• Atencion primaria · Aug 2014

    Observational Study

    [Adherence to patients antidepressant treatment and the factors associated of non-compiance].

    • Ignacio Párraga Martínez, Jesús López-Torres Hidalgo, José M del Campo del Campo, Alejandro Villena Ferrer, Susana Morena Rayo, Francisco Escobar Rabadán, and en representación del Grupo ADSCAMFYC.
    • Centro de Salud de La Roda, Servicio de Salud de Castilla-La Mancha, La Roda, Albacete, España. Electronic address: iparraga@sescam.jccm.es.
    • Aten Primaria. 2014 Aug 1; 46 (7): 357366357-66.

    ObjectiveTo know the adherence to treatment in patients who initiate antidepressant drugs and to analyze the determinant factors of non-compliance, so much clinical as sociodemographic.DesignProspective longitudinal observational study.LocationPrimary Health Care and Mental Health Surgeries of three Castilla-La Mancha Areas.Participants185 adults patients who were started in antidepressant treatment were evaluated.MeasurementsTreatment adherence (test Haynes-Sackett, test Morisky-Green, count of tablets and MEMS), adverse effects, intensity of depressive symptoms, sociodemographic characteristics and other characteristics related to antidepressants or participants.ResultsAfter 6months of beginning antidepressing treatment, 46.9% (95%IC: 36.5-57.3) showed an inadequate fulfilment by pill count method and 28.6% (95%IC: 19.1-38.0) with Morisky-Green's questionnaire. To 15 days the lack of adherence was 48.5% (95%IC: 40.6-56.4) and of 33.5% (95%IC: 26.1-41.0). The 38.4% (95%IC: 31.1-45.7) demonstrated some side effect during the follow-up. Using proportional risk model of Cox the variables related to compliance were: younger age, level of instruction lower than secondary studies, free medicines for pensioner, no psychotherapeutic treatment, consume a fewer antidepressants drugs and a frequency ≤ 3 visits to the family doctor 3 months previous to the study.ConclusionsThe non-compliance of antidepressant treatment in primary care is high from the first weeks after initiating it. The conditioning factors are related to sociodemographic characteristics and other patient characteristics as type of financing of pharmaceutical benefit and frequentness at primary care.Copyright © 2013 Elsevier España, S.L.U. All rights reserved.

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