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Effects of Ethnicity on Psychotropic Medications Adherence

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Abstract

We compared psychotropic medication adherence rates in monolingual-Hispanics (mostly Puerto Ricans), bilingual-Hispanics, and African–Americans as compared with Caucasians in 122 subjects recruited from a community mental health center (CMHC). After controlling for possible confounding factors monolingual-Hispanics and African–Americans had lower medication adherence rates (77% and 68%, respectively) than Caucasians (90%). Older age was a significant predictor of higher adherence among monolingual-Hispanics. Depressive symptoms were associated with lower adherence and more years of past treatment with higher adherence among Caucasians. Further studies are needed to better understand and improve adherence among Hispanics and African–Americans.

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References

  • X. F. Amador D. H. Strauss S. A. Yale M. M. Flaum J. Endicott J. M. Gorman (1993) ArticleTitleAssessment of insight in psychosis American Journal of Psychiatry 150 873–879 Occurrence Handle8494061

    PubMed  Google Scholar 

  • A. J. Apter S. T. Reisine G. Affleck E. Barrows R. L. ZuWallack (1998) ArticleTitleAdherence with twice-daily dosing of inhaled steroids. Socioeconomic and health-belief differences American Journal of Respiratory & Critical Care Medicine 157 1810–1817

    Google Scholar 

  • J. H. Arnsten P. A. Demas H. Farzadegan R. W. Grant M. N. Gourevitch C. J. Chang D. Buono H. Eckholdt A. A. Howard E. E. Schoenbaum (2001) ArticleTitleAntiretroviral therapy adherence and viral suppression in HIV-Infected drug users: Comparison of self report and electronic monitoring HIV/AIDS 33 1417–1423

    Google Scholar 

  • F. Azocar P. Arean J. Miranda R. F. Munoz (2001) ArticleTitleDifferential item functioning in a Spanish translation of the Beck Depression Inventory Journal of Clinical Psychology 57 355–365 Occurrence Handle10.1002/jclp.1017 Occurrence Handle11241365

    Article  PubMed  Google Scholar 

  • C. Barrio A. M. Yamada H. Atuel R. L. Hough S. Yee B. Berthot P. A. Russo (2003) ArticleTitleA tri-ethnic examination of symptom expression on the Positive and Negative Syndrome Scale in schizophrenia spectrum disorders Schizophrenia Research 60 259–269 Occurrence Handle10.1016/S0920-9964(02)00223-2 Occurrence Handle12591588

    Article  PubMed  Google Scholar 

  • M. Bravo M. Woodbury-Fariña G. J. Caniño M. Rubio-Stipec (1993) ArticleTitleThe Spanish translation and cultural adaptation of the Diagnostic Interview Schedule for Children in Puerto Rico Culture, Medicine & Psychiatry 17 329–344

    Google Scholar 

  • H. Charles C. B. Good B. H. Hanusa C. C. Chang J. Whittle (2003) ArticleTitleRacial differences in adherence to cardiac medications Journal of the National Medical Association 95 17–27 Occurrence Handle12656446

    PubMed  Google Scholar 

  • D.E. Cortes (2002) Idioms of distress, acculturation and depression: The Puerto Rican experience K.M. Chun P.B. Organista (Eds) Acculturation advances in theory measurement, and applied research. American Psychological Association Washington DC

    Google Scholar 

  • J. Cramer R. Rosenheck (1999) ArticleTitleEnhancing medication compliance for people with serious mental illness The Journal of Nervous and Mental Disease 187 53–55 Occurrence Handle10.1097/00005053-199901000-00009 Occurrence Handle9952254

    Article  PubMed  Google Scholar 

  • J. A. Cramer R. Rosenheck (1998) ArticleTitleCompliance with medication regimens for psychiatric and medical disorders Psychiatric Services 49 196–210

    Google Scholar 

  • J. A. Cramer B. Spilker (1991) Patient compliance in clinical practice and clinical trials Raven Press New York

    Google Scholar 

  • E. Diaz H. B. Levine M. C. Sullivan M. J. Sernyak K. A. Hawkins J. A. Cramer S. W. Woods (2001) ArticleTitleUse of the Medication Event Monitoring System to estimate medication compliance in patients with schizophrenia Journal of Psychiatry & Neuroscience 26 325–329

