Complementary and alternative medicines (CAMs) and adherence to mental health medications

BMC Complementary and Alternative Medicine

Edel Ennis¹ 

[1] School of Psychology, University of Ulster, Northland Rd, L.Derry BT48 7JL, Northern Ireland

关键词: Complementary and alternative medications (CAMs);    Mental health;    Medication;    Adherence;   

Others  :  1220230
DOI  :  10.1186/1472-6882-14-93

 received in 2013-06-28, accepted in 2014-02-10,  发布年份 2014

【 摘 要 】

Background

Medication regimes are often poorly adhered to, and the negative consequences of this are well recognised. The dynamics underlying non-adherence are less understood. This paper examines adherence to prescription medications for mental health difficulties in relation to the use of complementary and alternative medicines (CAMs). This was based on suggestions that within medical pluralism, CAMs may reduce adherence to conventional prescription medications for reasons such as their further complicating the medication regime or their being perceived as a substitute with less adverse side effects than conventional prescription medications.

Methods

Data used was from the National Comorbidity Study Replication (NCS-R), specifically those 1396 individuals who reported taking a prescription drug for mental health difficulties within the last 12 months and under the supervision of a health professional. This subsample was selected due to their being the only subgroup questioned regarding their medication adherence. Other demographic and health factors were also considered.

Results

The use of complementary medicines alongside the conventional medicines bore no significant relation to odds of reporting adherence versus non adherence. Ethnicity and medication count were significant predictors of adherence versus non-adherence.

Conclusions

The above findings are discussed from the point of both promoting the use of CAMs and increasing health professionals’ understanding of the dynamics underlying adherence, or the lack thereof, and subsequently informing interventions to reduce the problems associated with this issue in terms of increased health care needs and reduced quality of life.

