Evidence map›Paper›PMID 35126191›Full record

ArticleFrontiers in psychiatry2021

Medication Adherence in a Cross-Diagnostic Sample of Patients From the Affective-to-Psychotic Spectrum: Results From the PsyCourse Study.

Sophie-Kathrin Kirchner, Michael Lauseker, Kristina Adorjan, Heike Anderson-Schmidt, Ion-George Anghelescu, Bernhardt T Baune, Monika Budde, Udo Dannlowski, Detlef E Dietrich, Andreas J Fallgatter and 26 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
7.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 51 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

36 authors at 16 institutions in 6 countries.

Sophie-Kathrin KirchnerDepartment of Psychiatry and Psychotherapy, University Hospital, Ludwig-Maximilians-University (LMU) Munich, Munich, Germany.
Michael LausekerInstitute for Medical Information Processing, Biometry, and Epidemiology, Ludwig-Maximilians-University (LMU) Munich, Munich, Germany.
Kristina AdorjanDepartment of Psychiatry and Psychotherapy, University Hospital, Ludwig-Maximilians-University (LMU) Munich, Munich, Germany.
Heike Anderson-SchmidtDepartment of Psychiatry and Psychotherapy, University Medical Center Göttingen, Göttingen, Germany.
Ion-George AnghelescuDepartment of Psychiatry and Psychotherapy, Mental Health Institute Berlin, Berlin, Germany.
Bernhardt T BauneDepartment of Psychiatry, University of Münster, Münster, Germany.
Monika BuddeInstitute of Psychiatric Phenomics and Genomics, University Hospital, Ludwig-Maximilians-University (LMU) Munich, Munich, Germany.
Udo DannlowskiDepartment of Psychiatry, University of Münster, Münster, Germany.
Detlef E DietrichAMEOS Clinical Center Hildesheim, Hildesheim, Germany.
Andreas J FallgatterDepartment of Psychiatry and Psychotherapy, University Tübingen, Tübingen, Germany.
Peter FalkaiDepartment of Psychiatry and Psychotherapy, University Hospital, Ludwig-Maximilians-University (LMU) Munich, Munich, Germany.
Christian FiggeKarl-Jaspers Clinic, European Medical School Oldenburg-Groningen, Oldenburg, Germany.
Katrin GadeDepartment of Psychiatry and Psychotherapy, University Medical Center Göttingen, Göttingen, Germany.
Urs HeilbronnerInstitute of Psychiatric Phenomics and Genomics, University Hospital, Ludwig-Maximilians-University (LMU) Munich, Munich, Germany.
Lena HiendlDepartment of Psychiatry and Psychotherapeutic Medicine, Research Unit for Bipolar Affective Disorder, Medical University of Graz, Graz, Austria.
Georg JuckelDepartment of Psychiatry, Ruhr University Bochum, Landschaftsverbund Westfalen-Lippe (LWL) University Hospital, Bochum, Germany.
Janos L KalmanDepartment of Psychiatry and Psychotherapy, University Hospital, Ludwig-Maximilians-University (LMU) Munich, Munich, Germany.
Farahnaz Klöhn-SaghatolislamInstitute of Psychiatric Phenomics and Genomics, University Hospital, Ludwig-Maximilians-University (LMU) Munich, Munich, Germany.
Carsten KonradDepartment of Psychiatry and Psychotherapy, Agaplesion Diakonieklinikum, Rotenburg, Germany.
Fabian U LangDepartment of Psychiatry II, Ulm University, Bezirkskrankenhaus Günzburg, Günzburg, Germany.
Mojtaba Oraki KohshourInstitute of Psychiatric Phenomics and Genomics, University Hospital, Ludwig-Maximilians-University (LMU) Munich, Munich, Germany.
Sergi PapiolDepartment of Psychiatry and Psychotherapy, University Hospital, Ludwig-Maximilians-University (LMU) Munich, Munich, Germany.
Daniela Reich-ErkelenzInstitute of Psychiatric Phenomics and Genomics, University Hospital, Ludwig-Maximilians-University (LMU) Munich, Munich, Germany.
Jens ReimerDepartment of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Eva Z ReininghausDepartment of Psychiatry and Psychotherapeutic Medicine, Research Unit for Bipolar Affective Disorder, Medical University of Graz, Graz, Austria.
Sabrina K SchauppInstitute of Psychiatric Phenomics and Genomics, University Hospital, Ludwig-Maximilians-University (LMU) Munich, Munich, Germany.
