ettner, S. L. (2002) · New England Journal of Medicine · doi:10.1056/nejmsa012979 · Cited by 774
PHYSICAL ACTIVITY AND DEPRESSIVE SYMPTOMS: THE NHANES I EPIDEMIOLOGIC FOLLOW-UP STUDY
Farmer, M. E., Locke, B. Z., Mościcki, E. K., Dannenberg, A. L., Larson, D. B., & Radloff, L. S. (1988) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a115087 · Cited by 560
The Probability Function of the Product of Two Normally Distributed Variables
Aroian, L. A. (1947) · The Annals of Mathematical Statistics · doi:10.1214/aoms/1177730442 · Cited by 535
Racial Disparities in Hypertension Prevalence, Awareness, and Management
Hertz, R. P., Unger, A. N., Cornell, J. A., & Saunders, E. (2005) · Archives of Internal Medicine · doi:10.1001/archinte.165.18.2098 · Cited by 528
Noncompliance with antihypertensive medications
Wang, P. S., Bohn, R. L., Knight, E. L., Glynn, R. J., Mogun, H., & Avorn, J. (2002) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2002.00406.x · Cited by 373
Exploring Self-Efficacy as a Predictor of Disease Management
Clark, N. M., & Dodge, J. A. (1999) · Health Education & Behavior · doi:10.1177/109019819902600107 · Cited by 335
Racial Differences in Blood Pressure Control: Potential Explanatory Factors
Bosworth, H. B., Dudley, T. K., Olsen, M. K., Voils, C. I., Powers, B. J., Goldstein, M. K., & Oddone, E. Ž. (2006) · The American Journal of Medicine · doi:10.1016/j.amjmed.2005.08.019 · Cited by 280
Ogedegbe, G. G., Mancuso, C. A., Allegrante, J. P., & Charlson, M. E. (2003) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(03)00053-2 · Cited by 236
Self-citationCorrelates of nonadherence to hypertension treatment in an inner-city minority population.
Shea, S., Misra, D. P., Ehrlich, M. H., Field, L., & Francis, C. K. (1992) · American Journal of Public Health · doi:10.2105/ajph.82.12.1607 · Cited by 211
The mediation of disability by self efficacy in different samples of chronic pain patients
Arnstein, P. (2000) · Disability and Rehabilitation · doi:10.1080/09638280050200296 · Cited by 191
The effects of depressed mood on smoking cessation: Mediation by postcessation self-efficacy.
Cinciripini, P. M., Wetter, D. W., Fouladi, R. T., Blalock, J. A., Carter, B. L., Cinciripini, L. G., & Baile, W. F. (2003) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.71.2.292 · Cited by 181
The role of adherence in mediating the relationship between depression and health outcomes
Wing, R. R., Phelan, S., & Tate, D. F. (2002) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(02)00315-x · Cited by 146
The contexts of adherence for African Americans with high blood pressure
Rose, L. E., Kim, M. T., Himmelfarb, C. D., & Hill, M. N. (2000) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.2000.01538.x · Cited by 142
Brus, H. L. M., van de Laar, M., Taal, E., Rasker, J. J., & Wiegman, O. (1999) · Patient Education and Counseling · doi:10.1016/s0738-3991(98)00087-1 · Cited by 141
Patient Gender Differences in the Diagnosis of Depression in Primary Care
Bertakis, K. D., Helms, L. J., Callahan, E. J., Azari, R. S., Leigh, P., & Robbins, J. A. (2001) · Journal of Women s Health & Gender-Based Medicine · doi:10.1089/15246090152563579 · Cited by 117
Kobau, R., & DiIorio, C. K. (2003) · Epilepsy & Behavior · doi:10.1016/s1525-5050(03)00057-x · Cited by 116
Depression, substance use, adherence behaviors, and blood pressure in urban hypertensive black men
Kim, M. T., Han, H., Hill, M. N., Rose, L. E., & Roary, M. C. (2003) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm2601_04 · Cited by 112
Improving Patient Compliance: A Major Goal in the Management of Hypertension
Neutel, J. M., & Smith, D. H. G. (2003) · Journal of Clinical Hypertension · doi:10.1111/j.1524-6175.2003.00495.x · Cited by 104
