Evidence map›Paper›PMID 40399843›Full record

SynthesisBMC psychiatry2025

Non-adherence level of pharmacotherapy and its predictors among mental disorders in a resource-limited life trajectories: a systematic review and meta-analysis.

Woretaw Sisay Zewdu, Samuel Berihun Dagnew, Getachew Yitayew Tarekegn, Taklo Simeneh Yazie, Meswait Asrat Ayicheh, Fisseha Nigussie Dagnew, Tilaye Arega Moges

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

7 authors.

Woretaw Sisay ZewduDepartment of Pharmacology and Toxicology, Pharmacy Education and Clinical Services Directorate, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia. woresis@dtu.edu.et.
Samuel Berihun DagnewDepartment of Clinical Pharmacy, Pharmacy Education and Clinical Services Directorate, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Getachew Yitayew TarekegnDepartment of Clinical Pharmacy, Pharmacy Education and Clinical Services Directorate, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Taklo Simeneh YazieDepartment of Pharmacology and Toxicology, Pharmacy Education and Clinical Services Directorate, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Meswait Asrat AyichehDepartment of Pharmacology and Toxicology, Pharmacy Education and Clinical Services Directorate, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Fisseha Nigussie DagnewDepartment of Clinical Pharmacy, Pharmacy Education and Clinical Services Directorate, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Tilaye Arega MogesDepartment of Clinical Pharmacy, Pharmacy Education and Clinical Services Directorate, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDespite being crucial in ensuring the best treatment outcomes, adherence status is frequently overlooked in comprehensive chronic care. Thus, the present study critically evaluates, integrates, and summarizes psychotropic medication non-adherence and its determinants among patients with mental disorders in a resource limited life trajectories to inform policy and future research.

methodSystematic review and meta-analysis following the Cochrane handbook for systematic reviews of interventions and Preferred Reporting Items for Systematic review and Meta-analysis (PRISMA) statement was conducted. PubMed (Medline), CINAHL, PsychINFO, EMBASE, and Google Scholar databases were comprehensively searched to retrieve published and grey literature from index inception to October 2024. Observational original studies focused on the magnitude of psychotropic treatment non-adherence and its predictors were eligible for inclusion. Risk-of-bias was assessed using Joanna Briggs Institute (JBI) criteria. Protocol was pre-registered at PROSPERO with a reference number of CRD42024578766.

resultsTwenty-three studies (n = 23, 359) were included, 22 of them in the quantitative analysis. The pooled prevalence of non-adherence was 46% (95% CI: 40%-52%, I

conclusionAltogether, we discovered that psychotropic treatment non-adherence among patients with psychiatric disorders was quite common. This analysis may serve as a high-grade ore for policymakers, though it must be interpreted with caution due to significant heterogeneity. Notwithstanding stringent methodology, depending on cross-sectional studies limits its clinical guidance.

Indexed as

Medication AdherenceMental DisordersPsychotropic DrugsHumansPsychotropic DrugsAdherenceMental disorderNon-compliancePsychiatric disorderPsychotropics

Identifiers

PMID40399843
PMCPMC12093866

What OpenQuestion holds

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Registered trials

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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.