Office of Child Welfare and Children's Mental Health, University of Kansas School of Social Welfare, Lawrence, USA.
Community Ment Health J. 2013 Oct;49(5):567-75. doi: 10.1007/s10597-012-9526-x. Epub 2012 Jul 21.
Few studies have directly examined the interrelationship of teen and parent attitudes toward psychiatric medication and how this relates to medication adherence. In the current study, survey data from 19 parent-child dyads were analyzed to investigate the relationship of parent and teen attitudes toward medication, decision self-efficacy, and current involvement in decisions about psychiatric medication with self-reported adherence. Structural equation modeling techniques were used to fit actor-partner interdependence models to examine bidirectional effects of the dyadic relationships. Teens and parents had similarly positive attitudes toward medication, high levels of self-efficacy and self-reported adherence. Current involvement in decisions about medications was significantly lower for teens compared to their parents. The actor-partner interdependence models revealed that parent levels of decision self-efficacy were related to youth self-reported adherence (partner effect). Youth attitudes toward medications were related to youth self-reported adherence (actor effect). Parent and teen actor effects of decisional self-efficacy were significantly associated with current involvement. Providers need to be aware of the importance of engaging both teens and parents in decisions about psychiatric medication and recognize the need to explicitly elicit questions and concerns from young patients.
很少有研究直接考察青少年和家长对精神科药物的态度之间的相互关系，以及这种关系如何与药物依从性相关。在目前的研究中，分析了 19 对亲子二人组的调查数据，以调查家长和青少年对药物的态度、决策自我效能感以及目前对精神科药物决策的参与程度与自我报告的依从性之间的关系。使用结构方程建模技术拟合演员-伙伴相互依存模型，以检验双向的关系。青少年和家长对药物有相似的积极态度，自我效能感和自我报告的依从性都很高。与父母相比，青少年在药物决策中的当前参与度显著较低。演员-伙伴相互依存模型显示，父母的决策自我效能感水平与青少年自我报告的依从性有关（伙伴效应）。青少年对药物的态度与青少年自我报告的依从性有关（演员效应）。决策自我效能感的父母和青少年演员效应与当前参与度显著相关。提供者需要意识到让青少年和家长共同参与精神科药物决策的重要性，并认识到需要明确向年轻患者提出问题和关注。
