title: Control beliefs, therapeutic relationship, and adherence in schizophrenia outpatients: a cross-sectional study.
abstract: OBJECTIVE
  To examine the interactions among the different dimensions of the health locus of control (HLC), the patient-doctor relationship and medication adherence in patients with schizophrenia.
  
  
  METHODS
  In a cross-sectional design, 69 chronically ill schizophrenia outpatients were assessed by established self-rating scales. The statistical analyses were based on multiple regression models.
  
  
  RESULTS
  Patients' ratings of the therapeutic relationship and the powerful others dimension of the HLC were significantly correlated with medication adherence. The effect of the powerful others HLC on adherence was mediated by therapeutic relationship.
  
  
  CONCLUSIONS
  A trustful working alliance between therapists and patients is supportive for medication adherence in patients with schizophrenia.
authors.affiliation: Department of Psychiatry and Psychotherapy I, Ulm University, ZfP Suedwuerttemberg, Health Services Research Unit, Weissenau, Germany. susanne.jaeger@zfp-zentrum.de.
authors.forename: Susanne
authors.initials: S
authors.lastname: Jaeger
authors.affiliation: Department of Psychiatry and Psychotherapy I, Ulm University, ZfP Suedwuerttemberg, Health Services Research Unit, Weissenau, Germany.
authors.forename: Sabine
authors.initials: S
authors.lastname: Weißhaupt
authors.affiliation: Department of Psychiatry and Psychotherapy I, Ulm University, ZfP Suedwuerttemberg, Health Services Research Unit, Weissenau, Germany.
authors.forename: Erich
authors.initials: E
authors.lastname: Flammer
authors.affiliation: Department of Psychiatry and Psychotherapy I, Ulm University, ZfP Suedwuerttemberg, Health Services Research Unit, Weissenau, Germany.
authors.forename: Tilman
authors.initials: T
authors.lastname: Steinert
mesh_terms: D000328:Adult; D014150:Antipsychotic Agents / Q000627:therapeutic use*; D001294:Attitude to Health; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007389:Internal-External Control; D008297:Male; D055118:Medication Adherence / Q000523:psychology*; D008875:Middle Aged; D010045:Outpatients / Q000523:psychology; D011369:Professional-Patient Relations; D012559:Schizophrenia / Q000188:drug therapy*; D012565:Schizophrenic Psychology; D035502:Trust / Q000523:psychology
chemical_list: D014150:Antipsychotic Agents