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Mental health
Cross-sectional study
In depression, increased psychological reactance is associated with poorer treatment compliance
  1. Susanne Jaeger
  1. Department of Psychiatry and Psychotherapy I, Ulm University, Ravensburg, Germany
  1. Correspondence to : Dr Susanne Jaeger, Department of Psychiatry and Psychotherapy I, Ulm University, ZfP Suedwuerttemberg, Ravensburg 88214, Germany; susanne.jaeger{at}zfp-zentrum.de

https://doi.org/10.1136/eb-2014-102052

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    Commentary on: De Las Cuevas C, Peñate W, Sanz EJ. The relationship of psychological reactance, health locus of control and sense of self-efficacy with adherence to treatment in psychiatric outpatients with depression. BMC Psychiatry 2014;14:324.OpenUrlCrossRefPubMed

    Implications for practice and research

    • Psychological reactance and doctor-attributed health locus of control are associated with medication adherence.

    • In particular, the correlation of reactance and non-adherence needs to be considered when giving clinical advice. This requires flexible and sensitive counselling skills from mental health professionals.

    • As these conclusions are based on correlations, further studies are needed to provide an insight into potential causal directions and to identify possible interventions.

    Context

    Although it is a challenge to successful treatment of depression, medication non-adherence is a prevalent phenomenon. There is evidence that attitudes and beliefs are at least as important as side-effects in …

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    Footnotes

    • Competing interests None.