College of Nursing Science, Kyung Hee University, Seoul 02447, Korea.
Int J Environ Res Public Health. 2021 Apr 7;18(8):3866. doi: 10.3390/ijerph18083866.
The aim of this descriptive study was to investigate the impact of body image, insight, and mental health confidence on medication adherence among young adult women with mental disorders. Data collection occurred from August to September 2018. The study participants were 147 young adult women aged 19 to 45 with mental disorders who were psychiatry outpatients either getting treatment in general hospitals located in Seoul and Gyeonggi Province or receiving rehabilitation therapy through local mental health welfare centers in Korea, and agreed to participate in the study. The measurement tools used were the Body Image Scale; the Scale to Assess Unawareness of Mental Disorder, Korean short-form version; the Korean version of the Mental Health Confidence Scale; and the Korean version of the Medication Compliance Scale. The collected data were analyzed using descriptive statistics, -test, analysis of variance, Pearson correlation analysis, and multiple regression analysis in SPSS/WIN 25.0 (IBM Corp., Armonk, NY, USA). Medication adherence among the study participants differed by age (F = 2.95, = 0.042), religion ( = -2.06, = 0.042), level of trust in psychiatrists (F = 5.40, = 0.006), treatment duration (F = 4.48, = 0.005), and noncompliance to medication regimens due to weight gain ( = -2.61, = 0.010). Multiple regression analysis demonstrated that body image (β = -0.32, < 0.001), insight (β = -0.24, = 0.002), and mental health confidence (β = 0.24, = 0.004) had a significant impact on the medication adherence of the participants. Body image, in particular, had the greatest influence on the medication adherence of the participants. This study found that body image, insight, and mental health confidence were important in improving medication adherence among young adult women with mental disorders. Practical, patient-centered, and individualized approaches that can improve medication adherence by seeking to understand negative perceptions regarding body image should be considered.
本描述性研究旨在探讨身体意象、洞察力和心理健康信心对年轻成年女性精神障碍患者药物治疗依从性的影响。数据收集于 2018 年 8 月至 9 月进行。研究对象为 147 名年龄在 19 至 45 岁之间的年轻成年女性，她们患有精神障碍，是首尔和京畿道综合医院的精神科门诊患者，或者是在韩国当地心理健康福利中心接受康复治疗的患者，并且同意参与研究。使用的测量工具包括身体意象量表、精神障碍自知力评估量表韩国短式版本、心理健康信心量表韩国版和药物依从性量表韩国版。使用 SPSS/WIN 25.0（IBM 公司，纽约州阿蒙克市）对收集的数据进行描述性统计分析、t 检验、方差分析、皮尔逊相关分析和多元回归分析。研究参与者的药物治疗依从性因年龄（F = 2.95， = 0.042）、宗教（ = -2.06， = 0.042）、对精神科医生的信任程度（F = 5.40， = 0.006）、治疗持续时间（F = 4.48， = 0.005）和因体重增加而不遵守药物治疗方案（ = -2.61， = 0.010）而异。多元回归分析表明，身体意象（β = -0.32， ＜0.001）、洞察力（β = -0.24， = 0.002）和心理健康信心（β = 0.24， = 0.004）对参与者的药物治疗依从性有显著影响。特别是身体意象对参与者的药物治疗依从性影响最大。本研究发现，身体意象、洞察力和心理健康信心对于提高年轻成年女性精神障碍患者的药物治疗依从性很重要。应该考虑采取实用的、以患者为中心的、个体化的方法，通过了解对身体意象的负面看法来提高药物治疗依从性。
