ABSTRACT

Many youth in residential treatment are being prescribed one or more psychotropic medications with uncertain outcomes regarding the effectiveness of this treatment, especially due to issues with poor medication adherence. Having positive attitudes about psychotropic medications, proper psychoeducation, and ability to discuss these aspects with their mental health providers are all factors associated with better adherence and more positive outcomes overall. This cross-sectional study examines differences in attitudes about medications and self-efficacy to take medications through a mixed model approach using survey data, electronic health record files, and focus groups with a sample of youth in residential treatment (N = 127). Qualitative findings indicate that youth have an overall negative subjective experience with medications, whereas quantitative results found youth who are prescribed medications have significantly more positive attitudes than those who are not prescribed medications. In examining only youth who were currently prescribed psychotropic medication, having more positive attitudes about medications is associated with higher self-efficacy in taking medication, but attitudes, self-efficacy, and number of prescribed medications did not predict their adherence. Results have implications for residential providers and physicians to better support youth around issues relating to their psychotropic medications as well as developing psychoeducational materials.

摘要

许多接受住院治疗的年轻人正在接受一种或多种精神药物的处方，但对于这种疗法的效果尚不确定，尤其是由于药物依从性差的问题。对精神药物持积极态度，适当的心理教育以及与心理健康提供者讨论这些方面的能力都是与更好的依从性和总体上更积极的结果相关的因素。这项横断面研究通过使用调查数据，电子健康记录文件和样本集中在住院治疗的年轻人样本（N = 127），通过混合模型方法研究了对药物和自我效能的态度差异。定性研究结果表明，青少年总体上对药物的主观消极经历是 而定量结果发现，服用非处方药的年轻人比未服用处方药的年轻人态度积极得多。在仅检查当前正在服用精神药物的年轻人时，对药物持较积极的态度与服用药物的自我效能较高有关，但态度，自我效能和所处方药物的数量不能预测其依从性。研究结果对住院医生和医师提供了更好的支持，帮助他们围绕与他们的精神药物有关的问题以及开发心理教育材料提供更好的支持。在仅检查当前正在服用精神药物的年轻人时，对药物持较积极的态度与服用药物的自我效能较高有关，但态度，自我效能和所处方药物的数量不能预测其依从性。研究结果对住院医生和医师提供了更好的支持，帮助他们围绕与他们的精神药物有关的问题以及开发心理教育材料提供更好的支持。在仅检查当前正在服用精神药物的年轻人时，对药物持较积极的态度与服用药物的自我效能较高有关，但态度，自我效能和所处方药物的数量不能预测其依从性。研究结果对住院医生和医师提供了更好的支持，帮助他们围绕与他们的精神药物有关的问题以及开发心理教育材料提供更好的支持。