Neuroticism and Conscientiousness Moderate the Effect of Oral Medication Beliefs on Adherence of People with Mental Illness during the Pandemic
Background. After the declaration of the pandemic status in several countries, the continuity of face-to-face visits in psychiatric facilities has been delayed or even interrupted to reduce viral spread. Little is known about the personality factors associated with medication beliefs and adherence a...
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MDPI AG
2022-09-01
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author | Fabio Ferretti Arianna Goracci Pier Francesco Laurenzi Rossella Centola Irene Crecchi Aldo De Luca Janette Monzillo Omar Guidi Giusy Sinigaglia Giacomo Gualtieri Lore Lorenzi Alessandro Cuomo Simone Bolognesi Valter Travagli Anna Coluccia Andrea Fagiolini Andrea Pozza |
author_facet | Fabio Ferretti Arianna Goracci Pier Francesco Laurenzi Rossella Centola Irene Crecchi Aldo De Luca Janette Monzillo Omar Guidi Giusy Sinigaglia Giacomo Gualtieri Lore Lorenzi Alessandro Cuomo Simone Bolognesi Valter Travagli Anna Coluccia Andrea Fagiolini Andrea Pozza |
author_sort | Fabio Ferretti |
collection | DOAJ |
description | Background. After the declaration of the pandemic status in several countries, the continuity of face-to-face visits in psychiatric facilities has been delayed or even interrupted to reduce viral spread. Little is known about the personality factors associated with medication beliefs and adherence amongst individuals with mental illness during the COVID-19 pandemic. This brief report describes a preliminary naturalistic longitudinal study that explored whether the Big Five personality traits prospectively moderate the effects of medication beliefs on changes in adherence during the pandemic for a group of outpatients with psychosis or bipolar disorder. Methods. Thirteen outpatients undergoing routine face-to-face follow-up assessments during the pandemic were included (41 observations overall) and completed the Revised Italian Version of the Ten-Item Personality Inventory, the Beliefs about Medicines Questionnaire, the Morisky Medication Adherence Scale—8-item and the Beck Depression Inventory—II. Results. Participants had stronger concerns about their psychiatric medications rather than beliefs about their necessity, and adherence to medications was generally low. Participants who had more necessity beliefs than concerns had better adherence to medications. People scoring higher in Conscientiousness and Neuroticism traits and more concerned about the medication side effects had poorer adherence. Conclusions. These preliminary data suggest the importance of a careful assessment of the adherence to medications amongst people with psychosis/bipolar disorder during the pandemic. Interventions aimed to improve adherence might focus on patients’ medication beliefs and their Conscientiousness and Neuroticism personality traits. |
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id | doaj.art-73c10479002a4b11bd6b2ae186dbfc97 |
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issn | 2076-3425 |
language | English |
last_indexed | 2024-03-09T20:35:00Z |
publishDate | 2022-09-01 |
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series | Brain Sciences |
spelling | doaj.art-73c10479002a4b11bd6b2ae186dbfc972023-11-23T23:13:28ZengMDPI AGBrain Sciences2076-34252022-09-011210131510.3390/brainsci12101315Neuroticism and Conscientiousness Moderate the Effect of Oral Medication Beliefs on Adherence of People with Mental Illness during the PandemicFabio Ferretti0Arianna Goracci1Pier Francesco Laurenzi2Rossella Centola3Irene Crecchi4Aldo De Luca5Janette Monzillo6Omar Guidi7Giusy Sinigaglia8Giacomo Gualtieri9Lore Lorenzi10Alessandro Cuomo11Simone Bolognesi12Valter Travagli13Anna Coluccia14Andrea Fagiolini15Andrea Pozza16Department of Medical Sciences, Surgery and Neurosciences, University of Siena, 53100 Siena, ItalyDepartment of Molecular Medicine, School of Medicine, University of Siena, 53100 Siena, ItalyDepartment of Molecular Medicine, School of Medicine, University of Siena, 53100 Siena, ItalyUOC Farmacia, AOU San Giovanni di Dio e Ruggi d’Aragona, 84131 Salerno, ItalyUOC Farmacia Ospedaliera, Azienda Ospedaliera Universitaria Senese, 53100 Siena, ItalyFarmacia, Istituto Nazionale Malattie Infettive “L. Spallanzani” IRCCS, 00149 Rome, ItalyScuola di Specializzazione in Farmacia Ospedaliera, University of Siena, 53100 Siena, ItalyScuola di Specializzazione in