ArticleBMC psychology2026
The impact of caregivers' illness perception and emotional expression on medication adherence in patients with schizophrenia.
Article in BMC psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPoor medication adherence among patients with schizophrenia increases hospitalization risk and impairs functioning, placing significant burdens on caregivers. Primary caregivers play a crucial role in influencing treatment adherence and recovery outcomes.
methodsThis cross-sectional study examined the relationships between caregivers' illness perceptions, emotional expression, and patient medication adherence among 130 primary caregivers of schizophrenia patients at a northern Taiwan psychiatric hospital (January-June 2024). Researchers used the Medication Adherence Scale for Schizophrenia, the Illness Perception Questionnaire-Revised Version for Families of Patients with Schizophrenia, and the Five-Minute Speech Sample.
resultsThe results revealed that caregivers with high emotional expression scored higher on identity, consequences, illness coherence, timeline cyclical, and emotional representations, whereas those with low emotional expression scored higher on timeline and personal control. Patients with low emotional expression caregivers demonstrated better medication adherence. Greater caregiver understanding of illness aetiology was associated with lower patient medication adherence.
conclusionsThese findings emphasize the need for further research examining whether mental health education for caregivers and emotional management interventions could improve patient medication adherence and condition stability.
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