Factors predicting treatment adherence in patients with adult attention-deficit/hyperactivity disorder: a preliminary study

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dc.authorid0000-0002-5652-3527en_US
dc.authorid0000-0001-5207-6240en_US
dc.authorid0000-0003-4536-1072
dc.contributor.authorSemerci, Zeynep Bengi
dc.contributor.authorTaşkıran, Sarper
dc.contributor.authorTufan, Ali Evren
dc.contributor.authorŞanlı, Işın
dc.date.accessioned2021-06-23T19:43:09Z
dc.date.available2021-06-23T19:43:09Z
dc.date.issued2016
dc.departmentBAİBÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractThis study aimed to elicit patient- and treatment-related factors that can potentially predict treatment adherence in adult ADHD. Subjects who were over 18 and received a diagnosis of ADHD were included in the study. Chart review data of 102 subjects regarding demographics, medications, comorbidities, concomitant medications and domains of functional impairment were collected, and predictors were assessed using a binominal logistical regression model. One hundred and two patients (78.4 % male) with a mean age of 28.8 (SD = 9.8, range = 18-55) years were enrolled in the study. Childhood diagnosis of ADHD, agents used for treatment (MPH or atomoxetine), individual domains of dysfunction and use of additional psychotropic drugs were not found to be related to treatment adherence. Patients with a university education and those referred for family history of ADHD were more likely to adhere to treatment (p = 0.05 and 0.03, respectively). On the other hand, reasons for referral other than ADHD were significantly more frequently related to non-adherence (p = 0.02). Treatment noncompliance remains a significant problem despite therapeutic effects of medications. Identification of predictors of non-adherence can lead to heightened awareness of special populations at risk. We have found that prior awareness on ADHD (via past history/media/friends) leading to self/clinician referral to rule out ADHD and pervasiveness of symptoms across functional domains led to better compliance in our sample. Future research with prospective design utilizing objective tools for adherence is required.en_US
dc.identifier.doi10.1007/s12402-016-0194-5
dc.identifier.endpage147en_US
dc.identifier.issn1866-6116
dc.identifier.issn1866-6647
dc.identifier.issue3en_US
dc.identifier.pmid27056071en_US
dc.identifier.scopus2-s2.0-84964018466en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage139en_US
dc.identifier.urihttps://doi.org/10.1007/s12402-016-0194-5
dc.identifier.urihttps://hdl.handle.net/20.500.12491/8704
dc.identifier.volume8en_US
dc.identifier.wosWOS:000381980300003en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorTufan, Ali Evren
dc.language.isoenen_US
dc.publisherSpringer Wienen_US
dc.relation.ispartofAdhd-Attention Deficit And Hyperactivity Disordersen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAdult ADHDen_US
dc.subjectPharmacologyen_US
dc.subjectTreatment Complianceen_US
dc.subjectTreatment Adherenceen_US
dc.titleFactors predicting treatment adherence in patients with adult attention-deficit/hyperactivity disorder: a preliminary studyen_US
dc.typeArticleen_US

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