| Pediatric psychotropic medication initiation and adherence: a literature review based on social exchange theory. | |
| | |
MedLine Citation:
|
PMID: 20796098 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
TOPIC: Psychotropic medication initiation and adherence is an identified problem. This literature review explores factors that determine families' decisions to initiate, sustain, or discontinue use of psychotropic medication in children and adolescents. Social exchange theory is used as a framework to explore decisions to initiate and adhere to psychotropic medications. PURPOSE: Contributing factors related to psychotropic medication initiation, adherence, and discontinuation are explored. Themes in the literature encompassing costs and benefits of psychotropic medication adherence include family experiences with adverse effects, previous psychotropic medication experience, medication psychoeducation, stigma, societal views about psychotropic medication, particular diagnosis, the effect of comorbid diagnosis on adherence, attitudes and beliefs about medication by both children and parents, and relationships with the provider. The impact of family demographics including parent gender, age of the child, ethnicity, and parent educational level on psychotropic medication adherence is evaluated. SOURCES: International and U.S. studies from Medline, Cumulative Index for Nursing and Allied Health Literature and PsychInfo evaluating medication initiation and adherence in the pediatric psychiatric population and social exchange theory was incorporated from relevant textbook resources. CONCLUSIONS: Rewards experienced from medication treatment include improvement in symptoms, school performance and family relationships, and reduced level of parenting stress. Identified costs include impact of adverse side effects, social stigma, lack of response, fears of addiction, and changing the child's personality. Acceptance of the diagnosis influences adherence while medication education has varying effects. Families' attitudes, beliefs and perceptions about psychiatric illness and treatment play a large role in medication treatment decisions. A trusting provider relationship has a positive effect on adherence. Psychosocial treatment alternatives are preferred. With maturation, adolescents have more influence on decisions related to adherence. |
| | |
Authors:
|
Vanya Hamrin; Erin M McCarthy; Veda Tyson |
Related Documents
:
|
9356958 - Antiretroviral therapy: factors associated with adherence. 18977718 - Monitoring medication adherence by unannounced pill counts conducted by telephone: reli... 18279868 - Options for screening colonoscopy without sedation: sequel to a pilot study in u.s. vet... 21045168 - Variation in antiepileptic drug adherence among older patients with new-onset epilepsy. 8851108 - A new apparatus for non-invasive positioning of laser doppler flux (ldf) probes in skin... 2007758 - Bringing our bodies and ourselves back in: reflections on a past, present, and future "... |
Publication Detail:
|
Type: Journal Article; Review |
Journal Detail:
|
Title: Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc Volume: 23 ISSN: 1744-6171 ISO Abbreviation: J Child Adolesc Psychiatr Nurs Publication Date: 2010 Aug |
Date Detail:
|
Created Date: 2010-08-27 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9431738 Medline TA: J Child Adolesc Psychiatr Nurs Country: United States |
Other Details:
|
Languages: eng Pagination: 151-72 Citation Subset: N |
Affiliation:
|
Yale University School of Nursing, Yale Univsersity, New Haven, Connecticut, USA. Vanya.Hamrin@yale.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The concept of patient satisfaction in adolescent psychiatric care: a qualitative study.
Next Document: The mediating effects of stress and coping on depression among adolescents in China.