关于药物治疗的信念：严重精神障碍患者的测量及其与依从性的关系
Beliefs about medications: measurement and relationship to adherence in patients with severe mental disorders.
作者信息
Jónsdóttir H, Friis S, Horne R, Pettersen K I, Reikvam A, Andreassen O A
机构信息
Division of Psychiatry, Ulleval University Hospital & Institute of Psychiatry, University of Oslo, Oslo, Norway.
出版信息
Acta Psychiatr Scand. 2009 Jan;119(1):78-84. doi: 10.1111/j.1600-0447.2008.01279.x. Epub 2008 Oct 28.
OBJECTIVE
To determine if the Beliefs about Medicines Questionnaire (BMQ) has satisfactory psychometric properties in patients with severe mental disorders and if their scores differ from those of patients with severe medical disorders. To investigate if the scores are related to medication adherence.
METHOD
Two hundred and eighty psychiatric patients completed the BMQ and reported how much of their medication they had taken the past week. Serum concentrations of medications were analyzed. BMQ scores were compared with those of patients with chronic medical disorders.
RESULTS
Cronbach's alpha was satisfactory for all subscales. The psychiatric group scored lower on the necessity of taking medication than the medical group. Non-adherent patients felt medication to be less necessary and were more concerned about it than adherent patients. The necessity subscale predicted adherence fairly well.
CONCLUSION
The BMQ has satisfactory psychometric properties for use in patients with severe mental disorders. The constructs measured by the BMQ are related to adherence in these patients.
目的
确定药物信念问卷（BMQ）在重度精神障碍患者中是否具有令人满意的心理测量学特性，以及其得分与重度躯体疾病患者的得分是否存在差异。调查得分是否与药物依从性相关。
方法
280名精神科患者完成了BMQ，并报告了他们在过去一周服用药物的量。分析了药物的血清浓度。将BMQ得分与慢性躯体疾病患者的得分进行比较。
结果
所有分量表的Cronbach's α系数均令人满意。精神科组在服药必要性方面的得分低于躯体疾病组。不依从患者认为服药必要性较低，且比依从患者更担心服药。必要性分量表对依从性的预测效果较好。
结论
BMQ在重度精神障碍患者中具有令人满意的心理测量学特性。BMQ所测量的结构与这些患者的依从性相关。
Zotero 插件