Sacco, W. P., Wells, K. J., Vaughan, C., Friedman, A. L., Perez, S., & Matthew, R. (2005) · Health Psychology · doi:10.1037/0278-6133.24.6.630 · Cited by 103
Effects of Noncardiovascular Comorbidities on Antihypertensive Use in Elderly Hypertensives
Wang, P. S., Avorn, J., Brookhart, M. A., Mogun, H., Schneeweiß, S., Fischer, M. A., & Glynn, R. J. (2005) · Hypertension · doi:10.1161/01.hyp.0000172753.96583.e1 · Cited by 97
Self-efficacy in management of osteoarthritis
Allegrante, J. P., & Marks, R. (2003) · Rheumatic Disease Clinics of North America · doi:10.1016/s0889-857x(03)00060-7 · Cited by 78
Self-citationOgedegbe, G. G., Schoenthaler, A., Richardson, T., Lewis, L. M., BeLue, R., Espinosa, E., Spencer, J. K., Allegrante, J. P., & Charlson, M. E. (2006) · Contemporary Clinical Trials · doi:10.1016/j.cct.2006.04.002 · Cited by 77
Self-citationHypertension-related disease in African Americans
Sowers, J. R., Ferdinand, K. C., Bakris, G. L., & Douglas, J. G. (2002) · Postgraduate Medicine · doi:10.3810/pgm.2002.10.1331 · Cited by 49
Knowledge of Disease and Dietary Compliance in Patients with End-Stage Renal Disease
Katz, R. C., Ashmore, J., Barboa, E. V., et al. (1998) · Psychological Reports · doi:10.2466/pr0.1998.82.1.331 · Cited by 19
Research works printed but not linked: 1
- MacKinnon, D.P., 1995, Erratum. Multivariate Behavioral Research, 30, ii
Cited by
Sorted by citations
Grenard, J. L., Munjas, B. A., Adams, J. L., Suttorp, M., Maglione, M., McGlynn, E. A., & Gellad, W. F. (2011) · Journal of General Internal Medicine · doi:10.1007/s11606-011-1704-y · Cited by 635
Náfrádi, L., Nakamoto, K., & Schulz, P. J. (2017) · PLoS ONE · doi:10.1371/journal.pone.0186458 · Cited by 555
Warren-Findlow, J., Seymour, R. B., & Brunner Huber, L. R. (2012) · Journal of Community Health · doi:10.1007/s10900-011-9410-6 · Cited by 239
“Self-efficacy is also associated with antihypertensive medication adherence [4, 29, 30].”
BackgroundMaeda, U., Shen, B., Schwarz, E. R., Farrell, K. A., & Mallon, S. M. (2012) · International Journal of Behavioral Medicine · doi:10.1007/s12529-011-9215-0 · Cited by 179
“Self-efficacy has also been found to mediate the relationship between depression and adherence in patients with diabetes [49] and hypertension [50].”
BackgroundAlGhurair, S. A., Hughes, C. A., Simpson, S. H., & Guirguis, L. M. (2012) · Journal of Clinical Hypertension · doi:10.1111/j.1751-7176.2012.00699.x · Cited by 161
Metadata
- Authors
- Schoenthaler, A., Ogedegbe, G., & Allegrante, J. P.
- Affiliations
- Columbia University (US)
- Venue
- Health Education & Behavior
- Publisher
- SAGE Publications
- Published
- 2006-11-27
- Volume
- 36
- Issue
- 1
- Pages
- 127-137
- ISSN
- 1090-1981 (ISSN-L)
- 1552-6127
- OpenAlex
- W1995969486
- Cited by
- 139
- References
- 39
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 13 · 2023: 3 · 2022: 6 · 2021: 4 · 2020: 10 · 2019: 5 · 2018: 8 · 2017: 7 · 2016: 11 · 2015: 12 · 2014: 16 · 2013: 6 · 2012: 10
- FWCI
- 0.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Education & Behavior (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service (F31 081926-01)
- National Heart, Lung, and Blood Institute (R24HL076857, R01HL069408)
- Topics
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Keywords
- self-efficacy, depressive symptoms, medication adherence, hypertension, African Americans, mediation, primary care
- MeSH terms
- Analysis of Variance, Antihypertensive Agents, Black or African American, Depression, Female, Humans, Hypertension, Male, Middle Aged, Comorbidity, Self Efficacy, Medication Adherence
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
