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Adherence to highly active anti-retrovirals and the impact of borderline personality disorder thereon

Assignment (MA)--University of Stellenbosch, 2005. / ENGLISH ABSTRACT: Adherence to medical regimes and the difficulties associated with
patient adherence are well documented. Furthermore, non-adherence
with prescribed medication is ubiquitous. Regarding HIV, strict
adherence to combination highly active antiretroviral therapy regimes
is a prerequisite for immunological reconstitution. Certain factors have
been identified as predicting non-adherence. However, the role of
personality variables on adherence has been neglected, specifically
with regards to personality pathology. Moreover, there is a high rate of
comorbidity between HIV and Axis II disorders, including BPD. Despite
controversy, the DSM-IV-TR identifies nine fundamental criteria
required for the diagnosis of BPD to be made. These criteria are
considered separately in an attempt to elucidate their potential role on
non-adherence. Clinically, it is likely that the criteria interact to create
a gestalt effect, further complicating adherence. / AFRIKAANSE OPSOMMING: Patient voldoening ter mediese aanbevele en die probleme geassosier
daarmee is goed gedokumenteer. En verder is dit allerdags dat
patlente nie met hul voorgeskrewe medikasie voldoen nie. In verband
met MIV, streng voldoening tot HAART is a voorvereiste vir
immunologiese hersamestelling. Sekere faktore is geidentifiseer wat
voldoening en die teenoorgestelde daarvan voorspel. Alhoewel, die rei
van persoonlikheid veranderlikes op voldoening is nie in ag geneem
nie, spesifiek in verband met persoonlikheid patologie. Bowenal, is
daar n hoe frekwensie van komorbiditeit tussen MIV en As II steurings,
insluitend BPO. Ten spyte van kontroversie, die OSM-IV-TR identifiseer
nege fundementele kriteria, waarvan vyf teenwoordig moet wees vir n
diagnose van BPO. Hierdie kriteria word individueel bespreek in n
poging om hulle impak op patiente voldoening te illustreer. Klinies is
dit heel moontlik dat daar interaksie is tussen die kriteria wat n gestalt
effek sal skep, wat voldoening weer verder sal kompliseer.

Identiferoai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:sun/oai:scholar.sun.ac.za:10019.1/50246
Date12 1900
CreatorsNel, Jonathan Gordon
ContributorsSmith, M. R., Stellenbosch University. Faculty of Arts and Social Sciences. Dept. of Psychology.
PublisherStellenbosch : Stellenbosch University
Source SetsSouth African National ETD Portal
Languageen_ZA
Detected LanguageEnglish
TypeThesis
Formatvii, 38 p.
RightsStellenbosch University

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