title: Adherence of 13-17 Year Old Adolescents to Medicinal and Non-pharmacological Treatment in Psychiatric Inpatient Care: Special Focus on Relative Clinical and Family Factors.
abstract: Clinical studies investigating adolescents' adherence to medicinal and non-pharmacological treatment in hospitalized psychiatric populations are few. In our study of 13-17 year old adolescents admitted to psychiatric inpatient care, the patients' adherence to treatment in general, and to medicinal and non-pharmacological treatment individually, was examined, with special focus on family and clinical factors. Data on adherence was collected from patients' hospital records. A step-wise logistic regression analysis was used to find the significant predictors of adherence to treatment. Good family or social network relational functioning and use of special services at school were positively related to adherence in adolescents. Involuntary treatment and self-mutilative behavior were related to non-adherence to treatment. The results indicate the importance of addressing adherence to treatment in adolescent psychiatric inpatients. More studies with larger samples are needed to investigate this area further.
authors.affiliation: Institute of Health Sciences, University of Oulu, P.O. Box 5000, 90014, Oulu, Finland, ulla.timlin@oulu.fi.
authors.forename: Ulla
authors.initials: U
authors.lastname: Timlin
authors.forename: Helinä
authors.initials: H
authors.lastname: Hakko
authors.forename: Kaisa
authors.initials: K
authors.lastname: Riala
authors.forename: Pirkko
authors.initials: P
authors.lastname: Räsänen
authors.forename: Helvi
authors.initials: H
authors.lastname: Kyngäs
mesh_terms: D000293:Adolescent; D014151:Anti-Anxiety Agents / Q000627:therapeutic use; D000928:Antidepressive Agents / Q000627:therapeutic use; D014150:Antipsychotic Agents / Q000627:therapeutic use; D001008:Anxiety Disorders / Q000628:therapy; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000628:therapy; D002648:Child; D003134:Commitment of Persons with Psychiatric Disorders / Q000706:statistics & numerical data; D005195:Family Relations; D005260:Female; D006760:Hospitalization; D006778:Hospitals, Psychiatric; D006801:Humans; D007297:Inpatients; D016015:Logistic Models; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services; D019964:Mood Disorders / Q000628:therapy; D010349:Patient Compliance / Q000706:statistics & numerical data; D011618:Psychotic Disorders / Q000628:therapy; D012307:Risk Factors; D012652:Self Mutilation / Q000453:epidemiology; D012944:Social Support; D019966:Substance-Related Disorders / Q000628:therapy; D016903:Drug Monitoring
chemical_list: D014151:Anti-Anxiety Agents; D000928:Antidepressive Agents; D014150:Antipsychotic Agents