Intentional and Unintentional Nonadherence to Antihypertensive Medication

2005 ◽  
Vol 39 (7-8) ◽  
pp. 1198-1203 ◽  
Author(s):  
Kathryn P Lowry ◽  
Tara K Dudley ◽  
Eugene Z Oddone ◽  
Hayden B Bosworth

BACKGROUND Hypertension is poorly controlled in the US due to medication nonadherence. Recent evidence suggests that nonadherence can be classified as intentional or unintentional and different patient characteristics, such as the experience of adverse effects, may be associated with each. OBJECTIVE To examine associations between patient characteristics, including reported adverse effects, and both intentional and unintentional nonadherence among 588 hypertensive patients. METHODS Baseline data from a clinical trial, the Veterans' Study To Improve the Control of Hypertension, were examined. Intentional and unintentional nonadherence were assessed using a self-report measure. Participants were presented with a list of adverse effects commonly associated with antihypertensive medication and asked to indicate which symptoms they had experienced. Logistic regression analyses were used to examine adjusted associations between patient characteristics and type of nonadherence. RESULTS Approximately 31% of patients reported unintentional nonadherence and 9% reported intentional nonadherence. Non-white participants, individuals without diabetes mellitus, and individuals reporting ≥5 adverse effects were more likely to report intentional nonadherence than their counterparts. Individuals with less than a 10th-grade education and non-white participants were more likely to report unintentional nonadherence than their counterparts. When symptoms of increased urination and wheezing/shortness of breath were reported, patients were more likely to report intentional and unintentional nonadherence compared with those who were adherent. Unintentional nonadherence was also associated with reports of dizziness and rapid pulse. CONCLUSIONS Both intentional and unintentional nonadherence are common and related to perceived adverse effects. Furthermore, different interventions may be necessary to improve adherence in unintentionally and intentionally nonadherent patients.

2014 ◽  
Vol 27 (4) ◽  
Author(s):  
Janneke K. Oostrom ◽  
Lisanne M. de Rijke ◽  
Alec W. Serlie ◽  
Brigitte Heldeweg

Individual differences in communication styles. Does personality explain our way of communicating? Individual differences in communication styles. Does personality explain our way of communicating? The aim of this study was to empirically support the structure of the communication styles within the Social Style model by relating these to personality. The communication styles in the Social Style model consist of assertiveness, responsiveness, and an indicator that represents versatility or flexibility in the use of communication styles. Prior to communication styles training, 153 participants invited a number of co-workers and supervisors to rate their communication styles. We examined the extent to which the communication styles as rated by co-workers and supervisors could be explained by a self-report measure of personality. The regression analyses showed that extraversion is the most important predictor of responsiveness. Assertiveness was predicted by extraversion, self-presentation, and agreeableness (negative relationship). Versatility was predicted by agreeableness, neuroticism (negative relationship), and openness to experience (negative relationship). Given these relationships, it seems that communication styles are partly determined by personality. Organizations should take this into account when their employees participate in communication styles training.


2001 ◽  
Vol 89 (3) ◽  
pp. 617-623 ◽  
Author(s):  
Joni L. Mihura ◽  
Elizabeth Nathan-Montano

This study investigated the relationship between Rorschach aggression variables and a self-report measure of interpersonal control and aggression (Structural Analysis of Social Behavior), rated for best and worst states, with 50 college students using forward stepwise regression analyses Aggressive Movement (AG) was related to the report of self-attack for the best state ratings The following findings were significant for the worst state ratings. AG was related to viewing the other as reacting as if attacked but the self as acting more affiliatively to the other. Aggressive Past (AgPast) was related to reacting to the other more submissively. A combined Aggressive Potential (AgPot)/Aggressive Content (AgC) variable was related to viewing the other as reacting less submissively and acting more dominantly. AgC was related to viewing the other as reacting less submissively. Methodological limitations are discussed, including potential problems regarding social desirability for the self-report aggression measure.


2014 ◽  
Vol 114 (3) ◽  
pp. 653-674 ◽  
Author(s):  
Akira Hasegawa ◽  
Munenaga Koda ◽  
Yosuke Hattori ◽  
Tsuyoshi Kondo ◽  
Jun Kawaguchi

The Ruminative Responses Scale, a measure of depressive rumination, contains two subscales: Brooding and Reflection. Treynor, Gonzalez, and Nolen-Hoeksema (2003) proposed that Brooding is maladaptive and Reflection is adaptive. This article examined the relationships among Brooding, Reflection, and previous depression in two samples of Japanese undergraduates, who were non-depressed at the time of their participation. Based on answers to a self-report measure, participants were divided into a formerly depressed group, who had experienced an episode that met the criteria for major depression, and a never-depressed group. Logistic regression analyses were conducted with Brooding, Reflection, and current depression as the independent variables and past depression as the dependent variable. Brooding had consistent positive associations with past depression. The relationship between Reflection and past depression was not significant for one sample, but was statistically significant and positive in the second sample. In the second sample, Brooding and Reflection both were related with past depression after controlling for worry.


