title: Attitudes and experience of youth and their parents with psychiatric medication and relationship to self-reported adherence.
abstract: Few studies have directly examined the interrelationship of teen and parent attitudes toward psychiatric medication and how this relates to medication adherence. In the current study, survey data from 19 parent-child dyads were analyzed to investigate the relationship of parent and teen attitudes toward medication, decision self-efficacy, and current involvement in decisions about psychiatric medication with self-reported adherence. Structural equation modeling techniques were used to fit actor-partner interdependence models to examine bidirectional effects of the dyadic relationships. Teens and parents had similarly positive attitudes toward medication, high levels of self-efficacy and self-reported adherence. Current involvement in decisions about medications was significantly lower for teens compared to their parents. The actor-partner interdependence models revealed that parent levels of decision self-efficacy were related to youth self-reported adherence (partner effect). Youth attitudes toward medications were related to youth self-reported adherence (actor effect). Parent and teen actor effects of decisional self-efficacy were significantly associated with current involvement. Providers need to be aware of the importance of engaging both teens and parents in decisions about psychiatric medication and recognize the need to explicitly elicit questions and concerns from young patients.
authors: Office of Child Welfare and Children's Mental Health, University of Kansas School of Social Welfare, Lawrence, USA. mobrie10@ku.edu
authors: Megan
authors: M
authors: O'Brien
authors: Elizabeth
authors: E
authors: Crickard
authors: Jaehoon
authors: J
authors: Lee
authors: Cheryl
authors: C
authors: Holmes
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D002648:Child; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006801:Humans; D008297:Male; D055118:Medication Adherence; D001523:Mental Disorders / Q000188:drug therapy* / Q000523:psychology; D010290:Parents / Q000523:psychology*; D011619:Psychotropic Drugs / Q000627:therapeutic use*; D020377:Self Efficacy; D057566:Self Report; D012944:Social Support; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires
chemical_list: D011619:Psychotropic Drugs