Academic journal article Indian Journal of Psychological Medicine

Medication Adherence, Work Performance and Self-Esteem among Psychiatric Patients Attending Psychosocial Rehabilitation Services at Bangalore, India

Academic journal article Indian Journal of Psychological Medicine

Medication Adherence, Work Performance and Self-Esteem among Psychiatric Patients Attending Psychosocial Rehabilitation Services at Bangalore, India

Article excerpt

Byline: Sailaxmi. Gandhi, Rajitha. Pavalur, Sivakumar. Thanapal, Nirmala. Parathasarathy, Geetha. Desai, Poornima. Bhola, Mariamma. Philip, Santosh. Chaturvedi

Context: Work benefits mental health in innumerable ways. Vocational rehabilitation can enhance self-esteem. Medication adherence can improve work performance and thereby the individuals' self-esteem. Aim: To test the hypothesis that there would be a significant correlation between medication adherence, work performance and self-esteem. Setting and Design: A quantitative, descriptive correlational research design was adopted to invite patients attending psychiatric rehabilitation services to participate in the research. Material and Methods: Data was collected from a convenience sample of 60 subjects using the 'Medication Adherence Rating scale', 'Griffiths work behaviour scale' and the 'Rosenberg's Self-esteem scale'. Statistical analysis used: Analysis was done using spss18 with descriptive statistics, Pearsons correlation coefficient and multiple regression analysis. Results: There were 36 males and 24 females who participated in this study. The subjects had good mean medication adherence of 8.4 [+ or -] 1.5 with median of 9.00, high mean self-esteem of 17.65 [+ or -] 2.97 with median of 18.0 and good mean work performance of 88.62 [+ or -] 22.56 with median of 93.0. Although weak and not significant, there was a positive correlation (r = 0.22, P = 0.103) between medication adherence and work performance; positive correlation between (r = 0.25, P = 0.067) medication adherence and self-esteem; positive correlation between (r = 0.136, P = 0.299) work performance and self-esteem. Multiple regression analysis showed no significant predictors for medication adherence, work performance and self-esteem among patients with psychiatric illness. Conclusions: Medication monitoring and strengthening of work habit can improve self-esteem thereby, strengthening hope of recovery from illness.

Introduction

There is a paucity of knowledge and understanding regarding how psychotropic medications impact on work performance of persons with mental illness. [sup][1] Work performance can play a vital role in enhancing self-esteem.

This research was carried out to understand the relationship between medication adherence, work performance and self-esteem. We aimed to assess and correlate medication adherence, work performance and self-esteem among patients with mental illness attending psychiatric rehabilitation services. We also hoped to identify predictors for these three variables from the subjects' socio-demographic variables. This could help plan and design specific intervention modules that would help strengthen the relation between medication adherence, work performance and self-esteem.

Material and Methods

Aim

*To explore the relation between medication adherence, work performance and self-esteem among patients with mental illness attending a psychiatric rehabilitation facility.

Objectives

*To assess and correlate medication adherence, work performance and self-esteem among patients with mental illness attending a psychiatric rehabilitation facility. *To identify predictors of medication adherence, work performance and self-esteem

Hypothesis

There will be a statistically significant correlation between medication adherence, work performance and self-esteem among patients with mental illness attending a psychiatric rehabilitation facility at Bangalore, India.

Research design

A quantitative, descriptive, correlational research design

Participants

After approval by the Institute Ethics Committee and following informed consent from the patients as well as their family members including a detailed explanation about the risks and benefits involved, 60 patients of both genders attending the psychiatric rehabilitation services (PRS) of a super-speciality neuro-psychiatric hospital at Bangalore, India were invited to participate in this research. …

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