青少年对慢性病治疗的依从性——疾病更新水平和风险耐受性的作用。
L'adhérence au traitement de maladies chroniques chez les jeunes - Rôle du niveau d'actualisation et de la tolérance au risque.
作者信息
Hurtubise Sandrine, Perez Tamara, Drouin Olivier
机构信息
Département de psychologie, Université de Montréal, Canada.
Centre de recherche du CHU Sainte-Justine, Canada.
出版信息
Paediatr Child Health. 2023 Feb 15;28(5):270-272. doi: 10.1093/pch/pxac124. eCollection 2023 Aug.
Adolescents with chronic diseases must adhere to medication regimens to control their symptoms and avoid long-term complications. Despite its importance, medication adherence is low among adolescents. This commentary briefly covers the challenges described in the literature associated with measuring and addressing low medication adherence in adolescents. Next, it presents the evidence for the link between medication adherence and two prevalent psychological characteristics that have not been properly assessed so far: delay discounting (i.e., the relative value assigned to the future compared to the present), and risk tolerance. These psychological traits deserve further studies and are potentially amenable to interventions to improve medication adherence in adolescents with chronic conditions.
患有慢性病的青少年必须坚持药物治疗方案，以控制症状并避免长期并发症。尽管药物依从性很重要，但青少年中的药物依从性却很低。本评论简要介绍了文献中所描述的与测量和解决青少年药物依从性低相关的挑战。接下来，它阐述了药物依从性与两种目前尚未得到充分评估的普遍心理特征之间联系的证据：延迟折扣（即与当下相比赋予未来的相对价值）和风险承受能力。这些心理特质值得进一步研究，并且有可能通过干预措施来提高患有慢性病青少年的药物依从性。
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