The effect of social support, depression, and illness perception on treatment adherence in patients with multiple sclerosis

Year 2022, Volume: 35 Issue: 3, 323 - 329, 31.10.2022

Derya Gırgın Zeynep Tosun , Nilda Turgut Sibel Guler

https://doi.org/10.5472/marumj.1192560

Abstract

Objective: This study was planned to determine the treatment adherence levels of multiple sclerosis (MS) patients and the factors
affecting treatment adherence.
Patients and Methods: This descriptive and cross-sectional study was conducted with 211 people with MS. Data for this study was
obtained through face-to-face interviews with MS patients who presented at the neurology outpatient clinics of two university
hospitals between April and October 2018. The “Morisky, Green, and Levine Adherence Scale”, “Beck Depression Inventory”,
“Multidimensional Perceived Social Support Scale”, and the “Illness Perception Scale” were used in data collection.
Results: The mean age of the sample was 40.03±10.82, and 70.1% were female. Treatment adherence was not good in half of the
patients (51.7%). Patients with good adherence were found to have higher Multidimensional Perceived Social Support Scale scores
(p<0.01) and lower Beck Depression Inventory scores (p<0.01). The illness perceptions of the patients regarding MS did not affect
treatment adherence (p>0.05).
Conclusion: Treatment adherence was insufficient in half of the MS patients. According to our findings, ensuring more cooperation
with the families of patients, which constitute the strongest source of social support, increasing treatment adherence can be suggested
as well as screening patients with regard to depressive symptomology during follow-up.

Keywords

Multiple sclerosis, Treatment adherence, Social support, Depression, Illness perception

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