title: Factors affecting medication adherence in children receiving outpatient pharmacotherapy and parental adherence.
abstract: OBJECTIVE
  Although pharmacotherapy is an effective treatment for many psychiatric disorders in children and adolescents, medication adherence rates among children are low. This study clarifies factors affecting children's medication adherence and the role of parental involvement.
  
  
  METHODS
  Patients aged 7-17 years with a history of psychotropic medication treatment and their mothers were included in this study. Each mother and child completed self-administered questionnaires. Thirty mother-child pairs who fully completed the questionnaires were included in the analysis.
  
  
  RESULTS
  Medication adherence was greater in children and mothers when mothers felt that "children's symptoms improved with treatment and medication." Medication adherence in children and mothers significantly correlated with the child's reported trust in their parent.
  
  
  CONCLUSIONS
  The results suggest the need for psychosocial support that considers the influence of mothers on medication adherence in children treated in child psychiatry departments.
authors.affiliation: Department of Nursing, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
authors.forename: Masaharu
authors.initials: M
authors.lastname: Nagae
authors.affiliation: Department of Psychiatric Rehabilitation Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Nakane
authors.affiliation: Department of Community-Based Rehabilitation Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
authors.forename: Sumihisa
authors.initials: S
authors.lastname: Honda
authors.affiliation: Department of Neuropsychiatry, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
authors.forename: Hiroki
authors.initials: H
authors.lastname: Ozawa
authors.affiliation: Department of Nursing, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
authors.forename: Hiroko
authors.initials: H
authors.lastname: Hanada
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D055118:Medication Adherence / Q000523:psychology*; D001523:Mental Disorders / Q000188:drug therapy*; D009035:Mothers / Q000523:psychology*; D010045:Outpatients / Q000523:psychology*
keywords: Children and adolescent; medication adherence; outpatient