    Google Scholar 

  • J. Endicott R. L. Spitzer J. L. Fleiss J. Cohen (1976) ArticleTitleThe Global Assessment Scale: A procedure for measuring overall severity of psychiatric disturbance Archives of General Psychiatry 33 766–771 Occurrence Handle938196

    PubMed  Google Scholar 

  • J. I. Escobar (1995) ArticleTitleTranscultural aspects of dissociative and somatoform disorders Psychiatric Clinics of North America 18 555–569 Occurrence Handle8545267

    PubMed  Google Scholar 

  • J. I. Escobar A. Burnam M. Karno A. Forsythe J. Landsverk J. M. Golding (1986) ArticleTitleUse of the Mini-Mental State Examination (MMSE) in a community population of mixed ethnicity: Cultural and linguistic artifacts Journal of Nervous & Mental Disease 174 607–614

    Google Scholar 

  • D. E. Fleck W. L. Hendricks M. P. DelBello S. M. Strakowski (2002) ArticleTitleDifferential prescription of maintenance antipsychotics to African American and White patients with new-onset bipolar disorder Journal of Clinical Psychiatry 63 658–664 Occurrence Handle12197445

    PubMed  Google Scholar 

  • R. Garcia-Peltoniemi A. Azan-Chaviano (1993) MMPI-2: Inventario Multifasico de la Personalidad-2-Minnesota Versión Hispana National Computer Systems Minneapolis MN

    Google Scholar 

  • K. F. Geisinger (1994) ArticleTitleCross Cultural normative assessment: Translation and adaptation issues influencing the normative interpretation of assessment instruments Psychological Assessment 6 304–312 Occurrence Handle10.1037//1040-3590.6.4.304

    Article  Google Scholar 

  • L. S. Gillis D. Trollip et al. (1987) ArticleTitleNoncompliance with psychotropic medication South African Medical Journal 72 602–606 Occurrence Handle3686295

    PubMed  Google Scholar 

  • B. J. Good M.J. Good (1986) The cultural context of diagnosis and therapy: a view from medical anthropology K. H. Miranda (Eds) Mental Health Research and Practice in Minority Communities: Development of Culturally Sensitive Training Programs Division of Biometry and Applied Sciences, National Institute of Mental Health Washington, DC 1–27

    Google Scholar 

  • R. B. Haynes (1979) Determinants of Compliance: The Disease and the Mechanics of Treatment John Hopkins University Press Baltimore, MD

    Google Scholar 

  • H. M. Hosch L. D. Meyer G. A. Barrientos C. Fierro J. I. Ramirez A. Moreno Cedillos M. P. Pelaez Y. Perez (1995) ArticleTitlePredicting adherence to medications by Hispanics with schizophrenia Hispanic Journal of Behavioral Sciences 17 320–333

    Google Scholar 

  • Kadushin, C., Boulanger, G., & Martin, J. (1981). Long term reactions: some causes, consequences and naturally occurring support systems. Legacies of Vietnam IV.

  • W. Katon A. Kleinman G. Rosen (1982) ArticleTitleDepression and somatization: a review. Part I American Journal of Medicine 72 127–135 Occurrence Handle10.1016/0002-9343(82)90599-X Occurrence Handle7058818

    Article  PubMed  Google Scholar 

  • W. Katon M. Korff Particlevon E. Lin T. Bush J. Ormel (1992) ArticleTitleAdequacy and duration of antidepressant treatment in primary care Medical Care 30 67–76 Occurrence Handle1729588

    PubMed  Google Scholar 

  • A. Kleinman (1980) ArticleTitleMajor conceptual and research issues for cultural (anthropological) psychiatry Culture, Medicine and Psychiatry 4 3–13

    Google Scholar 

  • W. B. Lawson (1996) ArticleTitleClinical issues in the pharmacotherapy of African Americans Psychopharmacology Bulletin 32 275–281 Occurrence Handle8783898

    PubMed  Google Scholar 

  • H. Levene (1960) Contributions to Probability and Statistics. Stanford University Press Stanford, CA

