Treatment Adherence in Patients with Mental Illnesses: The Effect of Stigma and Spirituality
 
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1
Student, Student Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
2
2. Professor, Research Center for Behavioral Disorders and Substance Abuse, Hamadan University of Medical Sciences, Hamadan, Iran.
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4. Associate Professor, Chronic Diseases (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
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3. Modeling of Noncommunicable Diseseases Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
CORRESPONDING AUTHOR
Efat Sadeghian   

4. Associate Professor, Chronic Diseases (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
Submission date: 2020-11-30
Final revision date: 2021-05-26
Acceptance date: 2021-06-02
Online publication date: 2021-12-23
Publication date: 2021-12-23
 
Arch Psych Psych 2021;23(4):32–45
 
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ABSTRACT
Aim of the study:
Treatment nonadherence in patients with mental illnesses recurs and exacerbates the complications of the disease and disrupts the treatment process. Experienced stigma may aggravate treatment nonadherence while spiritual well-being may improve stigma and treatment adherence. This study aimed to determine the relationship of stigma with treatment adherence and spiritual well-being in patients with mental illnesses in Iran in 2019.

Subject or material and methods:
This cross-sectional correlational study was performed on patients with mental illnesses who referred to Farshchian Psychiatry Hospital of Hamadan, from December 2018 to March 2019. A total of 250 available patients were selected and asked to complete demographic, stigma, treatment adherence, and spiritual well-being questionnaires under the supervision of a researcher. Data were analyzed using descriptive statistics and path analysis in SPSS22 and AMOS23.

Results:
Mean stigma, treatment adherence, and spiritual well-being scores were calculated as 2.2±0.5, 139.89±27.52, and 83.12±19.5, respectively. The results showed a significant negative correlation between stigma and treatment adherence (r=-0.54, P<0.001). In addition, there was a significant direct relationship between treatment adherence and spiritual well-being (r=0.44, P<0.001) and a significant negative relationship between stigma and spiritual well-being (r=-0.48, P<0.001)

Discussion:
The results showed a relationship between stigma and treatment adherence, stigma and spiritual well-being, and spiritual well-being and treatment adherence.

Conclusions:
Then can be suggested that treatment teams can improve treatment adherence by undertaking several interventions to reduce stigma and promote spiritual well-being to prevent the adverse individual and social effects of treatment nonadherence

eISSN:2083-828X
ISSN:1509-2046