Factors affecting adherence to psychotropics in trauma-affected refugees: data from a randomized controlled trial
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Factors affecting adherence to psychotropics in trauma-affected refugees : data from a randomized controlled trial. / Sandahl, Hinuga; Lindberg, Laura Glahder; Lykke Mortensen, Erik; Carlsson, Jessica.
In: Journal of Psychiatric Research, Vol. 169, 2024, p. 272-278.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Factors affecting adherence to psychotropics in trauma-affected refugees
T2 - data from a randomized controlled trial
AU - Sandahl, Hinuga
AU - Lindberg, Laura Glahder
AU - Lykke Mortensen, Erik
AU - Carlsson, Jessica
N1 - Publisher Copyright: © 2023 The Authors
PY - 2024
Y1 - 2024
N2 - Non-adherence to psychotropic drugs may reduce treatment effectiveness and may cause exacerbation of illness. Among migrant populations, studies have identified low adherence to psychotropic drugs. This study aimed to identify factors that were associated with the three basic components of adherence: non-initiation, non-implementation (blood sample), and discontinuation in a clinical sample of trauma-affected refugees diagnosed with posttraumatic stress disorder. The data for this study is derived from a randomized controlled trial (n = 108). Based on existing literature, individual sociodemographic and clinical candidate predictor variables that may affect the initiation, continuation, and implementation to psychotropics were selected as exposure variables. Logistic regression was used to assess the risk relation between non-initiation, non-implementation, discontinuation, and the individual sociodemographic and clinical factors. Three factors – level of education, turn-up rate for medical doctor sessions, and discomfort in relation to the psychotropics – were associated with non-initiation, non-implementation, or discontinuation. The relatively small sample size poses a limitation. Furthermore, factors not examined in the current study may have affected non-initiation, non-implementation, and discontinuation. The study identified level of education, turn-up rate for medical doctor sessions, and discomfort in relation to medicine as important factors in relation to treatment with psychotropics in trauma-affected refugees. Factors contributing to a low turn-up rate, and factors that are consequences of a low turn-up rate, as well as communication and trust in the patient-provider interaction need further research attention. Furthermore, there is a need for research on interventions addressing adherence for refugees with mental illness.
AB - Non-adherence to psychotropic drugs may reduce treatment effectiveness and may cause exacerbation of illness. Among migrant populations, studies have identified low adherence to psychotropic drugs. This study aimed to identify factors that were associated with the three basic components of adherence: non-initiation, non-implementation (blood sample), and discontinuation in a clinical sample of trauma-affected refugees diagnosed with posttraumatic stress disorder. The data for this study is derived from a randomized controlled trial (n = 108). Based on existing literature, individual sociodemographic and clinical candidate predictor variables that may affect the initiation, continuation, and implementation to psychotropics were selected as exposure variables. Logistic regression was used to assess the risk relation between non-initiation, non-implementation, discontinuation, and the individual sociodemographic and clinical factors. Three factors – level of education, turn-up rate for medical doctor sessions, and discomfort in relation to the psychotropics – were associated with non-initiation, non-implementation, or discontinuation. The relatively small sample size poses a limitation. Furthermore, factors not examined in the current study may have affected non-initiation, non-implementation, and discontinuation. The study identified level of education, turn-up rate for medical doctor sessions, and discomfort in relation to medicine as important factors in relation to treatment with psychotropics in trauma-affected refugees. Factors contributing to a low turn-up rate, and factors that are consequences of a low turn-up rate, as well as communication and trust in the patient-provider interaction need further research attention. Furthermore, there is a need for research on interventions addressing adherence for refugees with mental illness.
KW - Adherence
KW - Barriers
KW - Discontinuation
KW - Initiation
KW - Psychotropics
KW - Refugees
U2 - 10.1016/j.jpsychires.2023.11.020
DO - 10.1016/j.jpsychires.2023.11.020
M3 - Journal article
C2 - 38065051
AN - SCOPUS:85179170950
VL - 169
SP - 272
EP - 278
JO - Journal of Psychiatric Research
JF - Journal of Psychiatric Research
SN - 0022-3956
ER -
ID: 377939888