Predictive validity of the Sidorkiewicz instrument in Spanishassessing individual drug adherence in psychiatric patients

  1. Carlos De las Cuevas 1
  2. Wenceslao Peñate 2
  3. José Manuel García de Cecilia
  4. Jose de Leon 3
  1. 1 Departamento de Medicina Interna, Dermatología y Psiquiatría, Universidad de La Laguna
  2. 2 Departamento de Psicología Clínica, Psicobiología y Metodología, Universidad de La Laguna
  3. 3 Centro de Investigacion Biomedica en Red de Salud Mental
    info

    Centro de Investigacion Biomedica en Red de Salud Mental

    Madrid, España

    ROR https://ror.org/009byq155

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Revista:
International journal of clinical and health psychology

ISSN: 1697-2600

Año de publicación: 2018

Volumen: 18

Número: 2

Páginas: 133-142

Tipo: Artículo

DOI: 10.1016/J.IJCHP.2017.11.003 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: International journal of clinical and health psychology

Resumen

Antecedentes/Objetivo: La prescripción concomitante más de un psicofármaco en un mismo paciente se ha convertido en la regla de la práctica clínica psiquiátrica actual, pudiendo adherirse los pacientes de manera diferente a sus diversos fármacos prescritos. Sidorkiewicz y colaboradores publicaron un cuestionario para evaluar la adherencia a cada fármaco tomado por el paciente. Método: Este estudio valora la validez predictiva de la versión española del cuestionario de Sidorkiewicz en una muestra de 470 pacientes ambulatorios psiquiátricos consecutivos que usaban 897 fármacos psiquiátricos. Resultados: El cuestionario mostró una adecuada validez predictiva, tanto en análisis univariados como multivariados (regresión logística y CHAID), registrándose asociaciones significativas con el DAI-10 y con las escalas de Necesidad y Preocupación del BMQ. Algunas variables sociodemográficas y clínicas fueron significativas en el análisis univariado perdiendo su significación en el multivariado. Conclusiones: La adherencia del paciente psiquiátrico al tratamiento no está condicionada por características sociodemográficas o clínicas, sino por actitudes hacia la medicación y por las percepciones de necesidad personal de la medicación y preocupaciones sobre sus posibles efectos adversos. La versión española del cuestionario de Sidorkiewicz es un instrumento válido para evaluar la adherencia a cada fármaco tomado por pacientes psiquiátricos ambulatorios polimedicados.

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Fuente de los datos: Dialnet