Max SchmaußDepartment of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, Bezirkskrankenhaus (BKH) Augsburg, University of Augsburg, Augsburg, Germany.
Andrea SchmittDepartment of Psychiatry and Psychotherapy, University Hospital, Ludwig-Maximilians-University (LMU) Munich, Munich, Germany.
Eva Christina SchulteDepartment of Psychiatry and Psychotherapy, University Hospital, Ludwig-Maximilians-University (LMU) Munich, Munich, Germany.
Simon SennerDepartment of Psychiatry and Psychotherapy, Technical University of Munich, School of Medicine, Munich, Germany.
Carsten SpitzerDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center Rostock, Rostock, Germany.
Thomas VoglInstitute of Psychiatric Phenomics and Genomics, University Hospital, Ludwig-Maximilians-University (LMU) Munich, Munich, Germany.
Jörg ZimmermannPsychiatrieverbund Oldenburger Land gGmbH, Karl-Jaspers-Klinik, Bad Zwischenahn, Germany.
Alkomiet HasanDepartment of Psychiatry and Psychotherapy, University Hospital, Ludwig-Maximilians-University (LMU) Munich, Munich, Germany.
Thomas G SchulzeInstitute of Psychiatric Phenomics and Genomics, University Hospital, Ludwig-Maximilians-University (LMU) Munich, Munich, Germany.
Fanny SennerDepartment of Psychiatry and Psychotherapy, University Hospital, Ludwig-Maximilians-University (LMU) Munich, Munich, Germany.
Ludwig-Maximilians-Universität München · DEMedical University of Graz · ATUniversitätsmedizin Göttingen · DEAgaplesion Diakonieklinikum Rotenburg · DEAhvaz Jundishapur University of Medical Sciences · IRBezirkskrankenhaus Augsburg · DEInstituto Butantan · BRRuhr University Bochum · DETechnical University of Munich · DEUniversität Ulm · DEUniversity Medical Center Hamburg-Eppendorf · DEUniversity of Hildesheim · DEUniversity of Melbourne · AUUniversity of Münster · DEUniversity of Rostock · DEUniversity of Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAccording to the World Health Organization, medication adherence is defined as the extent to which a person's behavior corresponds with an agreed recommendation from a healthcare provider. Approximately 50% of patients do not take their medication as prescribed, and non-adherence can contribute to the progress of a disease. For patients suffering from mental diseases non-adherence plays an important role. Various factors have been proposed as contributing to non-adherence, however the literature remains heterogeneous dependent on the analyzed patient subgroups. This study comprehensively evaluates the association of sociodemographic, clinical, personality and quality of life related factors with medication adherence by analyzing data from the PsyCourse study. The PsyCourse study is a large and cross-diagnostic cohort of psychiatric patients from the affective-to-psychotic spectrum.

methodsThe study sample comprised 1,062 patients from the PsyCourse study with various psychiatric diagnoses (mean [SD] age, 42.82 [12.98] years; 47.4% female). Data were analyzed to identify specific factors associated with medication adherence, and adherence was measured by a self-rating questionnaire. Odds ratios (OR) were estimated by a logistic regression for binary outcomes. Missing data were imputed using multiple imputation.

resultsThe following factors showed the strongest association with medication adherence: never having used illicit drugs (OR, 0.71), number of prescribed antipsychotics (OR, 1.40), the personality trait conscientiousness (OR, 1.26), and the environmental domain of quality of life (OR, 1.09).

conclusionIn a large and cross-diagnostic sample, we could show that a higher level of conscientiousness, a higher number of antipsychotic medication, a better quality of life within the environmental domain, and the absence of substance abuse contribute to a better medication adherence independent of the underlying disorder.

Indexed as

bipolar disorderconscientiousnessdepressionmedication adherenceschizophrenia

Identifiers

PMID35126191
PMCPMC8811370
OpenAlexW4205158877

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.