RESILIENCE AND ILLNESS DENIAL AS PREDICTING FACTORS FOR ADHERENT BEHAVIOUR

Authors

  • Gunita Skaldere-Darmudasa Riga Stradiņš University
  • Velga Sudraba Department of Health psychology and paedagogy, Rīga Stradiņš University

DOI:

https://doi.org/10.17770/sie2023vol2.7171

Keywords:

adherence, adherent behaviour, chronic disease/illness, compliance, illness denial, resilience

Abstract

Lack of adherence in patients with chronic illnesses is significant burden for health care system all over the world. Therefore, it is important to find which factors do contribute to improve adherent behaviour. The aim of this study was to find out how resilience and illness denial predicts adherent behaviour in patients with chronic illnesses in primary health care.

In this quantitative cross-sectional study participated 202 adults in Latvia with diagnosed chronic illness. Participants filled sociodemographic data questionnaire – gender, age, and diagnosis, Connor–Davidson Resilience Scale (CD–RISC–25, Connor & Davidson, 2003), Illness Denial Questionnaire-Short Form (IDQ-SF, Rossi Ferrario et al., 2019), and Adherent behaviour questionnaire (Skaldere-Darmudasa & Sudraba, 2023) – nine items measure assessing to what extent individual with chronic illness follows doctor’s or specialist’s recommendation to reduce symptoms of their chronic illness and improve health condition. Items are rated in 4 – point Likert scale. The result of this study shows a tendency that patients with chronic illness and higher resilience use less denial according to their chronic illness and use more adherent behaviour. Higher denial points to less adherent behaviour which means less following to the doctor’s and specialist’s recommendation about the intake of medication, physical activities, diet, and rest.

 

References

American Psychological Association (APA). (2022). Adherence. Retrieved from: https://dictionary.apa.org/adherence

Anghel, L. A., Farcas, A. M., & Oprean, R. N. (2019). An overview of the common methods used to measure treatment adherence. Medicine and pharmacy reports, 92(2), 117–122. DOI: https://doi.org/10.15386/mpr-1201

Ballantyne J. C. (2007). Opioid analgesia: perspectives on right use and utility. Pain physician, 10(3), 479–491.

Bosworth, H. B., Blalock, D. V., Hoyle, R. H., Czajkowski, S. M., & Voils, C. I. (2018). The role of psychological science in efforts to improve cardiovascular medication adherence. The American psychologist, 73(8), 968–980. DOI: https://doi.org/10.1037/amp0000316

Bottolfs, M., Støa, E. M., Reinboth, M. S., Svendsen, M. V., Schmidt, S. K., Oellingrath, I. M., & Bratland-Sanda, S. (2020). Resilience and lifestyle-related factors as predictors for health-related quality of life among early adolescents: a cross-sectional study. The Journal of international medical research, 48(2), 300060520903656. DOI: https://doi.org/10.1177/0300060520903656

Cannon, D. L., Sriram, K. B., Liew, A. W., & Sun, J. (2018). Resilience Factors Important in Health-Related Quality of Life of Subjects With COPD. Respiratory care, 63(10), 1281–1292. DOI: https://doi.org/10.4187/respcare.05935

Cal, S. F., Sá, L. R. D., Glustak, M. E., & Santiago, M. B. (2015). Resilience in chronic diseases: A systematic review. Cogent Psychology, 2(1), 1024928.

Catalán, G. M., Crisóstomo, Y. M., Santamaría, Y. R., Sainz, J. L. H., Valverde, J. M. G., & Jaimes, J. A. P. (2021). Stages of Grief and Therapeutic Adherence in People with Type 2 Diabetes Mellitus. Atención Familiar, 28(3), 162–166.

Cheen, M. H. H., Tan, Y. Z., Oh, L. F., Wee, H. L., & Thumboo, J. (2019). Prevalence of and factors associated with primary medication non-adherence in chronic disease: A systematic review and meta-analysis. International journal of clinical practice, 73(6), e13350. DOI: https://doi.org/10.1111/ijcp.13350

Claxton, A. J., Cramer, J., & Pierce, C. (2001). A systematic review of the associations between dose regimens and medication compliance. Clinical therapeutics, 23(8), 1296-1310.

Cramer P. (2000). Defense mechanisms in psychology today. Further processes for adaptation. The American psychologist, 55(6), 637–646. DOI: https://doi.org/10.1037//0003-066x.55.6.637

Davidson, J. M., (2003). Connor-Davidson Resilience Scale (CD-RISC) Manual. Unpublished. 06-01-2020. Retrieved from: www.cd-risc.com

Delgado, S. V. (2016) Non-Adherence to Treatment: Different Rules for Different Patients. Arch Fam Med GenPract, 1(1),12–17.

