Denial and acceptance coping styles and medication adherence in schizophrenia.
Antipsychotics are often the first line of treatment for individuals with schizophrenia (). One challenge to effective treatment is lack of adherence to prescribed medication. Lower rates of adherence are associated with considerably higher rates of relapse and poorer course of illness. Therefore studying the characteristics that may be related to medication adherence is important. Coping styles may be one such factor. Individuals use a variety of coping mechanisms to manage and navigate difficult life events, including mental illness (). In the present study, 40 individuals with schizophrenia were assessed regarding their coping styles and medication adherence practices. As hypothesized, it was found that denial coping was inversely related to medication adherence. However, contrary to expectations, acceptance coping was not related to medication adherence. These findings suggest that targeting denial coping strategies in treatment may help foster more optimal strategies for managing schizophrenia.
Aldebot
Stephanie
S
Department of Psychology, University of Miami, Coral Gables, FL 33124, USA. stephanie.aldebot@umiami.edu
de Mamani
Amy G Weisman
AG
D000223:Adaptation, Psychological; D000328:Adult; D014150:Antipsychotic Agents / Q000627:therapeutic use*; D001294:Attitude to Health; D010054:Brief Psychiatric Rating Scale; D003717:Denial, Psychological; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D008016:Life Change Events; D008297:Male; D055118:Medication Adherence / Q000523:psychology*; D010342:Patient Acceptance of Health Care; D010555:Personality Inventory; D011569:Psychiatric Status Rating Scales; D012559:Schizophrenia / Q000175:diagnosis / Q000188:drug therapy*; D012565:Schizophrenic Psychology; D016903:Drug Monitoring
D014150:Antipsychotic Agents
Schizophr Res. 2003 Jan 1;59(1):41-7
12413641
BMC Psychiatry. 2008 Apr 30;8:32
18447935
J Consult Clin Psychol. 2002 Oct;70(5):1129-39
12362963
Arch Gen Psychiatry. 1999 Mar;56(3):241-7
10078501
Psychiatr Serv. 2002 Oct;53(10):1319-21
12364685
J Psychopathol Behav Assess. 2001 Sep 1;23(3):133-143
21765592
Issues Ment Health Nurs. 2004 Apr-May;25(3):227-42
14965844
Psychol Med. 1996 Nov;26(6):1277-81
8931174
Psychiatry Res. 2006 Nov 15;144(2-3):139-52
17011633
N Engl J Med. 2005 Sep 22;353(12):1209-23
16172203
Schizophr Res. 2008 Mar;100(1-3):53-9
18083007
J Clin Psychol. 2007 Jun;63(6):593-606
17457846
Schizophr Res. 2007 Aug;94(1-3):12-22
17561377
Schizophr Bull. 1992;18(3):387-425
1411329
Schizophr Bull. 1995;21(3):395-403
7481570
Psychiatr Q. 2000 Winter;71(4):363-71
11025913
J Nerv Ment Dis. 1998 Jan;186(1):44-50
9457146
Schizophr Bull. 2007 Jan;33(1):192-9
16894025
J Pers Soc Psychol. 1989 Feb;56(2):267-83
2926629
Psychiatry Res. 1998 Jun 15;79(2):163-73
9705054
J Nerv Ment Dis. 2008 Jul;196(7):572-5
18626299
J Pers Soc Psychol. 1986 May;50(5):992-1003
3712234
Psychiatry Res. 2006 Jan 30;146(1):35-42
16361089
Am J Drug Alcohol Abuse. 2008;34(1):75-82
18161645
Eur Arch Psychiatry Clin Neurosci. 2006 Sep;256(6):356-63
16902732
Br J Clin Psychol. 1997 May;36(2):259-61
9167865
Aust N Z J Psychiatry. 2006 May;40(5):446-51
16683971
Compr Psychiatry. 2008 Jan-Feb;49(1):70-7
18063044
Eur Psychiatry. 1999 Sep;14(5):264-9
10572356
Schizophr Res. 2000 May 5;42(3):241-7
10785582
Bipolar Disord. 2007 Nov;9(7):737-42
17988364
Arch Gen Psychiatry. 1976 Dec;33(12):1443-6
999448
Bull Menninger Clin. 2004 Summer;68(3):231-44
15342330
Psychiatr Serv. 2007 Sep;58(9):1187-92
17766564
J Affect Disord. 2000 Sep;59(3):237-41
10854641
Hosp Community Psychiatry. 1993 Nov;44(11):1102-4
8288183
Schizophr Bull. 2008 May;34(3):483-93
17932089
J Nerv Ment Dis. 2003 Jan;191(1):38-44
12544598