    Google Scholar 

  • R. J. Levine (1994) ArticleTitleMonitoring for adherence: Ethical considerations American Journal of Respiratory and Critical Care Medicine 149 287–288 Occurrence Handle8306018

    PubMed  Google Scholar 

  • R. Lewis-Fernandez A. Kleinman (1995) ArticleTitleCultural psychiatry Theoretical, clinical, and research issues Psychiatric Clinics of North America 18 433–448 Occurrence Handle8545260

    PubMed  Google Scholar 

  • B. Link B.P. Dohrenwend (1980) Formulation of hypothesis about the ratio of untreated and treated cases in the True Prevalence Studies of Functional Disorders in Adults in the USA B. Link B.P. Dohrenwend B.S. Dohrenwend (Eds) Mental Illness in the USA: Epidemiological Estimates Praeger New York City

    Google Scholar 

  • H. Marin J. I. Escobar (2002) ArticleTitleSpecial issues in the psychopharmacological management of Hispanics Americans Psychopharmacology Bulletin 35 197–212

    Google Scholar 

  • C. M. Mazure J. S. Cellar M. B. Bowers SuffixJr J. C. Nelson J. Takeshita B. Zigun (1995) ArticleTitleAssessment of extrapyramidal symptoms during acute neuroleptic treatment Journal of Clinical Psychiatry 56 94–100 Occurrence Handle7883736

    PubMed  Google Scholar 

  • A. T. McLellan L. Luborsky G. E. Woody C. P. O’Brien (1980) ArticleTitleAn improved diagnostic evaluation instrument for substance abuse patients. The Addiction Severity Index Journal of Nervous & Mental Disease 168 26–33

    Google Scholar 

  • J. L. Opolka K. L. Rascati C. M. Brown P. J. Gibson (2003) ArticleTitleRole of ethnicity in predicting antipsychotic medication adherence Annals of Pharmacotherapy 37 625–630 Occurrence Handle10.1345/aph.1C321 Occurrence Handle12708934

    Article  PubMed  Google Scholar 

  • L. M. Pachter S. C. Weller (1993) ArticleTitleAcculturation and compliance with medical therapy Journal of Developmental & Behavioral Pediatrics 14 163–168

    Google Scholar 

  • Papoulis, A. (1990). Probability and Statistics., Prentence-Hall International Editions.

  • N. Price W. Glazer H. Morgenstern (1985) ArticleTitleDemographic predictors of the use of injectable versus oral antipsychotic medications in outpatients American Journal of Psychiatry 142 1491–1492 Occurrence Handle2866719

    PubMed  Google Scholar 

  • C. S. Rand (1993) ArticleTitleMeasuring adherence with therapy for chronic diseases: implications for the treatment of heterozygous familiar hypercholesterolemia American Journal of Cardiology 72 680–740 Occurrence Handle10.1016/0002-9149(93)90014-4

    Article  Google Scholar 

  • E. T. Randolph J. I. Escobar D. H. Paz A. B. Forsythe (1985) ArticleTitleEthnicity and reporting of schizophrenic symptoms Journal of Nervous and Mental Disease 173 332–340 Occurrence Handle3998718

    PubMed  Google Scholar 

  • K. A. Riekert C. S. Rand (2002) ArticleTitleElectronic monitoring of medication adherence: When is high-tech best? Journal of Clinical Psychology in Medical Settings 9 25–34 Occurrence Handle10.1023/A:1014131928789

    Article  Google Scholar 

  • L. N. Robins J. E. Helzer J. Croughan K. S. Ratcliff (1981) ArticleTitleNational Institute of Mental Health Diagnostic Interview Schedule. Its history, characteristics, and validity Archives of General Psychiatry 38 381–389 Occurrence Handle6260053

    PubMed  Google Scholar 

  • L. N. Robins J. Wing H. U. Wittchen J. E. Helzer T. F. Babor J. Burke A. Farmer A. Jablenski R. Pickens D. A. Regier et al. (1988) ArticleTitleThe Composite International Diagnostic Interview. An epidemiologic instrument suitable for use in conjunction with different diagnostic systems and in different cultures Archives of General Psychiatry 45 1069–1077 Occurrence Handle2848472

