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Psychosocial correlates of drug adherence among patients with affective disorder in Hong Kong.January 1998 (has links)
by Mak Wing Fun, Ingrid. / Thesis (M.Phil.)--Chinese University of Hong Kong, 1998. / Includes bibliographical references (leaves 58-64). / Questionnaire also in Chinese. / Abstract --- p.ii / Acknowledgments --- p.iii / Table of Contents --- p.iv / List of Tables --- p.vii / List of Appendix --- p.viii / CHAPTER / Chapter 1 --- Introduction And Literature Review --- p.1 / Adherence(Compliance) --- p.1 / Pattern of Non-adherence --- p.1 / Health Belief Model and Adherence-Related Attitudes --- p.2 / Non-adherence and Psychiatric Disorder --- p.2 / Drug Adherence and Affective Disorder --- p.3 / Bipolar Disorder and Lithium --- p.3 / Methods for Assessing Adherence --- p.4 / Clinical Factors Associated with Lithium Non-adherence --- p.6 / Drug Adherence of Hong Kong Chinese Patients with Affective Disorder --- p.9 / Individual Factors --- p.10 / Attitude and Belief --- p.10 / Health Locus of Control --- p.15 / Socio-Cultural Factors --- p.15 / Explanatory Model --- p.15 / Illness Attribution --- p.16 / Attitude Towards Western Medication --- p.17 / Somatisation and Social Stigma --- p.18 / Family Support --- p.20 / Purposes of the Study --- p.22 / Chapter 2 --- Method --- p.23 / Subjects --- p.23 / Outcome Measures --- p.24 / side Effect Measure --- p.25 / Attitude Measures --- p.26 / Support Measure --- p.27 / Mood State Measure --- p.27 / Memory Function Measure --- p.28 / Procedure --- p.28 / Chapter 3 --- Results --- p.29 / Non-Adherence Rate --- p.29 / Intercorrelations of Adherence Measures --- p.30 / Mean Lithium Level and Adherence Status --- p.31 / The Reliability of the Instruments --- p.33 / Comparison of Fully Adherent and Non-adherent Patients --- p.34 / Discriminant Analysis --- p.39 / Comparison of the Patients' Attitudes and Social Support by the Number of Non- adherence Criteria Met --- p.40 / Comparison of Patients' Attitudes and Perceived Support by Patient's Self-report of Adherence --- p.43 / Comparison of Patients' Attitudes and Perceived Support by Family Member's Report of Adherence --- p.45 / Comparison of Patients' Attitudes and Perceived Support by Case Psychiatrist's Report of Adherence --- p.47 / Chapter 4 --- Discussion --- p.49 / Single vs. Multiple Criteria. --- p.49 / Predicting Non-adherence --- p.51 / Other Variables Associated --- p.53 / Limitations of the Study and Recommendations --- p.56 / Chapter 5 --- References --- p.58 / Chapter 6 --- Appendix --- p.65
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