Treatment Adherence in Patients with Mental Illnesses: The Effect of Stigma and Spirituality
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.
3
4. Associate Professor, Chronic Diseases (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
4
3. Modeling of Noncommunicable Diseseases 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
Corresponding author
Efat Sadeghian
4. Associate Professor, Chronic Diseases (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
4. Associate Professor, Chronic Diseases (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
Arch Psych Psych 2021;23(4):32–45
KEYWORDS
TOPICS
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
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
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Project no. RCN/SN/0189/2021/1 implemented from 2022 to 2024
Total value of the project: PLN 200 000
Amount funded by the MEiN: PLN 80 000
Aims of the project: Publication in Open Access mode on the Internet of 8 consecutive issues of the journal Archives of Psychiatry and Psychotherapy (years 2022-2024). Modernization and redesign of the journal’s website. Financing of the Editorial System. Copy editing and proofreading of journal issues. Counteracting scientific misinformation. Submission of electronic versions of the journal to the National Digital Library Polona and the Digital Library of Scientific Publications Academica.
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