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Adherence to medical advice. Section B.

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Section B a) Describe what psychologists have discovered about adherence to medical advice. Many different psychologists have done studies on different types of adherence to medical advice through various means of studies. Choo et. al. investigated into adherence as they said that measurement of medicinal adherence is difficult because direct observation of medication use is usually impossible. Most ways of measuring adherence depend on the honesty of patients and based around self-report. This study measured how much people adhered to medical advice when taking medication through use of electronic medication monitors. They discovered that patients had a tendency to over-report their adherence and that various factors related back to socio-economic status. Lustman studied depression in patients with diabetes which suggests links to non-adherence to treatment regimes. Two groups were assigned different medications, one an anti-depressant fluoxetine and the other a placebo. ...read more.


This meant that mothers who felt their children were more susceptible to illness were more likely to adhere to a medical regime set out by the doctor, and attend the appointments made than those mothers who had a different outlook to their child's illness than the doctor so stops treatment when she thinks is best. b) Evaluate what psychologists have discovered about adherence to medical advice. Adherence to medical advice is a difficult concept to measure and although many studies have been carried out on it, it may be impossible to determine completely valid reasoning behind non-adherence. Communication can be a difficult issue when dealing with adherence. This can include such problems as language (medical or cultural), understanding or even body language between patient and practitioner. Medical language can cause barriers between doctor and patient, many patients cannot understand doctors when they use medical jargon so this may affect adherence as patients do not fully understand their own problems. ...read more.


However, this may be unethical as it can infringe a persons private routine or that they are being mislead if they are told they are being recorded, when in fact, they are not. Lustman studied adherence in patients suffering from anxiety and depression. To see that if medical disorders may affect a persons adherence. This study showed that depressed patients who were diabetic whom were given medication for diabetes, were far more likely to adhere than those suffering from anxiety. It may be concluded from this that if an illness can be overcome, patients are more likely to adhere as they feel better generally. However, with this study it may be considered unethical to study people already suffering from mental disorders as it may cause them to become more anxious or unstable. Also, some of these studies may be seen as unrepresentitative as most were only carried out in one particular area at a certain time, therefore causing bias. This results in the findings being unreliable and not valid. ...read more.

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