2008 ◽  
Vol 24 (1) ◽  
pp. 22-26 ◽  
Author(s):  
Brian E. McGuire ◽  
Michael J. Hogan ◽  
Todd G. Morrison

Abstract. Objective: To factor analyze the Pain Patient Profile questionnaire (P3; Tollison & Langley, 1995 ), a self-report measure of emotional distress in respondents with chronic pain. Method: An unweighted least squares factor analysis with oblique rotation was conducted on the P3 scores of 160 pain patients to look for evidence of three distinct factors (i.e., Depression, Anxiety, and Somatization). Results: Fit indices suggested that three distinct factors, accounting for 32.1%, 7.0%, and 5.5% of the shared variance, provided an adequate representation of the data. However, inspection of item groupings revealed that this structure did not map onto the Depression, Anxiety, and Somatization division purportedly represented by the P3. Further, when the analysis was re-run, eliminating items that failed to meet salience criteria, a two-factor solution emerged, with Factor 1 representing a mixture of Depression and Anxiety items and Factor 2 denoting Somatization. Each of these factors correlated significantly with a subsample's assessment of pain intensity. Conclusion: Results were not congruent with the P3's suggested tripartite model of pain experience and indicate that modifications to the scale may be required.


2017 ◽  
Vol 33 (2) ◽  
pp. 97-103 ◽  
Author(s):  
Tíscar Rodríguez-Jiménez ◽  
Antonio Godoy ◽  
José A. Piqueras ◽  
Aurora Gavino ◽  
Agustín E. Martínez-González ◽  
...  

Abstract. Evidence-based assessment is necessary as a first step for developing psychopathological studies and assessing the effectiveness of empirically validated treatments. There are several measures of obsessive-compulsive disorder (OCD) and/or symptomatology in children and adolescents, but all of them present some limitations. The Obsessive-Compulsive Inventory-Revised (OCI-R) by Foa and her colleagues has showed to be a good self-report measure to capture the dimensionality of OCD in adults and adolescents. The child version of the OCI (OCI-CV) was validated for clinical children and adolescents in 2010, showing excellent psychometric properties. The objective of this study was to examine the factor structure and invariance of the OCI-CV in the general population. Results showed a six-factor structure with one second-order factor, good consistency values, and invariance across region, age, and sex. The OCI-CV is an excellent inventory for assessing the dimensions of OCD symptomatology in general populations of children and adolescents. The invariance across sex and age warrants its utilization for research purposes.


2019 ◽  
Vol 40 (1) ◽  
pp. 55-62 ◽  
Author(s):  
Anja Wertag ◽  
Denis Bratko

Abstract. Prosocial behavior is intended to benefit others rather than oneself and is positively linked to personality traits such as Agreeableness and Honesty-Humility, and usually negatively to the Dark Triad traits (i.e., Machiavellianism, narcissism, and psychopathy). However, a significant proportion of the research in this area is conducted solely on self-report measures of prosocial behavior. Therefore, the aim of this study was to investigate the relationship between prosociality and the basic (i.e., HEXACO) and dark personality traits, comparing their contribution in predicting both self-reported prosociality and prosocial behavior. Results of the hierarchical regression analyses showed that the Dark Triad traits explain prosociality and prosocial behavior above and beyond the HEXACO traits, emphasizing the importance of the Dark Triad in the personality space.


2019 ◽  
Vol 35 (4) ◽  
pp. 564-576 ◽  
Author(s):  
Tobias Ringeisen ◽  
Sonja Rohrmann ◽  
Anika Bürgermeister ◽  
Ana N. Tibubos

Abstract. By means of two studies, a self-report measure to assess self-efficacy in presentation and moderation skills, the SEPM scales, was validated. In study 1, factorial and construct validity were examined. A sample of 744 university students (41% females; more than 50% between 20 and 25 years) completed newly constructed self-efficacy items. Confirmatory factor analyses (CFAs) substantiated two positively correlated factors, presentation (SEPM-P) and moderation self-efficacy (SEPM-M). Each factor consists of eight items. The correlation patterns between the two SEPM subscales and related constructs such as extraversion, the preference for cooperative learning, and conflict management indicated adequate construct validity. In study 2, criterion validity was determined by means of latent change modeling. One hundred sixty students ( Mage = 24.40, SD = 4.04; 61% females) took part in a university course to foster key competences and completed the SEPM scales at the beginning and the end of the semester. Presentation and moderation self-efficacy increased significantly over time of which the latter was positively associated with the performance in a practical moderation exam. Across both studies, reliability of the scales was high, ranging from McDonald’s ω .80 to .88.


2011 ◽  
Author(s):  
Christine E. Gould ◽  
Caroline Ciliberti ◽  
Barry A. Edelstein ◽  
Merideth Smith ◽  
Lindsay A. Gerolimatos

2007 ◽  
Author(s):  
Elizabeth R. Rahdert ◽  
David L. Wyrick ◽  
Melodie Fearnow-Kenney

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