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Are Health Beliefs Related to Adherence Among Adolescents with Mood Disorders?

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Abstract

This study explored the illness perceptions, attitudes towards mental health services and adherence behaviors among a group of adolescents in treatment for mood disorders in an urban city in the United States. Seventy adolescents completed a battery of questionnaires assessing demographics (e.g., gender, family income), perceptions of illness (e.g., consequences, treatment control) and overall attitudes towards mental health services. Adolescents and their parents also reported on the youth’s adherence to both psychotropic medication and mental health appointments. Simultaneous logistic regression analyses revealed that attitudes and family income made a significant and unique contribution in explaining adolescents’ adherence behaviors. Interventions that help adolescents become aware of their attitudes toward mental health services and provide information on dimensions of mood disorders, such as the chronic nature of depression and the effectiveness of treatment, may impact adherence behavior. Also, among a group of families with access to services, yearly family income remained a significant barrier to attending appointments all of the time. Policy implications are discussed.

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Acknowledgements

This study was funded by a grant from the Ohio Board of Regents to Dr. Michelle Munson (SPN00623). The study was also funded, in part, by a grant from the National Institute of Mental Health (K MH068584 A1) to Dr. Jerry Floersch. The authors would like to thank the anonymous reviewers whose thoughtful comments improved the manuscript.

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Authors and Affiliations

  1. Mandel School of Applied Social Sciences, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, Ohio, USA

    Michelle R. Munson

  2. Rutgers University School of Social Work, New Brunswick, NJ, USA

    Jerry E. Floersch

  3. Rutgers University School of Social Work/Center for Education and Research on Mental Health Therapeutics, New Brunswick, NJ, USA

    Lisa Townsend

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  1. Michelle R. Munson
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  2. Jerry E. Floersch
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  3. Lisa Townsend
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Correspondence to Michelle R. Munson.

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Munson, M.R., Floersch, J.E. & Townsend, L. Are Health Beliefs Related to Adherence Among Adolescents with Mood Disorders?. Adm Policy Ment Health 37, 408–416 (2010). https://doi.org/10.1007/s10488-009-0255-6

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