Why people do not take their psychotropic drugs as prescribed: results of the 2000 National Psychiatric Morbidity Survey.

Abstract:

OBJECTIVE:We examined the prevalence and determinants of the reasons given for non-adherence to psychiatric medication in a representative community survey. METHOD:We used data for all participants taking oral psychotropic medication (n = 634) from the 2000 British Survey of National Psychiatric Morbidity. RESULTS:Of participants interviewed, 217 (34.2%) reported incomplete adherence to their psychiatric medication. Reasons given included forgetting, losing, running out (37.4%); thinking medication unnecessary (24.6%); reluctance to take drugs (18.9%) and side-effects (14.2%). Those giving forgetfulness or side-effects as reasons were younger. Side-effects were reported more frequently by people with a lower IQ or with psychosis. Those taking Selective Serotonin Reuptake Inhibitors were more likely to forget to take their medication. CONCLUSION:Two-fifths of people reported that missing their medication was a decision taken because they did not want it or think it necessary. Side-effects are a relatively uncommon reason for under-medication. Our results have implications for interventions to assist adherence.

journal_name

Acta Psychiatr Scand

authors

Cooper C,Bebbington P,King M,Brugha T,Meltzer H,Bhugra D,Jenkins R

doi

10.1111/j.1600-0447.2006.00974.x

subject

Has Abstract

pub_date

2007-07-01 00:00:00

pages

47-53

issue

1

eissn

0001-690X

issn

1600-0447

pii

ACP974

journal_volume

116

pub_type

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