title: Perceived symptom targets of antidepressants, anxiolytics, and sedatives: the search for modifiable factors that improve adherence.
abstract: Expectations about treatment and beliefs about illness influence adherence in physical disorders, but the extent to which this occurs in mood disorders is unknown. Identifying modifiable factors, such as beliefs, may improve adherence to mood disorder medications. Data from the Collaborative Psychiatric Epidemiology Surveys were used to examine relationships among perceived symptom targets of medication (mood only, non-mood only, mood, and non-mood) and self-reported adherence to antidepressants, anxiolytics, and sedatives. The sample included 807 community-dwelling individuals with and without depression and anxiety who regularly took one of these medications in the year before the survey. Slightly over half (53.2 %) of respondents were adherent. Perceived medication purpose was only significantly related to adherence among Latino respondents. Latino respondents who viewed their symptom target as non-mood only were the most adherent. Perceived symptom targets of medications were not associated with most patients' adherence behaviors for antidepressants, anxiolytics, and sedatives.
authors.affiliation: Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA, melissa.garrido@mssm.edu.
authors.forename: Melissa M
authors.initials: MM
authors.lastname: Garrido
authors.forename: Kenneth S
authors.initials: KS
authors.lastname: Boockvar
mesh_terms: D017677:Age Distribution; D000368:Aged; D014151:Anti-Anxiety Agents / Q000627:therapeutic use; D000928:Antidepressive Agents / Q000627:therapeutic use; D002492:Central Nervous System Depressants / Q000627:therapeutic use*; D004522:Educational Status; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use; D016015:Logistic Models; D008297:Male; D055118:Medication Adherence / Q000523:psychology*; D008875:Middle Aged; D019964:Mood Disorders / Q000188:drug therapy*; D012959:Socioeconomic Factors; D016903:Drug Monitoring
chemical_list: D014151:Anti-Anxiety Agents; D000928:Antidepressive Agents; D002492:Central Nervous System Depressants; D006993:Hypnotics and Sedatives