Adolescent Attitudes toward Psychiatric Medication: The Utility of the Drug Attitude Inventory

Autor/inn/en	Townsend, Lisa; Floersch, Jerry; Findling, Robert L.
Titel	Adolescent Attitudes toward Psychiatric Medication: The Utility of the Drug Attitude Inventory
Quelle	In: Journal of Child Psychology and Psychiatry, 50 (2009) 12, S.1523-1531 (10 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0021-9630
DOI	10.1111/j.1469-7610.2009.02113.x
Schlagwörter	Legal Problems; Substance Abuse; Structural Equation Models; Mental Disorders; Adolescent Attitudes; Suicide; Factor Structure; Adolescents; Correlation; Developmental Stages; Drug Therapy; Symptoms (Individual Disorders); Measures (Individuals); Prediction; Clinical Diagnosis; Profiles + Suchen Sie Ihr Suchwort? Drug use; Drug consomption; Drogenkonsum; Mental illness; Geisteskrankheit; Selbstmord; Faktorenstruktur; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Korrelation; Psychiatrische Symptomatik; Messdaten; Vorhersage; Charakterisierung; Profilanalyse
Abstract	Background: Despite the effectiveness of psychotropic treatment for alleviating symptoms of psychiatric disorders, youth adherence to psychotropic medication regimens is low. Adolescent adherence rates range from 10-80% (Swanson, 2003; Cromer & Tarnowski, 1989; Lloyd et al., 1998; Brown, Borden, and Clingerman, 1985; Sleator, 1985) depending on the population and medication studied. Youth with serious mental illness face increased potential for substance abuse, legal problems, suicide attempts, and completed suicide (Birmaher & Axelson, 2006). Nonadherence may increase the potential for negative outcomes. The Drug Attitude Inventory (DAI) was created to measure attitudes toward neuroleptics and to predict adherence in adults (Hogan, Awad, & Eastwood, 1983). No studies have been identified that have used this instrument in adolescent psychiatric populations. The present study was undertaken to evaluate the utility of the DAI for measuring medication attitudes and predicting adherence in adolescents diagnosed with mental health disorders. Method: Structural equation modeling was used to compare the factor structure of the DAI in adults with its factor structure in adolescents. The relationship between adolescent DAI scores and adherence was examined also. Results: The adult factor structure demonstrated only "fair" fit to the adolescent data (RMSEA = 0.061). Results indicated a low, but significant positive correlation (r = 0.205, p less than 0.05) between DAI scores and adherence. Conclusions: Lack of optimal model fit suggests that DAI items may require alteration to reflect adolescent experiences with psychiatric medication more accurately. Differences between adolescents and adults in developmental stage, symptom chronicity, diagnosis, and medication class may explain why the adult model demonstrated only "fair fit" to the adolescent data and why the correlation between DAI scores and adherence was low. The DAI may be improved for use with adolescents by creating items reflecting autonomy concerns, diagnostic characteristics, treatment length, and side effect profiles relevant to adolescent experiences. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10