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Mediating roles of adherence attitude and patient education on antidepressant use in patients with depression
Gwo-Ching Sun1, Mei-Chi Hsu, Wendy Moyle
1Graduate Institute of Clinical Medicine, National Cheng Kung University, Department of Anaesthesiology, Yuli Veterans Hospital, Hualien, Taiwan.
Purpose:
The purpose of this study was to examine the roles of adherence attitude to antidepressants and patient education as mediators in mediating patients' attitudes toward antidepressant use.
Design And Methods:
A sample of 201 outpatients, 50 years of age or older, with major depressive disorder, completed a drug use questionnaire, attitudes toward and patient education about antidepressants questionnaire, and Adherence Attitude Inventory.
Findings:
Attitudes toward antidepressants were positively associated to antidepressant use, an association explained by the mediating variable, patient education about antidepressants. Adherence attitudes to antidepressants were a mediator that accounted to a significant degree for the causal relationship between attitudes toward antidepressants and antidepressant use.
Practice Implications:
Adequate patient education and an understanding of patients' adherence attitude to antidepressant use are needed in nursing practice to reduce patients' uncertainty about treatment and increase successful treatment.
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