title: Treatment adherence and self-stigma in patients with depressive disorder in remission - A cross-sectional study.
abstract: OBJECTIVE
  A wide range of variables may influence the rate of adherence to treatment. These variables can be associated with the disease itself, method of treatment, patient's personality, environmental factors and therapeutic relationship. Self-stigma is one of the possible factors related to poor adherence. The aim of the study was to find out the relationship between current adherence, discontinuation of medication in the past and self-stigma in stable psychiatric outpatients diagnosed with depressive disorder.
  
  
  METHODS
  The study included 72 stable outpatients diagnosed with depressive disorder with a mean age of 49.00 ± 12.56. Disorder severity was assessed using the Clinical Global Impression scale. Adherence was measured by the Drug Attitude Inventory - 10 items (DAI-10) scale and self-stigma by the Internalized Stigma of Mental Illness (ISMI) scale. The data were evaluated in 66 patients. Six patients were excluded because of incompletely filled in questionnaires.
  
  
  RESULTS
  The rate of adherence was not associated with gender, education, employment, family burden (family history) or partner status. Current adherence did not differ between patients who arbitrarily discontinued their medication in the past and those who did not. Adherence was significantly positively correlated with patient's age, age at disease onset and the level of self-stigma.
  
  
  CONCLUSIONS
  The study results suggest that the level of self-stigma and age of the patient can be very important factors associated with adherence in patients with depressive disorder.
authors.affiliation: Department of Psychology, Faculty of Arts, Palacký University Olomouc, Czech Republic.
authors.forename: Zuzana
authors.initials: Z
authors.lastname: Sedlácková
authors.affiliation: Department of Psychiatry, Faculty of Medicine and Dentistry, Palacky University Olomouc, University Hospital Olomouc, Olomouc, Czech Republic.
authors.forename: Dana
authors.initials: D
authors.lastname: Kamarádová
authors.affiliation: Department of Psychiatry, Faculty of Medicine and Dentistry, Palacky University Olomouc, University Hospital Olomouc, Olomouc, Czech Republic.
authors.forename: Jan
authors.initials: J
authors.lastname: Prásko
authors.affiliation: Department of Psychiatry, Faculty of Medicine and Dentistry, University Palacky Olomouc, University Hospital Olomouc, Czech Republic.
authors.forename: Klára
authors.initials: K
authors.lastname: Látalová
authors.affiliation: Department of Psychology, Faculty of Arts, Palacký University Olomouc, Czech Republic.
authors.forename: Marie
authors.initials: M
authors.lastname: Ocisková
authors.affiliation: Department of Psychology, Faculty of Arts, Palacký University Olomouc, Czech Republic.
authors.forename: Marie
authors.initials: M
authors.lastname: Ocisková
authors.affiliation: Department of Psychiatry, Faculty of Medicine and Dentistry, Palacky University Olomouc, University Hospital Olomouc, Olomouc, Czech Republic.
authors.forename: Andrea
authors.initials: A
authors.lastname: Cinculová
authors.affiliation: Department of Psychiatry, Faculty of Medicine and Dentistry, Palacky University Olomouc, University Hospital Olomouc, Olomouc, Czech Republic.
authors.forename: Radim
authors.initials: R
authors.lastname: Kubínek
authors.affiliation: Department of Psychiatry, Faculty of Medicine and Dentistry, Palacky University Olomouc, University Hospital Olomouc, Olomouc, Czech Republic.
authors.forename: Barbora
authors.initials: B
authors.lastname: Mainerová
authors.affiliation: Department of Psychiatry, Faculty of Medicine and Dentistry, Palacky University Olomouc, University Hospital Olomouc, Olomouc, Czech Republic.
authors.forename: Anezka
authors.initials: A
authors.lastname: Tichácková
authors.affiliation: Department of Psychiatry, Faculty of Medicine and Dentistry, Palacky University Olomouc, University Hospital Olomouc, Olomouc, Czech Republic.
authors.forename: Kristýna
authors.initials: K
authors.lastname: Vrbová
mesh_terms: D000328:Adult; D000367:Age Factors; D017668:Age of Onset; D000368:Aged; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000188:drug therapy / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D055118:Medication Adherence / Q000523:psychology*; D008875:Middle Aged; D012074:Remission Induction; D012720:Severity of Illness Index; D057545:Social Stigma; D016903:Drug Monitoring