Farmacia Ospedaliera, University of Siena, 53100 Siena, ItalyScuola di Specializzazione in Farmacia Ospedaliera, University of Siena, 53100 Siena, ItalyDepartment of Medical Sciences, Surgery and Neurosciences, University of Siena, 53100 Siena, ItalyDepartment of Medical Sciences, Surgery and Neurosciences, University of Siena, 53100 Siena, ItalyDepartment of Molecular Medicine, School of Medicine, University of Siena, 53100 Siena, ItalyDepartment of Molecular Medicine, School of Medicine, University of Siena, 53100 Siena, ItalyUOC Farmacia Ospedaliera, Azienda Ospedaliera Universitaria Senese, 53100 Siena, ItalyDepartment of Medical Sciences, Surgery and Neurosciences, University of Siena, 53100 Siena, ItalyDepartment of Molecular Medicine, School of Medicine, University of Siena, 53100 Siena, ItalyDepartment of Medical Sciences, Surgery and Neurosciences, University of Siena, 53100 Siena, ItalyBackground. After the declaration of the pandemic status in several countries, the continuity of face-to-face visits in psychiatric facilities has been delayed or even interrupted to reduce viral spread. Little is known about the personality factors associated with medication beliefs and adherence amongst individuals with mental illness during the COVID-19 pandemic. This brief report describes a preliminary naturalistic longitudinal study that explored whether the Big Five personality traits prospectively moderate the effects of medication beliefs on changes in adherence during the pandemic for a group of outpatients with psychosis or bipolar disorder. Methods. Thirteen outpatients undergoing routine face-to-face follow-up assessments during the pandemic were included (41 observations overall) and completed the Revised Italian Version of the Ten-Item Personality Inventory, the Beliefs about Medicines Questionnaire, the Morisky Medication Adherence Scale—8-item and the Beck Depression Inventory—II. Results. Participants had stronger concerns about their psychiatric medications rather than beliefs about their necessity, and adherence to medications was generally low. Participants who had more necessity beliefs than concerns had better adherence to medications. People scoring higher in Conscientiousness and Neuroticism traits and more concerned about the medication side effects had poorer adherence. Conclusions. These preliminary data suggest the importance of a careful assessment of the adherence to medications amongst people with psychosis/bipolar disorder during the pandemic. Interventions aimed to improve adherence might focus on patients’ medication beliefs and their Conscientiousness and Neuroticism personality traits.https://www.mdpi.com/2076-3425/12/10/1315Big Five personalityadherencebeliefs about medicationsCOVID-19 pandemicmental disordersstress |
spellingShingle | Fabio Ferretti Arianna Goracci Pier Francesco Laurenzi Rossella Centola Irene Crecchi Aldo De Luca Janette Monzillo Omar Guidi Giusy Sinigaglia Giacomo Gualtieri Lore Lorenzi Alessandro Cuomo Simone Bolognesi Valter Travagli Anna Coluccia Andrea Fagiolini Andrea Pozza Neuroticism and Conscientiousness Moderate the Effect of Oral Medication Beliefs on Adherence of People with Mental Illness during the Pandemic Brain Sciences Big Five personality adherence beliefs about medications COVID-19 pandemic mental disorders stress |
title | Neuroticism and Conscientiousness Moderate the Effect of Oral Medication Beliefs on Adherence of People with Mental Illness during the Pandemic |
title_full | Neuroticism and Conscientiousness Moderate the Effect of Oral Medication Beliefs on Adherence of People with Mental Illness during the Pandemic |
title_fullStr | Neuroticism and Conscientiousness Moderate the Effect of Oral Medication Beliefs on Adherence of People with Mental Illness during the Pandemic |
title_full_unstemmed | Neuroticism and Conscientiousness Moderate the Effect of Oral Medication Beliefs on Adherence of People with Mental Illness during the Pandemic |
title_short | Neuroticism and Conscientiousness Moderate the Effect of Oral Medication Beliefs on Adherence of People with Mental Illness during the Pandemic |
title_sort | neuroticism and conscientiousness moderate the effect of oral medication beliefs on adherence of people with mental illness during the pandemic |
topic | Big Five personality adherence beliefs about medications COVID-19 pandemic mental disorders stress |
url | https://www.mdpi.com/2076-3425/12/10/1315 |
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