title: Adherence to antidepressant treatment: what the doctor thinks and what the patient says.
abstract: Adherence to antidepressant treatment has been shown to range from 30 to 70%. The aim of this study was to compare the patient's self-report of adherence with the doctors' estimation of adherence and therapeutic alliance in 104 outpatients with mood and/or anxiety disorder treated with antidepressants. The adherence scores estimated by the patients and the doctors were significantly different, the doctors underestimating adherence in 29% of cases and overestimating it in 31% of cases compared to the patients' evaluation. Adherence measured by drug plasma concentration, despite being higher than expected from previously published reports, was in line with the patients' self-reported score but not the doctors' estimation. Finally, the patients' and the doctors' Helping Alliance scores were not related to adherence self-report.
authors.forename: N
authors.initials: N
authors.lastname: Loayza
authors.forename: S
authors.initials: S
authors.lastname: Crettol
authors.forename: F
authors.initials: F
authors.lastname: Riquier
authors.forename: C B
authors.initials: CB
authors.lastname: Eap
mesh_terms: D000328:Adult; D000928:Antidepressive Agents / Q000097:blood / Q000627:therapeutic use; D001008:Anxiety Disorders / Q000188:drug therapy / Q000523:psychology; D001526:Behavioral Symptoms / Q000188:drug therapy; D016903:Drug Monitoring / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D055118:Medication Adherence / Q000523:psychology; D008875:Middle Aged; D019964:Mood Disorders / Q000188:drug therapy / Q000523:psychology; D010349:Patient Compliance / Q000523:psychology / Q000706:statistics & numerical data; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D012107:Research Design; D057566:Self Report; D016312:Treatment Refusal / Q000523:psychology / Q000706:statistics & numerical data
chemical_list: D000928:Antidepressive Agents