open access

Vol 17, No 3 (2020)
Research paper
Published online: 2020-07-13
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The relationship between medication adherence and affective temperaments in patients with congestive heart failure

Alireza Shamsi, Hooria Yavarmanesh, Hani Harati, Shiva Eiliaei, Majid Sadeghian
DOI: 10.5603/PSYCH.2020.0024
·
Psychiatria 2020;17(3):115-120.

open access

Vol 17, No 3 (2020)
Prace oryginalne - nadesłane
Published online: 2020-07-13

Abstract

Introduction: Congestive heart failure (CHF) is a serious condition and lack of medication adherence is one of the
most common problems in the treatment of patients with CHF. This study aimed to determine the relationship between
medication adherence and affective temperaments in patients with CHF.

Material and methods: This cross-sectional study was performed on 150 patients, who were referred to the cardiology
clinic of Ali Ibn Abi Talib Hospital of Zahedan, Iran in 2017–2018. Morisky Medication Adherence Scale (MMAS-8),
Temperament Evaluation of Memphis, Pisa, Paris, and San Diego auto questionnaire (TEMPS-A), and Beck Depression
Inventory-II (BDI-II) were used to collect data. For statistical analysis, SPSS-18 was used. Logistic regression was done for
modeling the relationship between medication adherence.

Results: Generally, 54% of the patients were euthymic, while 16%, 23.33%, and 6.66% of them suffered from mild,
moderate, and severe depression, respectively. The medication adherence was high, moderate, and low in 30.66%,
46%, and 23.33% of the patients, respectively. There was a significant relationship between medication adherence and
depressive (P = 0.049), cyclothymic (P = 0.01), and irritable (P = 0.01) affective temperaments. Only BDI-II score (P =
0.018) was identified as predictors of drug adherence.

Conclusions: Despite the statistically significant relationship between depressive, cyclothymic, and irritable temperaments
and adherence, affective temperaments cannot be considered as a predictor of adherence in patients with CHF.

Abstract

Introduction: Congestive heart failure (CHF) is a serious condition and lack of medication adherence is one of the
most common problems in the treatment of patients with CHF. This study aimed to determine the relationship between
medication adherence and affective temperaments in patients with CHF.

Material and methods: This cross-sectional study was performed on 150 patients, who were referred to the cardiology
clinic of Ali Ibn Abi Talib Hospital of Zahedan, Iran in 2017–2018. Morisky Medication Adherence Scale (MMAS-8),
Temperament Evaluation of Memphis, Pisa, Paris, and San Diego auto questionnaire (TEMPS-A), and Beck Depression
Inventory-II (BDI-II) were used to collect data. For statistical analysis, SPSS-18 was used. Logistic regression was done for
modeling the relationship between medication adherence.

Results: Generally, 54% of the patients were euthymic, while 16%, 23.33%, and 6.66% of them suffered from mild,
moderate, and severe depression, respectively. The medication adherence was high, moderate, and low in 30.66%,
46%, and 23.33% of the patients, respectively. There was a significant relationship between medication adherence and
depressive (P = 0.049), cyclothymic (P = 0.01), and irritable (P = 0.01) affective temperaments. Only BDI-II score (P =
0.018) was identified as predictors of drug adherence.

Conclusions: Despite the statistically significant relationship between depressive, cyclothymic, and irritable temperaments
and adherence, affective temperaments cannot be considered as a predictor of adherence in patients with CHF.

Get Citation

Keywords

medication adherence, congestive heart failure, affective temperaments, depression

About this article
Title

The relationship between medication adherence and affective temperaments in patients with congestive heart failure

Journal

Psychiatria (Psychiatry)

Issue

Vol 17, No 3 (2020)

Article type

Research paper

Pages

115-120

Published online

2020-07-13

DOI

10.5603/PSYCH.2020.0024

Bibliographic record

Psychiatria 2020;17(3):115-120.

Keywords

medication adherence
congestive heart failure
affective temperaments
depression

Authors

Alireza Shamsi
Hooria Yavarmanesh
Hani Harati
Shiva Eiliaei
Majid Sadeghian

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