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Impact of personality on adherence to and beliefs about ADHD medication, and perceptions of ADHD in adolescents.
BMC Psychiatry ( IF 4.4 ) Pub Date : 2020-03-30 , DOI: 10.1186/s12888-020-02543-x
Maria Emilsson 1 , Per Gustafsson 2, 3 , Gisela Öhnström 2, 3 , Ina Marteinsdottir 4
Affiliation  

Adherence to attention deficit hyperactivity disorder (ADHD) medication can prevent serious consequences, possibly with lifelong effects. Numerous factors have been observed that influence adherent behaviour, but the impact of personality traits has been inadequately explored. The purpose of this study was to explore the associations between personality traits and adherence to ADHD medication, beliefs about the medication, and perceptions of ADHD. Adolescents (n = 99) on ADHD medication were administered: Health-Relevant Personality Traits Five-Factor Inventory, Medication Adherence Report Scale, Beliefs about Medicines Specific and Brief Illness Perceptions Questionnaires. The personality trait Antagonism correlated with adherence behaviour (r = − 0.198, p = 0.005) and perceived personal control of ADHD (r = − 0.269, p = 0.007). Negative Affectivity correlated with beliefs regarding necessity (r = 0.319, p = 0.001), concerns (r = 0.344, p = 0.001), and experienced side effects of medication (r = 0.495, p = 0.001), alongside perceptions regarding duration (r = 0.272, p = 0.007), identity (r = 0.388, p < 0.001), being emotionally affected (r = 0.374, p < 0.01), personal control (r = − 0.287, p = 0.004) and concerns about ADHD (r = 0.465, p < 0.001). Impulsivity correlated with perceived consequences (r = − 0.226, p = 0.0255) and personal control of ADHD (r = − 0.379, p < 0.001). Hedonic Capacity correlated with concerns about medication (r = − 0.218, p = 0.0316) and perceived identification with ADHD (r = − 0.203, p = 0.045). Personality traits are related to adherence, beliefs about ADHD medicines and perceptions of ADHD. Antagonism is associated with adherence, especially intentional non-adherence, while Negative Affectivity correlates with numerous perceptions of ADHD and beliefs about medications. Personality assessments could be useful in the care and treatment of adolescents with ADHD.

中文翻译:

人格对青少年对多动症药物依从性和信念的影响以及对多动症的看法。

坚持注意缺陷多动障碍(ADHD)药物可预防严重后果,可能会终身影响。已经观察到许多因素会影响依从性,但是尚未充分探讨人格特质的影响。这项研究的目的是探讨人格特质与对多动症药物的依从性,对药物的信念以及对多动症的看法之间的联系。接受多动症药物治疗的青少年(n = 99):与健康相关的人格特质五因素调查表,药物依从性报告量表,对药物的特定信念和简短的疾病知觉问卷。人格特质对抗性与依从行为(r = − 0.198,p = 0.005)和对ADHD的个人控制感相关(r = − 0.269,p = 0.007)。负面情感与对必要性的信念(r = 0.319,p = 0.001),担忧(r = 0.344,p = 0.001)和药物的经历性副作用(r = 0.495,p = 0.001)以及对持续时间的看法相关(r = 0.272,p = 0.007),同一性(r = 0.388,p <0.001),受到情感影响(r = 0.374,p <0.01),个人控制(r = − 0.287,p = 0.004)和对ADHD的担忧(r = 0.465,p <0.001)。冲动与感觉到的后果(r = − 0.226,p = 0.0255)和个人控制多动症(r = − 0.379,p <0.001)相关。享乐能力与对药物的担忧(r = − 0.218,p = 0.0316)和对ADHD的认知认同相关(r = − 0.203,p = 0.045)。人格特质与依从性,对多动症药物的信念以及对多动症的看法有关。拮抗作用与依从性有关,尤其是有意的非依从性,而负面情感与对多动症的多种认知和对药物的信念有关。个性评估可能对多动症青少年的护理和治疗有用。
更新日期:2020-04-22
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