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Article: Integration of biological and psychological illness attributional belief in association with medication adherence behaviour: A path analysis

TitleIntegration of biological and psychological illness attributional belief in association with medication adherence behaviour: A path analysis
Authors
Suen, YNYeung, ETWChan, SKWHui, CLMLee, EHMChang, WCChan, CYHChen, CEYH
Keywordsattitude
illness attributional belief
insight
medication adherence
psychosis
Issue Date2021
PublisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1751-7893
Citation
Early Intervention in Psychiatry, 2021, Epub 2021-01-18 How to Cite?
DOI: http://dx.doi.org/10.1111/eip.13114
AbstractAim: This study aimed to determine the association of biological (BAB) and psychological illness attributional beliefs (PAB) with medication adherence behaviour in patients with psychosis in Hong Kong. Methods: A cross-sectional survey of 301 outpatients with psychosis in Hong Kong was conducted from August to October 2016. The survey included a set of questionnaires examining patient medication adherence behaviours (using five behavioural items from the Medication Adherence Rating Scale), illness attributional belief, insight into the illness, and attitudes towards antipsychotics and medical professionals. The associations between these variables were analysed using path analysis and adjusted for covariates of perceived social support, experience of side-effects, and gender. Results: The data fit a model in which medication adherence behaviour was associated with illness attributional belief, insight, and attitudes (chi-square = 32.33, p = .26; RMSEA = 0.02; SRMR = 0.04; and CFI = 0.97). BAB was positively and directly associated with medication adherence behaviour. PAB was positively and indirectly associated with medication adherence behaviour through insight into the illness and attitude towards medical professionals. PAB can strengthen the relationship between BAB and insight, and only the high PAB group exhibited a positive relationship between BAB and attitude towards medical professionals. Conclusions: An integration of biological and psychological attributional beliefs in patients with psychosis is essential for better medication adherence behaviour. Future interventions should aim to modify patients' illness attributional beliefs by integrating both biological and psychological illness attribution to improve medication adherence.
Persistent Identifierhttp://hdl.handle.net/10722/295526
ISSN
1751-7885
2021 Impact Factor: 2.721
2020 SCImago Journal Rankings: 1.087
ISI Accession Number ID
WOS:000608370400001

 

DC FieldValueLanguage
dc.contributor.authorSuen, YN-
dc.contributor.authorYeung, ETW-
dc.contributor.authorChan, SKW-
dc.contributor.authorHui, CLM-
dc.contributor.authorLee, EHM-
dc.contributor.authorChang, WC-
dc.contributor.authorChan, CYH-
dc.contributor.authorChen, CEYH-
dc.date.accessioned2021-01-25T11:16:08Z-
dc.date.available2021-01-25T11:16:08Z-
dc.date.issued2021-
dc.identifier.citationEarly Intervention in Psychiatry, 2021, Epub 2021-01-18-
dc.identifier.issn1751-7885-
dc.identifier.urihttp://hdl.handle.net/10722/295526-
dc.description.abstractAim: This study aimed to determine the association of biological (BAB) and psychological illness attributional beliefs (PAB) with medication adherence behaviour in patients with psychosis in Hong Kong. Methods: A cross-sectional survey of 301 outpatients with psychosis in Hong Kong was conducted from August to October 2016. The survey included a set of questionnaires examining patient medication adherence behaviours (using five behavioural items from the Medication Adherence Rating Scale), illness attributional belief, insight into the illness, and attitudes towards antipsychotics and medical professionals. The associations between these variables were analysed using path analysis and adjusted for covariates of perceived social support, experience of side-effects, and gender. Results: The data fit a model in which medication adherence behaviour was associated with illness attributional belief, insight, and attitudes (chi-square = 32.33, p = .26; RMSEA = 0.02; SRMR = 0.04; and CFI = 0.97). BAB was positively and directly associated with medication adherence behaviour. PAB was positively and indirectly associated with medication adherence behaviour through insight into the illness and attitude towards medical professionals. PAB can strengthen the relationship between BAB and insight, and only the high PAB group exhibited a positive relationship between BAB and attitude towards medical professionals. Conclusions: An integration of biological and psychological attributional beliefs in patients with psychosis is essential for better medication adherence behaviour. Future interventions should aim to modify patients' illness attributional beliefs by integrating both biological and psychological illness attribution to improve medication adherence.-
dc.languageeng-
dc.publisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1751-7893-
dc.relation.ispartofEarly Intervention in Psychiatry-
dc.rightsSubmitted (preprint) Version This is the pre-peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article using the DOI]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. Accepted (peer-reviewed) Version This is the peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article using the DOI]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.-
dc.subjectattitude-
dc.subjectillness attributional belief-
dc.subjectinsight-
dc.subjectmedication adherence-
dc.subjectpsychosis-
dc.titleIntegration of biological and psychological illness attributional belief in association with medication adherence behaviour: A path analysis-
dc.typeArticle-
dc.identifier.emailSuen, YN: suenyn@hku.hk-
dc.identifier.emailChan, SKW: kwsherry@hku.hk-
dc.identifier.emailHui, CLM: christyh@hku.hk-
dc.identifier.emailLee, EHM: edwinlhm@hku.hk-
dc.identifier.emailChang, WC: changwc@hku.hk-
dc.identifier.emailChan, CYH: cyhchan@hku.hk-
dc.identifier.emailChen, CEYH: eyhchen@hku.hk-
dc.identifier.authoritySuen, YN=rp02481-
dc.identifier.authorityChan, SKW=rp00539-
dc.identifier.authorityHui, CLM=rp01993-
dc.identifier.authorityLee, EHM=rp01575-
dc.identifier.authorityChang, WC=rp01465-
dc.identifier.authorityChen, CEYH=rp00392-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/eip.13114-
dc.identifier.pmid33461243-
dc.identifier.scopuseid_2-s2.0-85099465457-
dc.identifier.hkuros321033-
dc.identifier.volumeEpub 2021-01-18-
dc.identifier.isiWOS:000608370400001-
dc.publisher.placeUnited States-

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