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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.
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 …
Competing interests None.