PMID- 17094818
OWN - NLM
STAT- MEDLINE
DCOM- 20070719
LR  - 20181201
IS  - 0033-2917 (Print)
IS  - 0033-2917 (Linking)
VI  - 37
IP  - 5
DP  - 2007 May
TI  - Predictors of compliance with psychological interventions offered in the 
      community.
PG  - 717-25
AB  - BACKGROUND: This study sought to evaluate the acceptance of two brief 
      psychological interventions for depressed individuals, contacted through a 
      community survey, and to look for predictors of adherence at the patient level. 
      METHOD: The authors used data from the Outcomes of Depression International 
      Network (ODIN) study, which included a randomized controlled trial in which 
      depressed individuals from five European countries, and nine geographical areas 
      were assigned to one of three groups: individual problem-solving treatment, group 
      psychoeducation, or control group. In this analysis, we included all of the 
      individuals who had been assigned to one of the psychological interventions. 
      Compliance with intervention was defined in two different ways. Multiple logistic 
      regression was used to see which variables might predict an individual's 
      compliance with psychological treatment. RESULTS: Psychological intervention was 
      offered to 236 subjects. Treatment was completed by 128 subjects and not by 108 
      (compliance definition A). Three variables were found to have an effect on 
      compliance A: the presence of a confidant, the use of antidepressant medication 
      during the previous 6 months, and the previous use of any social or health 
      services. On the other hand, 164 subjects had agreed to at least start the 
      treatment, and 72 had not (compliance definition B). The three factors associated 
      with compliance B were presence of a confidant, previous use of services, and the 
      'desire for change' score. CONCLUSIONS: Social support and previous use of 
      services are the main predictors of compliance with a psychological treatment in 
      depressed individuals from the community. Implications for clinical practice and 
      community programs are discussed.
FAU - Ayuso-Mateos, J L
AU  - Ayuso-Mateos JL
AD  - Department of Psychiatry, Universidad Autonoma de Madrid, Hospital Universitario 
      de la Princesa, Madrid, Spain. joseluis.ayuso@uam.es
FAU - Pereda, A
AU  - Pereda A
FAU - Dunn, G
AU  - Dunn G
FAU - Vazquez-Barquero, J L
AU  - Vazquez-Barquero JL
FAU - Casey, P
AU  - Casey P
FAU - Lehtinen, V
AU  - Lehtinen V
FAU - Dalgard, O
AU  - Dalgard O
FAU - Wilkinson, G
AU  - Wilkinson G
FAU - Dowrick, C
AU  - Dowrick C
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
DEP - 20061109
PL  - England
TA  - Psychol Med
JT  - Psychological medicine
JID - 1254142
RN  - 0 (Antidepressive Agents)
SB  - IM
MH  - Adult
MH  - Antidepressive Agents/*therapeutic use
MH  - Canada/epidemiology
MH  - Community Mental Health Services/*statistics & numerical data
MH  - Depressive Disorder, Major/drug therapy/*epidemiology/*therapy
MH  - Double-Blind Method
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Compliance/*statistics & numerical data
MH  - Patient Education as Topic/statistics & numerical data
MH  - Prevalence
MH  - Problem Solving
MH  - Program Evaluation
MH  - Prospective Studies
MH  - Psychotherapy/methods/*statistics & numerical data
MH  - Quality of Life/*psychology
MH  - *Social Support
MH  - Time Factors
MH  - Treatment Outcome
EDAT- 2006/11/11 09:00
MHDA- 2007/07/20 09:00
CRDT- 2006/11/11 09:00
PHST- 2006/11/11 09:00 [pubmed]
PHST- 2007/07/20 09:00 [medline]
PHST- 2006/11/11 09:00 [entrez]
AID - S0033291706009317 [pii]
AID - 10.1017/S0033291706009317 [doi]
PST - ppublish
SO  - Psychol Med. 2007 May;37(5):717-25. doi: 10.1017/S0033291706009317. Epub 2006 Nov 
      9.