Document Detail

Predictors of compliance with psychological interventions offered in the community.
MedLine Citation:
PMID:  17094818     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: This study sought to evaluate the acceptance of two brief psychological interventions for depressed individuals, contacted through a community survey, and to look for predictors of adherence at the patient level. METHOD: The authors used data from the Outcomes of Depression International Network (ODIN) study, which included a randomized controlled trial in which depressed individuals from five European countries, and nine geographical areas were assigned to one of three groups: individual problem-solving treatment, group psychoeducation, or control group. In this analysis, we included all of the individuals who had been assigned to one of the psychological interventions. Compliance with intervention was defined in two different ways. Multiple logistic regression was used to see which variables might predict an individual's compliance with psychological treatment. RESULTS: Psychological intervention was offered to 236 subjects. Treatment was completed by 128 subjects and not by 108 (compliance definition A). Three variables were found to have an effect on compliance A: the presence of a confidant, the use of antidepressant medication during the previous 6 months, and the previous use of any social or health services. On the other hand, 164 subjects had agreed to at least start the treatment, and 72 had not (compliance definition B). The three factors associated with compliance B were presence of a confidant, previous use of services, and the 'desire for change' score. CONCLUSIONS: Social support and previous use of services are the main predictors of compliance with a psychological treatment in depressed individuals from the community. Implications for clinical practice and community programs are discussed.
J L Ayuso-Mateos; A Pereda; G Dunn; J L Vazquez-Barquero; P Casey; V Lehtinen; O Dalgard; G Wilkinson; C Dowrick
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Publication Detail:
Type:  Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2006-11-09
Journal Detail:
Title:  Psychological medicine     Volume:  37     ISSN:  0033-2917     ISO Abbreviation:  Psychol Med     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-04-04     Completed Date:  2007-07-19     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  1254142     Medline TA:  Psychol Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  717-25     Citation Subset:  IM    
Department of Psychiatry, Universidad Autónoma de Madrid, Hospital Universitario de la Princesa, Madrid, Spain.
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MeSH Terms
Antidepressive Agents / therapeutic use*
Canada / epidemiology
Community Mental Health Services / utilization*
Depressive Disorder, Major / drug therapy,  epidemiology*,  therapy*
Double-Blind Method
Middle Aged
Patient Compliance / statistics & numerical data*
Patient Education as Topic / statistics & numerical data
Problem Solving
Program Evaluation
Prospective Studies
Psychotherapy / methods,  statistics & numerical data*
Quality of Life / psychology*
Social Support*
Time Factors
Treatment Outcome
Reg. No./Substance:
0/Antidepressive Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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