Programa de Pós-Graduação em Gerontologia Biomédica, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brazil.
IInstituto de Geriatria e Gerontologia, PUCRS, Porto Alegre, RS, Brazil.
Trends Psychiatry Psychother. 2022 Jul 8;44:e20200143. doi: 10.47626/2237-6089-2020-0143.
Adherence to medications can be associated with circumstances related to the patient, with the pathology, with cultural health beliefs, with habits, and with quality of life. Behavioral patterns can also directly influence a patient's pharmacological adherence, since they are related to their perception and understanding of their own health status and of their drug and non-drug treatments.
To investigate the association between adherence to pharmacological treatment and personality factors, sociodemographic variables, and economic data in the elderly.
Cross-sectional descriptive study. The population studied were elderly people registered with the Family Health Strategy of Porto Alegre and enrolled on the Brain Aging Program (PENCE), from March 2013 to November 2015. Sociodemographic data, pharmacological adherence, and personality traits were evaluated. Exclusion criteria were incomplete data in the personality and pharmacological adherence assessments; cognitive impairment, evaluated using the instrument Mini-Mental State Examination (MMSE), or not having carried out this assessment.
A total of 123 individuals were included with a mean age of 71.35±7.33 years, 58.6% of whom reported some level of non-adherence to their medication regime (low and moderate adherence). Elderly people with low adherence had significantly higher mean scores in the Neuroticism factor, while those with high adherence had significantly higher mean scores in the Agreeableness and Conscientiousness factors.
The study suggests that pharmacological adherence among the elderly is negatively associated with the Neuroticism personality trait, while the Agreeableness and Conscientiousness traits are positively associated.
药物依从性可能与患者自身状况、疾病情况、文化健康观念、生活习惯和生活质量有关。行为模式也会直接影响患者的药物依从性，因为它们与患者对自身健康状况以及药物和非药物治疗的感知和理解有关。
调查老年人群中药物治疗依从性与人格因素、社会人口统计学变量和经济数据之间的关系。
这是一项横断面描述性研究。研究对象为 2013 年 3 月至 2015 年 11 月期间在阿雷格里港的家庭健康战略中登记并参加大脑老化计划（PENCE）的老年人。评估了社会人口统计学数据、药物依从性和人格特征。排除标准为人格和药物依从性评估不完整；认知障碍，使用简易精神状态检查（MMSE）评估，或未进行此评估。
共纳入 123 名年龄平均为 71.35±7.33 岁的个体，其中 58.6%的人报告存在某种程度的药物治疗不依从（低和中度依从）。药物低依从性的老年人在神经质因素上的平均得分显著较高，而药物高依从性的老年人在宜人性和尽责性因素上的平均得分显著较高。
研究表明，老年人的药物依从性与神经质人格特质呈负相关，而宜人性和尽责性特质呈正相关。
