Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Feb 24;10(3):426.
doi: 10.3390/healthcare10030426.

The Influence of Selected Psychological Factors on Medication Adherence in Patients with Chronic Diseases

Monika Bąk-Sosnowska  1 , Magdalena Gruszczyńska  1 , Julia Wyszomirska  1 , Anna Daniel-Sielańczyk  1
Affiliations

The Influence of Selected Psychological Factors on Medication Adherence in Patients with Chronic Diseases

Monika Bąk-Sosnowska et al. Healthcare (Basel). .

Abstract

Background: Insufficient adherence to treatment is a relevant problem. This study aims to determine the impact of health locus of control, stress coping style and level of mindfulness on medication adherence in patients with a chronic illness.

Methods: The study included 768 people. The diagnostic survey involved the use of: Medication Adherence Questionnaire (MAQ), Multidimensional Health Locus of Control Scale (MHLC), The Coping Inventory for Stressful Situations (CISS), and The Mindful Attention Awareness Scale (MAAS).

Results: Participants were divided into two subgroups, i.e., adherent (n = 219) and non-adherent (n = 549). We observed significant differences between the subgroups in age, BMI, sex, place of residence, education, and for all MHLC subscales, two CISS subscales and MAAS. The identified medication adherence variables were: female gender (OR = 1.55), BMI (OR = 0.95), MHLC/Internal (OR = 0.95), CISS/Emotional (OR = 1.03), MAAS (OR = 0.97).

Conclusions: A strong internal health locus of control, a higher level of mindfulness and a lower level of emotional-stress coping style increase the likelihood of adherence with medication recommendations in patients with chronic diseases.

Keywords: adherence; chronic disease; health locus of control; mindfulness; psychological factors; stress coping.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Type of dominant diseases in study group (n = 768).
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Wang Y., Wang J. Modelling and prediction of global non-communicable diseases. BMC Public Health. 2020;20:822. doi: 10.1186/s12889-020-08890-4. - DOI - PMC - PubMed
    1. Lisy K., Campbell J.M., Tufanaru C., Moola S., Lockwood C. The prevalence of disability among people with cancer, cardiovascular disease, chronic respiratory disease and/or diabetes: A systematic review. Int. J. Evid. Based Healthc. 2018;16:154–166. doi: 10.1097/XEB.0000000000000138. - DOI - PubMed
    1. Nusselder W.J., Wapperom D., Looman C.W.N., Yokota R.T.C., van Oyen H., Jagger C., Robine J.M., Cambois E.M. Contribution of chronic conditions to disability in men and women in France. Eur. J. Public Health. 2019;29:99–104. doi: 10.1093/eurpub/cky138. - DOI - PubMed
    1. Islam S.M., Purnat T.D., Phuong N.T., Mwingira U., Schacht K., Fröschl G. Non-communicable diseases (NCDs) in developing countries: A symposium report. Glob. Health. 2014;10:81. doi: 10.1186/s12992-014-0081-9. - DOI - PMC - PubMed
    1. Liska J., Beal A. One Patient Is Not One Condition: Delivering Patient-Centered Care to Those with Multiple Chronic Conditions. Ther. Innov. Regul. Sci. 2017;51:468–470. doi: 10.1177/2168479017705158. - DOI - PubMed

LinkOut - more resources