Factors influencing medication adherence among patients with severe mental disorders from the perspective of mental health professionals
Open accessAbstract
Background: Medication adherence is a common issue influenced by various factors among patients with severe mental disorders worldwide. However, most literature to date has been primarily quantitative and has focused on medication adherence issue from the perspective of patients or their caregivers. Moreover, research focused on medication adherence issue in China is scarce. Present study aims to explore the influential factors of medication adherence among patients with severe mental disorders form the perspective of mental health professionals in Hunan Province, China. Methods: A qualitative study was performed in Hunan Province, China with 31 mental health professionals recruited from October to November 2017. And semi-structured interviews or focus group interviews were conducted along with audio recordings of all interviews. Interview transcripts were then coded and analyzed in Nvivo software with standard qualitative approaches. Results: Three major themes influencing medication adherence among patients with severe mental disorders were identified as: (1) attitudes towards mental disorder/treatment; (2) inadequate aftercare; (3) resource shortages. Conclusions: This qualitative study identified the factors influencing medication adherence among patients with severe mental disorders in China. As a locally driven research study, it provides practical advice on medication adherence promotion for mental health workers and suggests culturally tailored models that improve the management of patients with severe mental disorders in order to reduce economic burden on individual and societal level.
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Nonadherence results in poor outcomes in mental health disorders worldwide.
“Assessing therapeutic adherence in clinical care is essential because nonadherence results in poor outcomes in mental health disorders worldwide [3].”
From Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis (2023) · cites this paper as [3]
Psychiatric community rehabilitation is relevant to treatment adherence.
“Governments should create local community-based mental health services, given the relevance of psychiatric community rehabilitation in treatment adherence [3].”
From Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis (2023) · cites this paper as [3]
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Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis
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- Authors
- Deng, M., Zhai, S., Ouyang, X., Liu, Z., & Ross, B.
- Affiliations
- Second Xiangya Hospital of Central South University (CN)
- McGill University (CA)
- Corresponding author
- Ouyang, Xuan
- Venue
- BMC Psychiatry
- Published
- 2022-01-07
- Volume
- 22
- Issue
- 1
- Pages
- 22-22
- ISSN
- 1471-244X (ISSN-L)
- PMC
- PMC8740063
- OpenAlex
- W4206227204
- Cited by
- 75
- References
- 69
- Citations by year
- 2026: 19 · 2025: 24 · 2024: 18 · 2023: 10 · 2022: 3 · 2021: 1
- FWCI
- 14.72
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Hunan Provincial Innovation Foundation for Postgraduate (CX20190087)
- National Natural Science Foundation of China (81801353, 82071506)
- Topics
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- medication adherence, severe mental illness, mental health professionals' perspectives, attitudes toward mental illness, follow-up care, resource constraints, cultural factors in treatment, China
- MeSH terms
- Mental Disorders, Humans, Mental Health, Caregivers, Qualitative Research, Medication Adherence
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