Escobar Florez, O. E., Aquilera, G., De la Roca-Chiapas, J. M., Macías Cervantes, M. H., & Garay-Sevilla, M. E. (2021). The Relationship Between Psychosocial Factors and Adherence to Treatment in Men, Premenopausal and Menopausal Women with Type 2 Diabetes Mellitus. Psychology research and behavior management, 14, 1993–2000. DOI: https://doi.org/10.2147/PRBM.S342155

Fischer, M. A., Stedman, M. R., Lii, J., Vogeli, C., Shrank, W. H., Brookhart, M. A., & Weissman, J. S. (2010). Primary medication non-adherence: analysis of 195,930 electronic prescriptions. Journal of general internal medicine, 25(4), 284–290. DOI: https://doi.org/10.1007/s11606-010-1253-9

Gheshlagh, R. G., Sayehmiri, K., Ebadi, A., Dalvandi, A., Dalvand, S., & Tabrizi, K. N. (2016). Resilience of patients with chronic physical diseases: A systematic review and meta-analysis. Iranian Red Crescent Medical Journal, 18(7), 9.

Goldanimoghadam, Z., Asghari, B. A., & Manee, M. F. (2019). Relationship between resilience with illness behavior in dialysis patients. Journal of Research and Health, 9(3), 203–211.

Holmes, E. A., Hughes, D. A., & Morrison, V. L. (2014). Predicting adherence to medications using health psychology theories: a systematic review of 20 years of empirical research. Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research, 17(8), 863–876. DOI: https://doi.org/10.1016/j.jval.2014.08.2671

Iuga, A. O., & McGuire, M. J. (2014). Adherence and health care costs. Risk management and healthcare policy, 7, 35.

Lazarus, R. S., & DeLongis, A. (1983). Psychological stress and coping in aging. American psychologist, 38(3), 245.

Lieber, S. R., Helcer, J., & Shemesh, E. (2015). Monitoring drug adherence. Transplantation Reviews, 29(2), 73–77.

Liu, L., Xu, X., Xu, N., & Wang, L. (2017). Disease activity, resilience and health-related quality of life in Chinese patients with rheumatoid arthritis: a multi-center, cross-sectional study. Health and quality of life outcomes, 15(1), 149. DOI: https://doi.org/10.1186/s12955-017-0725-6

Livneh, H. (2009). Denial of chronic illness and disability: Part I. Theoretical, functional, and dynamic perspectives. Rehabilitation Counseling Bulletin, 52(4), 225–236.

National Center for Chronic Disease Prevention and Health Promotion (2022). About Chronic Diseases. https://www.cdc.gov/chronicdisease/about/index.htm [seen on 28.11.2022.].

Oshotse, C., Zullig, L. L., Bosworth, H. B., Tu, P., & Lin, C. (2018). Self-Efficacy and Adherence Behaviors in Rheumatoid Arthritis Patients. Preventing chronic disease, 15, E127. DOI: https://doi.org/10.5888/pcd15.180218

Osterberg, L., & Blaschke, T. (2005). Adherence to medication. The New England journal of medicine, 353(5), 487–497. DOI: https://doi.org/10.1056/NEJMra050100

Pene, C. T. H., & Kissane, D. (2019). Communication in cancer: its impact on the experience of cancer care: communicating with the angry patient and the patient in denial. Current opinion in supportive and palliative care, 13(1), 46–52. DOI: https://doi.org/10.1097/SPC.0000000000000410

Peterson, A. M., Takiya, L., & Finley, R. (2003). Meta-analysis of trials of interventions to improve medication adherence. American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 60(7), 657–665. DOI: https://doi.org/10.1093/ajhp/60.7.657

Rossi Ferrario, S., Giorgi, I., Baiardi, P., Giuntoli, L., Balestroni, G., Cerutti, P., Manera, M., Gabanelli, P., Solara, V., Fornara, R., Luisetti, M., Omarini, P., Omarini, G., & Vidotto, G. (2017). Illness denial questionnaire for patients and caregivers. Neuropsychiatric disease and treatment, 13, 909–916. DOI: https://doi.org/10.2147/NDT.S128622

Rossi Ferrario, S., Panzeri, A., Anselmi, P., & Vidotto, G. (2019). Development and psychometric properties of a short form of the Illness Denial Questionnaire. Psychology research and behavior management, 12, 727–739. DOI: https://doi.org/10.2147/PRBM.S207622

Sabaté, E., & Sabaté, E. (2003). Adherence to long-term therapies: evidence for action. World Health Organization.

Skaldere-Darmudasa, G., & Sudraba, V., (2023). Psiholoģiskā noturība un slimības noliegšana kā līdzestīgu uzvedību prognozējošoie faktori hroniski slimiem pacientiem primārā aprūpē. Maģistra darbs, RSU.

Sokol, M. C., McGuigan, K. A., Verbrugge, R. R., & Epstein, R. S. (2005). Impact of medication adherence on hospitalization risk and healthcare cost. Medical care, 43(6), 521–530. DOI: https://doi.org/10.1097/01.mlr.0000163641.86870.af

Toukhsati, S., Xu, K., Nasarudin, A., Caruso, K., Smith, S., Halim, J., ... & Hare, D. (2020). Psychological Resilience Protects Against All-Cause Unplanned Hospital Readmissions Following Acute Myocardial Infarction. Heart, Lung and Circulation, 29, S326.

White, K. S., Pardue, C., Ludbrook, P., Sodhi, S., Esmaeeli, A., & Cedars, A. (2016). Cardiac denial and psychological predictors of cardiac care adherence in adults with congenital heart disease. Behavior modification, 40(1-2), 29–50.

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Published

2023-07-03