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Nonadherence with antidepressant tre...

Madsen, Joshua W.

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Nonadherence with antidepressant treatment: The role of authoritarian vs. collaborative provider communication styles.

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	Nonadherence with antidepressant treatment: The role of authoritarian vs. collaborative provider communication styles./
作者:	Madsen, Joshua W.
面頁冊數:	117 p.
附註:	Adviser: W. Edward Craighead.
Contained By:	Dissertation Abstracts International67-10B.
標題:	Health Sciences, Mental Health. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3239416
ISBN:	9780542942372

Nonadherence with antidepressant treatment: The role of authoritarian vs. collaborative provider communication styles.
Madsen, Joshua W.

Nonadherence with antidepressant treatment: The role of authoritarian vs. collaborative provider communication styles. - 117 p.

Adviser: W. Edward Craighead.

Thesis (Ph.D.)--University of Colorado at Boulder, 2006.

This study prospectively investigated the role of provider collaboration in antidepressant adherence among 48 depressed outpatients beginning treatment (Mean age = 41.4, SD = 12.6). The hypotheses tested in this study were based primarily on principles of interpersonal influence, and included: (a) higher patient-rated collaboration would predict greater adherence at 3, 6, 9, and 12 weeks post-baseline; (b) patient reactance would moderate the collaboration-adherence relationship; (c) and patient-rated provider liking, satisfaction with, and commitment to treatment would each mediate the collaboration-adherence relationship. Predictors were measured via questionnaires following the initiation of antidepressant treatment; adherence was assessed during telephone interviews. Evidence was found to support hypotheses (a) and (b), and satisfaction was a mediator in (c), but only at three weeks post-baseline in all cases. The interaction observed in (b) was such that higher levels of collaboration were associated with greater adherence among patients higher in reactance and lower adherence in less reactant patients. This study suggests that the examination of process variables in pharmacotherapy for MDD is important in predicting adherence, and it challenges the advocacy of more collaboration in antidepressant treatment as a general strategy.

ISBN: 9780542942372Subjects--Topical Terms:

1017693
Health Sciences, Mental Health.

Nonadherence with antidepressant treatment: The role of authoritarian vs. collaborative provider communication styles.
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520 $a This study prospectively investigated the role of provider collaboration in antidepressant adherence among 48 depressed outpatients beginning treatment (Mean age = 41.4, SD = 12.6). The hypotheses tested in this study were based primarily on principles of interpersonal influence, and included: (a) higher patient-rated collaboration would predict greater adherence at 3, 6, 9, and 12 weeks post-baseline; (b) patient reactance would moderate the collaboration-adherence relationship; (c) and patient-rated provider liking, satisfaction with, and commitment to treatment would each mediate the collaboration-adherence relationship. Predictors were measured via questionnaires following the initiation of antidepressant treatment; adherence was assessed during telephone interviews. Evidence was found to support hypotheses (a) and (b), and satisfaction was a mediator in (c), but only at three weeks post-baseline in all cases. The interaction observed in (b) was such that higher levels of collaboration were associated with greater adherence among patients higher in reactance and lower adherence in less reactant patients. This study suggests that the examination of process variables in pharmacotherapy for MDD is important in predicting adherence, and it challenges the advocacy of more collaboration in antidepressant treatment as a general strategy.
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