【 授权许可】

   
2014 Ennis; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Julius RJ, Novitsky MA Jr, Dubin WR: Medication adherence: a review of the literature and implications for clinical practice. J Psychiatr Pract 2009, 15:34-44.
• [2]WHO (World Health Organisation): Adherence to long term therapies: evidence for action. 2003. retrieved November 5th 2011, from http://www.who.int/chp/knowledge/publications/adherence_full_report.pdf webcite
• [3]Kripliano S, Yao X, Haynes RB: Interventions to enhance medication adherence in chronic medical conditions: a systematic review. Arch Intern Med 2007, 167:540-550.
• [4]McHorney CA, Zhang NJ, Stump T, Zhao X: Structural equation modeling of the proximal-distal continuum of adherence drivers. Patient Prefer Adher 2012, 6:789-804.
• [5]AlGhurair SA, Hughes CA, Simpson SH, Guirguis LM: A systematic review of patient self-reported barriers to adherence to antihypertensive medications using the World Health Organization multidimensional adherence model. J Clin Hyper 2012, 14:877-886.
• [6]DiMatteo MR, Haskard-Zolnierek KB, Martin LR: Improving patient adherence: a three factor model to guide practice. Health Psychol Rev 2012, 6:74-91.
• [7]Krousel-Wood , et al.: Adverse effects of complementary and alternative medicine use on antihypertensive medication adherence: findings from CoSMO. J Am Geriatr Soc 2010, 58:54-61.
• [8]Simpson RJ: Challenges for improving medication adherence. JAMA 2006, 296:2614-2616.
• [9]Cherniack EP: Complementary medicine use is not associated with non-adherence to conventional medication in the elderly: a retrospective study. Complement Ther Clin Pract 2011, 17:206-208.
• [10]Haynes RB, Ackloo E, Sahota N, McDonald HP, Yao X: Interventions for enhancing medication adherence. Cochr Datab Syst Rev 2008, 16:CD 000011.
• [11]Osterberg L, Blaschke T: Adherence to medication. N Engl J Med 2005, 353:487-497.
• [12]Wade C, Chao M, Kronenberg F, Cushman L, Kalmuss D: Medical pluralism among American women: results of a national survey. J Womens Health 2008, 17:829-840.
• [13]National Center for Complementary and Alternative Medicine: What is Complementary and Alternative Medicine? 2011. retrieved November 5th 2011 from http://nccam.nih.gov/health/whatiscam/
• [14]Jarman CN, Perron BE, Kilbourne AM, Teh CF: Perceived treatment effectiveness, medication compliance, and complementary and alternative medicine use among veterans with bipolar disorder. J Alter Complement Med 2010, 16:251-255.
• [15]Harris PE, Cooper KL, Relton C, Thomas KJ: Prevalence of complementary and alternative medicine (CAM) use by the general population: a systematic review and update. Int J Clin Pract 2012, 66:924-939.
• [16]Owen-Smith A, Diclemente R, Wingood G: Complementary and alternative medicine use decreases adherence to HAART in HIV-positive women. AIDS Care 2007, 19:589-593.
• [17]Foote-Ardah CE: Sociocultural barriers to the use of complementary and alternative medicine for HIV. Qual Health Res 2004, 14:511-593.
• [18]Foote-Ardah CE: The meaning of complementary and alternative medicine practices among people with HIV in the United States: strategies for managing everyday life. Soc Health Illness 2003, 25:481-500.
• [19]Roy A, Lurslurchachai L, Halm EA, Li XM, Wisnivesky JP: Complementary and alternative medication use and adherence to inhaled corticosteroid among inner-city asthmatics. Ann Allerg Asthma Immunol 2010, 104:132-138.
• [20]Weizman AV, Ahn E, Thanabalan R, Leung W, Croituru K, Silverberg S, Hillary-Steinhart A, Nguyen GC: Characterisation of complementary and alternative medicine use and its impact on medication adherence in inflammatory bowel disease. Aliment Pharmacol Ther 2012, 35:342-349.
• [21]Olfson M, Mojtabai R, Sampson NA, Hwang I, Druss B, Wang PS, Wells KB, Pincus HA, Kessler RC: Dropout from outpatient mental health care in the United States. Psychiatr Serv 2009, 60:898-907.
• [22]Shrank WH, Liberman JN, Fischer MA, Kilabuk E, Girdish C, Cutrona S, Breenan T, Choudry NK: Are caregivers adherent to their own medications? J Am Pharm Assoc 2011, 51:e53-e59.
• [23]Kessler RC, Berglund P, Chiu WT, Demler O, Heeringa S, Hiripi E, Jin R, Pennell BE, Walters EE, Zaslavsky A, Zheng H: The US national comorbidity survey replication (NCS-R): design and field procedures. Int J Methods Psych Res 2004, 13:69-92.
• [24]Kessler RC, Chiu WT, Demler O, Merikangas KR, Walters E: Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the national comorbidity survey replication. Arch Gen Psychiatry 2005, 62:617-627.
• [25]Woodward AT, Bullard KM, Taylor RJ, Chatters LM, Baser RE, Perron BE: Use of complementary and alternative medicines for mental and substance use disorders: a comparison of African Americans, black Carribeans, and non-Hispanic whites. Psychiatr Serv 2009, 60:1342-1349.
• [26]Kessler RC, Ustun TB: The world mental health (WMH) survey initiative version of the world health organization (WHO) composite international diagnostic interview (CIDI). Int J Methods Psych Res 2004, 13:93-121.
• [27]Garber MC, Nau DP, Erickson SR, Aikens JE, Lawrence JB: The concordance of self-report with other measures of medication adherence: a summary of the literature. Med Care 2004, 42:649-652.
• [28]Shrank WH, Liberman JN, Fischer MA, Kilabuk E, Girdish C, Cutrona S, Breenan T, Choudry NK: Are caregivers adherent to their own medications? J Am Pharm Assoc 2011, 51:e53.28-e59.28.
• [29]Tarn DM, Mattimore TJ, Bell DS, Kravitz RL, Wenger NS: Provider views about responsibility for medication adherence and content of physician-older patient discussions. J Am Geriatr Soc 2012, 60:1019-1026.