Implicit versus explicit attitudes toward psychiatric medication: Implications for insight and treatment adherence.
Implicit attitudes are automatically activated evaluative impulses that are difficult to control and potentially outside conscious awareness. The association of implicit attitudes toward psychiatric medication with treatment adherence and insight was investigated in 85 persons with schizophrenia, schizoaffective, or affective disorders using the Brief Implicit Association Test. Explicit attitudes, insight, perceived need for treatment and adherence were measured by self-report. Implicit, but not explicit, positive attitudes predicted increased insight and perceived need for treatment. Explicit, but not implicit, positive attitudes predicted self-reported adherence. Implicit measures can improve our understanding of medication attitudes and evaluation of interventions to increase treatment adherence.
Rüsch
Nicolas
N
Joint Research Programs in Psychiatric Rehabilitation, Illinois Institute of Technology, 3424 S. State St., Chicago IL 60616, USA. nicolas.ruesch@uniklinik-freiburg.de
Todd
Andrew R
AR
Bodenhausen
Galen V
GV
Weiden
Peter J
PJ
Corrigan
Patrick W
PW
D000328:Adult; D014150:Antipsychotic Agents / Q000627:therapeutic use*; D001294:Attitude to Health; D005260:Female; D006801:Humans; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000188:drug therapy / Q000523:psychology*; D010349:Patient Compliance / Q000523:psychology*; D011618:Psychotic Disorders / Q000188:drug therapy / Q000523:psychology*; D011930:Reaction Time; D012559:Schizophrenia / Q000188:drug therapy; D012565:Schizophrenic Psychology; D012649:Self Concept
D014150:Antipsychotic Agents