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Chapter 7 - Psychological Factors Impacting on Endocrine Disorders and Self-Management and Medication-Taking Behaviour

Published online by Cambridge University Press:  14 October 2021

By
Eimear Morrissey ,
Seán F. Dinneen  and
Anne M. Doherty
Edited by
Anne M. Doherty ,
Aoife M. Egan  and
Sean Dinneen
Anne M. Doherty
Affiliation:
University College Dublin
Aoife M. Egan
Affiliation:
Division of Endocrinology and Metabolism, Mayo Clinic, Minnesota, USA
Sean Dinneen
Affiliation:
School of Medicine, National University of Ireland, Galway
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Summary

The majority of endocrine conditions can be successfully managed with long-term treatment, whether that be in the form of medication or lifestyle factors. In order for treatment to be effective, adherence to the treatment regime is key. Central to the concept of adherence is the presumption of an agreement between prescriber and patient about the prescriber’s recommendations. Non-adherence occurs when a patient does not initiate a new prescription, implement it as prescribed or persist with treatment. The World Health Organization (WHO) has posited that, in general, there are five dimensions to adherence, all of which can impact on rates of non-adherence: condition-related factors, health system factors, socio-economic factors, therapy-related factors and patient-related factors. While these dimensions are not entirely independent of each other, this serves as a useful means for organising the broad range of factors that can contribute to non-adherence.

Keywords

endocrine disordersdiabetesdiabetes distressmental healthaddictions
Type
Chapter
Information
Mental Health, Diabetes and Endocrinology , pp. 68 - 80
Publisher: Cambridge University Press
Print publication year: 2021

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