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• W2771244307 abstract "Background/Objective: Concomitant prescription of two or more psychiatric medications has become the rule and patients could adhere differently to their various drugs prescribed. Sidorkiewicz et al. published a questionnaire for assessing adherence to each specific drug. Method: This study explored the predictive validity of the Spanish version of the Sidorkiewicz questionnaire in a sample of 470 consecutive psychiatric outpatients using 897 psychiatric drugs. Results: The questionnaire showed adequate predictive validity in both univariate and multivariate analyses (logistic regression and CHAID segmentation) since they demonstrated a significant association with the 10-item Drug Attitude Inventory and with the Necessity and Concern Scales of the Beliefs about Medications Questionnaire. Some demographic and clinical variables were significant in the univariate analyses but lost significance in the multivariate analyses. Conclusions: The adherence of the psychiatric patient to his/her prescribed treatment may not be significantly influenced by socio-demographic or clinical characteristics, but rather by attitudes toward medication, perceptions of personal necessity for medication, and concerns about its potential adverse effects. This study's findings suggest that the Spanish version of the Sidorkiewicz questionnaire may be a useful and valid instrument for assessing adherence to each individual drug taken by psychiatric outpatients undergoing polypsychopharmacy.Antecedentes/Objetivo: La prescripción concomitante más de un psicofármaco en un mismo paciente se ha convertido en la regla de la práctica clínica psiquiátrica actual, pudiendo adherirse los pacientes de manera diferente a sus diversos fármacos prescritos. Sidorkiewicz y colaboradores publicaron un cuestionario para evaluar la adherencia a cada fármaco tomado por el paciente. Método: Este estudio valora la validez predictiva de la versión española del cuestionario de Sidorkiewicz en una muestra de 470 pacientes ambulatorios psiquiátricos consecutivos que usaban 897 fármacos psiquiátricos. Resultados: El cuestionario mostró una adecuada validez predictiva, tanto en análisis univariados como multivariados (regresión logística y CHAID), registrándose asociaciones significativas con el DAI-10 y con las escalas de Necesidad y Preocupación del BMQ. Algunas variables sociodemográficas y clínicas fueron significativas en el análisis univariado perdiendo su significación en el multivariado. Conclusiones: La adherencia del paciente psiquiátrico al tratamiento no está condicionada por características sociodemográficas o clínicas, sino por actitudes hacia la medicación y por las percepciones de necesidad personal de la medicación y preocupaciones sobre sus posibles efectos adversos. La versión española del cuestionario de Sidorkiewicz es un instrumento válido para evaluar la adherencia a cada fármaco tomado por pacientes psiquiátricos ambulatorios polimedicados." @default.
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• W2771244307 date "2018-05-01" @default.
• W2771244307 modified "2023-10-05" @default.
• W2771244307 title "Predictive validity of the Sidorkiewicz instrument in Spanish: Assessing individual drug adherence in psychiatric patients" @default.
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• W2771244307 doi "https://doi.org/10.1016/j.ijchp.2017.11.003" @default.
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