[en] Objective: The development of the Antidepressant Compliance Questionnaire (ADCQ), assessing patients' attitudes and beliefs on depression and antidepressants. Method: A 51-item questionnaire was applied to 85 psychiatric out-patients with a DSM-IV diagnosis of major depressive disorder (MDD). This data set was used to assess psychometric properties of the ADCQ. The questionnaire was also applied to 272 primary care out-patients with MDD. Results: A principal component analysis revealed four dimensions with good internal consistency and acceptable test-retest reliability: 'perceived doctor-patient relationship', 'preserved autonomy', 'positive beliefs on antidepressants' and 'partner agreement', resulting in a final questionnaire comprising 33-items. Responses were independent from depression severity and patient age. The response patterns of both psychiatric and primary care patients are provided and illustrate the many erroneous beliefs on antidepressants. Conclusion: The ADCQ has good psychometric properties; further investigation should investigate whether this questionnaire is predictive of patient compliance.
Disciplines :
Psychiatrie
Auteur, co-auteur :
Demyttenaere, K.
Bruffaerts, R.
Albert, Adelin ; Université de Liège - ULiège > Département des sciences de la santé publique > Informatique médicale et biostatistique
Mesters, P.
Dewé, Walthère ; Université de Liège - ULiège > Analyse des médicaments
Debruyckere, K.
Sangeleer, M.
Langue du document :
Anglais
Titre :
Development of an antidepressant compliance questionnaire
LINGAM R, SCOTT J. Treatment non-adherence in affective disorders. Acta Psychiatr Scand 2002;105:164-172.
PETERSON AM, TAKIYA L, FINLEY R. Meta-analysis of trials of interventions to improve medication adherence. Am J Health-Syst Pharm 2003;60:657-665.
HAYNES RB, MCDONALD H, GARG AX, MONTAGUE P. Interventions for helping patients to follow prescriptions for medications. The Cochrane Libr 2003;1:1-63.
PRIEST RG, VIZE C, ROBERTS A, ROBERTS M, TYLEE A. Lay people's attitudes to treatment of depression: results of opinion poll for Defeat Depression Campaign just before its launch. BMJ 1996;313:858-861.
PAYKEL ES, HART D, PRIEST RG. Changes in public attitudes during the Defeat Depression Campaign. Br J Psychiatry 1998;173:519-522.
BROWN C, DUNBAR-JACOB J, PALENCHAR DR et al. Primary care patients' personal illness models for depression: a preliminary investigation. Fam Pract 2001;18:314-320.
SRINIVASAN J, COHEN NL, PARIKH SV. Patient attitudes regarding causes of depression: implications for psychoeducation. Can J Psychiatry 2003;48:493-495.
ANGERMEYER MC, MATCHINGER H. Public attitude towards psychiatric treatment. Acta Psychiatr Scand 1996;94:326-336.
BENKERT O, GRAF-MORGENSTERN M, HILLERT A et al. Public opinion on psychotropic drugs: an analysis of the factors influencing acceptance or rejection. J Nerv Ment Dis 1997;185:151-158.
HIGHET NJ, HICKIE IB, DAVENPOIRT TA. Monitoring awareness of and attitudes to depression in Australia. MJA 2002;176:863-868.
JORM AF, MEDWAY J, CHRISTENSEN H, KORTEN AE, JACOMB PA, RODGERS B. Public beliefs about the helpfulness of interventions for depression: effects on actions taken when experiencing anxiety and depression symptoms. Aust N Z J Psychiatry 2000;34:619-626.
DEMYTTENAERE K. Compliance during treatment with anti-depressants. J Affect Dis 1997;43:27-39.
DEMYTTENAERE K. Noncompliance with antidepressants: who's to blame? Int Clin Psychopharmacol 1998;13(suppl. 2):S19-S25.
WEISS M, GASTON L, PROPST A, WISEBORD S, ZICHERMAN V. The role of the alliance in the pharmacologic treatment of depression. J Clin Psychiatry 1997;58:196-204.
DEMYTTENAERE K, ENZLIN P, DEWÉ W et al. Compliance with antidepressants in a primary care setting: 1. Beyond lack of efficacy and adverse events. J Clin Psychiatry 2001;62(suppl. 22):S30-S33.
TACQ J. Multivariate analysis techniques. London: Sage, 1997.
CRONBACH LJ. Coefficient alpha and the internal structure of tests. Psychometrica 1951;16:297-334.
CONRAD P. The meaning of medications: another look on compliance. Soc Sci Med 1985;20:29-37.
WEINMAN J, PETRIE KJ, MOSS-MORRIS R, HORNE R. The illness perception questionnaire: a new method for assessing the cognitive representation of illness. Psychol Health 1996;11:431-441.
HOENCAMP E, STEVENS A, HAFFMANS J. Patients' attitudes toward antidepressants. Psychiatr Serv 2002;53:1180-1181.