ArticleAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2014
The psychosocial context impacts medication adherence after acute coronary syndrome.
Article in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Methods and validity indicators for measuring adherence and persistence to aspirin in secondary cardiovascular prevention: a systematic review.Frontiers in cardiovascular medicine · 2025Pooled it
- Mental health-related quality of life is associated with sustained lipid-lowering therapy adherence after acute coronary syndrome.Lipids in health and disease · 2026Article
- Self-Efficacy, Social Support, and Depression: Mediators of Medication Adherence in Dialysis Patients.Healthcare (Basel, Switzerland) · 2025Article
- Evaluation of a Specialist Nurse-Led Post-Coronary Heart Disease Support Program: A Prospective Pre-Post Interventional Study.Healthcare (Basel, Switzerland) · 2024Article
- Feasibility and validity of Ecological Momentary Assessment in patients with acute coronary syndrome.BMC cardiovascular disorders · 2020Article
- Adverse Change in Employment Status After Acute Myocardial Infarction: Analysis From the TRANSLATE-ACS Study.Circulation. Cardiovascular quality and outcomes · 2018Observational
- The Positive Emotions after Acute Coronary Events behavioral health intervention: Design, rationale, and preliminary feasibility of a factorial design study.Clinical trials (London, England) · 2017Article
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Abstract
backgroundDepression is associated with poor adherence to medications and worse prognosis in patients with acute coronary syndrome (ACS). PURPOSE: To determine whether cognitive, behavioral, and/or psychosocial vulnerabilities for depression explain the association between depression and medication adherence among ACS patients.
methodsOne hundred sixty-nine ACS patients who agreed to have their aspirin adherence measured using an electronic pill bottle for 3 months were enrolled within 1 week of hospitalization. Linear regression was used to determine whether depression vulnerabilities predicted aspirin adherence after adjustment for depressive symptoms, demographics, and comorbidity.
resultsOf the depression vulnerabilities, only role transitions (beta = -3.32; P = 0.02) and interpersonal conflict (beta -3.78; P = 0.03) predicted poor adherence. Depression vulnerabilities did not mediate the association between depressive symptoms and medication adherence.
conclusionsKey elements of the psychosocial context preceding the ACS including major role transitions and conflict with close contacts place ACS patients at increased risk for poor medication adherence independent of depressive symptoms.
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