Dodrill C B, Batzel L W, Wilensky A J, Yerby M S
Int J Psychiatry Med. 1987;17(2):143-54. doi: 10.2190/4ny4-3p1r-e2r9-mhcy.
Noncompliance in the taking of medication for a chronic disorder was related to emotional adjustment, psychosocial adjustment, ability to assume responsibility in life generally, and financial factors. Of 282 adults with epilepsy, eighty were identified by physicians' ratings as definitely compliant and forty-two as noncompliant. Results showed: 1) there were no differences between compliers and noncompliers in emotional adjustment; 2) noncompliance is not related to the cost of medications or to whether or not they are free; 3) noncompliance is more likely when patients report general financial distress, regardless of actual financial status; 4) persons with regular responsibilities in life also tend to take their medication regularly; and, 5) when reported financial distress and ability to assume responsibilities are considered simultaneously, the likelihood of noncompliance is four times as great in some patient groups as in others.
慢性疾病治疗中服药依从性不佳与情绪调节、心理社会适应、总体生活中承担责任的能力以及经济因素有关。在282名成年癫痫患者中，医生评定有80人服药依从性肯定良好，42人依从性不佳。结果显示：1）依从者和不依从者在情绪调节方面没有差异；2）不依从与药物成本或药物是否免费无关；3）当患者自述总体经济困难时，无论实际经济状况如何，不依从的可能性更大；4）生活中有固定责任的人也往往会按时服药；5）当同时考虑自述的经济困难和承担责任的能力时，某些患者群体中不依从的可能性是其他患者群体的四倍。
