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Autor/inn/enSchoenthaler, Antoinette; Ogedegbe, Gbenga; Allegrante, John P.
TitelSelf-Efficacy Mediates the Relationship between Depressive Symptoms and Medication Adherence among Hypertensive African Americans
QuelleIn: Health Education & Behavior, 36 (2009) 1, S.127-137 (11 Seiten)
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Spracheenglisch
Dokumenttypgedruckt; online; Zeitschriftenaufsatz
ISSN1090-1981
DOI10.1177/1090198107309459
SchlagwörterSelf Efficacy; Depression (Psychology); African Americans; Drug Therapy; Hypertension; Health Services; Role; Health Behavior; New York
AbstractMany studies have documented the negative effects of depression on adherence to recommended treatment; however, little is known about the mechanism underlying this relationship. Using the Kenny and Baron analytic framework of mediation, the authors assessed whether self-efficacy mediated the relationship between depression and medication adherence in 167 hypertensive African Americans followed in a primary care practice. Depressive symptoms are associated with poor medication adherence (beta = .013, p = .036) and low self-efficacy (beta = -.008, p = .023). Self-efficacy is negatively associated with medication adherence at follow-up (beta = -.612, p less than .001). The relationship between depressive symptoms and medication adherence becomes nonsignificant when controlling for self-efficacy (beta = .010, p = .087). Implications for further examination into the mediating role of self-efficacy and the deleterious effect of depression on medication adherence are discussed. (Contains 2 figures.) (As Provided).
AnmerkungenSAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Erfasst vonERIC (Education Resources Information Center), Washington, DC
Update2017/4/10
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