    PubMed  Google Scholar 

  • R. Rosenheck J. Lam (1997) ArticleTitleIndividual and community-level variations in intensity and diversity of service utilization by homeless persons with serious mental illness Journal of Nervous & Mental Disease 185 633–638

    Google Scholar 

  • P. Ruiz (1983) ArticleTitleTreatment compliance among Hispanics Journal of Operational Psychiatry 14 112–114

    Google Scholar 

  • E. Sabaté (2003) Adherence to Long Term Therapies Evidence for Action World Health Organization Geneva

    Google Scholar 

  • W. Sellwood N. Tarrier J. Quinn C. Barrowclough (2003) ArticleTitleThe family and compliance in schizophrenia: the influence of clinical variables, relatives’ knowledge and expressed emotion Psychological Medicine 33 91–96 Occurrence Handle10.1017/S0033291702006888 Occurrence Handle12537040

    Article  PubMed  Google Scholar 

  • B. Sleath R. H. Rubin S. A. Huston (2003) ArticleTitleHispanic ethnicity, physician-patient communication, and antidepressant adherence Comprehensive Psychiatry 44 198–204 Occurrence Handle10.1016/S0010-440X(03)00007-5 Occurrence Handle12764707

    Article  PubMed  Google Scholar 

  • S. Sue D. C. Fujino L. T. Hu D. T. Takeuchi N. W. Zane (1991) ArticleTitleCommunity mental health services for ethnic minority groups: a test of the cultural responsiveness hypothesis Journal of Consulting and Clinical Psychology 59 533–540 Occurrence Handle10.1037//0022-006X.59.4.533 Occurrence Handle1918557

    Article  PubMed  Google Scholar 

  • B. L. Szarek J. W. Goethe (2003) ArticleTitleRacial differences in use of antipsychotics among patients with bipolar disorder Journal of Clinical Psychiatry 64 614–615 Occurrence Handle12755673

    PubMed  Google Scholar 

  • G. A. Talavera J. P. Elder R. J. Velasquez (1997) ArticleTitleLatino health beliefs and locus of control: implications for primary care and public health practitioners American Journal of Preventive Medicine 13 408–410 Occurrence Handle9415783

    PubMed  Google Scholar 

  • P. Thieda S. Beard A. Richter J. Kane (2003) ArticleTitleAn economic review of compliance with medication therapy in the treatment of schizophrenia Psychiatric Services 54 508–516 Occurrence Handle10.1176/appi.ps.54.4.508 Occurrence Handle12663838

    Article  PubMed  Google Scholar 

  • R. J. Velasquez D. A. Chavira H. R. Karle W. J. Callahan J. A. Garcia J. Castellanos (2000) ArticleTitleAssessing bilingual and monolingual latino students with translations of the MMPI-2: initial data Cultural Diversity & Ethnic Minority Psychology 6 65–72

    Google Scholar 

  • Ware, J. E. (1992). The MOS 36-Item Short -Form Health Survey (SF36). Instruments of Outcome Assessment, 61–63

  • P. Weiden B. Rapkin T. Mott A. Zygmunt D. Goldman M. Horvitz-Lennon A. Frances (1994) ArticleTitleRating of medication influences (ROMI) scale in schizophrenia Schizophrenia Bulletin 20 297–310 Occurrence Handle7916162

    PubMed  Google Scholar 

  • P. J. Weiden M. Olfson (1995) ArticleTitleCost of relapse in schizophrenia Schizophrenia Bulletin 21 419–429 Occurrence Handle7481573

    PubMed  Google Scholar 

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  1. Yale University School of Medicine, 34 Park St., Off. 273 A, New Haven, CT, 06519

    Esperanza Diaz M.D., Scott W. Woods M.D. & Robert A. Rosenheck M.D.

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  1. Esperanza Diaz M.D.
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  2. Scott W. Woods M.D.
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  3. Robert A. Rosenheck M.D.
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Correspondence to Esperanza Diaz M.D..

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Diaz, E., Woods, S.W. & Rosenheck, R.A. Effects of Ethnicity on Psychotropic Medications Adherence. Community Ment Health J 41, 521–537 (2005). https://doi.org/10.1007/s10597-005-6359-x

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