Institute of Health and Nursing Sciences, Charité-Universitätsmedizin Berlin, Humboldt Universität zu Berlin and Freie Universität, 13353 Berlin, Germany.
Department of Nursing, Faculty of Health Sciences, Fenerbahce University, Istanbul 34758, Turkey.
Int J Environ Res Public Health. 2022 Aug 4;19(15):9589. doi: 10.3390/ijerph19159589.
This descriptive phenomenological study aimed to evaluate the perception and experiences of adolescents with mental disorders and their parents about the use of and adherence to psychotropic medications. A total of 12 semi-structured interviews with adolescents between the ages of 12 to 18 who were attending an outpatient psychiatric clinic for children and adolescents and 12 interviews with parents were conducted between October 2021 and January 2022 in Manisa, Turkey. Colaizzi's phenomenological interpretation method was used for the analysis of the participants' statements. Our study highlights the main positive effects of psychotropic medication and barriers to medication intake and adherence. Positive effects included symptom management and health improvement. Barriers varied from those directly linked to medication effects (e.g., negative side effects or lack of perceived effect) to personal barriers (e.g., forgetting to take medication or feelings of not being oneself due to medication intake) and societal barriers. In general, the barriers were reflected in concerns related to long-term consequences, such as medication dependence, and in concerns about diminished life prospects. Possible recommendations to improve the use of and adherence to psychotropic medication among adolescents include educating adolescents and parents not only about treatment options but also about mental disorders.
本描述性现象学研究旨在评估患有精神障碍的青少年及其父母对精神药物使用和依从性的看法和体验。2021 年 10 月至 2022 年 1 月，在土耳其马尼亚萨，共对 12 名 12 至 18 岁的在儿童和青少年门诊精神病诊所就诊的青少年以及 12 名家长进行了半结构式访谈。采用科莱兹的现象学解释方法对参与者的陈述进行分析。我们的研究强调了精神药物的主要积极作用和药物摄入及依从性的障碍。积极作用包括症状管理和健康改善。障碍从与药物作用直接相关的障碍（例如，负面副作用或缺乏感知效果）到个人障碍（例如，忘记服药或因服药而感到不像自己）和社会障碍。总体而言，这些障碍反映在对长期后果的担忧上，例如药物依赖，以及对生活前景变差的担忧。改善青少年使用和依从精神药物的可能建议包括不仅教育青少年和家长有关治疗选择，还要教育他们有关精神障碍。
