التفاصيل البيبلوغرافية
| العنوان: |
Interactive effects of social support and social conflict on medication adherence in multimorbid older adults. |
| المؤلفون: |
Warner, Lisa M.1,2 lisa.warner@fu-berlin.de, Schüz, Benjamin3, Aiken, Leona4, Ziegelmann, Jochen P.2, Wurm, Susanne2, Tesch-Römer, Clemens2, Schwarzer, Ralf1,5 |
| المصدر: |
Social Science & Medicine. Jun2013, Vol. 87, p23-30. 8p. |
| مصطلحات موضوعية: |
*CLINICAL drug trials, *CONFLICT (Psychology), *PATIENT compliance, *SURVEYS, *SOCIAL support, *INDEPENDENT living, *DESCRIPTIVE statistics, *OLD age |
| مصطلحات جغرافية: |
GERMANY |
| مستخلص: |
Abstract: With increasing age and multimorbidity, medication regimens become demanding, potentially resulting in suboptimal adherence. Social support has been discussed as a predictor of adherence, but previous findings are inconsistent. The study examines general social support, medication-specific social support, and social conflict as predictors of adherence at two points in time (6 months apart) to test the mobilization and social conflict hypotheses. A total of 309 community-dwelling multimorbid adults (65–85 years, mean age 73.27, 41.7% women; most frequent illnesses: hypertension, osteoarthritis and hyperlipidemia) were recruited from the population-representative German Ageing Survey. Only medication-specific support correlated with adherence. Controlling for baseline adherence, demographics, physical fitness, medication regimen, and attitude, Time 1 medication-specific support negatively predicted Time 2 adherence, and vice versa. The negative relation between earlier medication-specific support and later adherence was not due to mobilization (low adherence mobilizing support from others, which over time would support adherence). Social conflict moderated the medication-specific support to adherence relationship: the relationship became more negative, the more social conflict participants reported. Presence of social conflict should be considered when received social support is studied, because well-intended help might have the opposite effect, when it coincides with social conflict. [Copyright &y& Elsevier] |
| قاعدة البيانات: |
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