Role of Health Locus of Control and Self-Efficacy on Level of Psychotropic Medication Adherence among Patients with Psychiatric Disorders

Elsharkawy, Mona Adel Adel; Sabra, Amal Ibrahim; El-Sawy, Hossam El-Din Fathalla; Osman, Fareda El-Sayed

doi:10.21608/tsnj.2024.336907

Role of Health Locus of Control and Self-Efficacy on Level of Psychotropic Medication Adherence among Patients with Psychiatric Disorders

Document Type : Original Article

Authors

¹ Clinical demonstrator of Psychiatric &Mental Health Nursing, Faculty of Nursing, Tanta University.

² Professor of Psychiatric &Mental Health Nursing, Faculty of Nursing, Tanta University.

³ Professor of Neuropsychiatry, Faculty of Medicine, Tanta University.

⁴ Assist. Professor of Psychiatric &Mental Health Nursing, Faculty of Nursing, Tanta University.

10.21608/tsnj.2024.336907

Abstract

Medication non-adherence is a major global issue among patients with psychiatric disorders.
The most important elements related with medication non-adherence are health locus of
control and self-efficacy. Aim of the study: To explore role of health locus of control and
self-efficacy on level of psychotropic medication adherence among patients with psychiatric
disorders. Subject: A convenience sample of 140 patients with psychiatric disorders was
involved. Settings: The study was executed at the Inpatient Psychiatric Department in two
settings; Tanta University Hospital and the Psychiatry, Neurology and Neurosurgery Center.
Study design: A descriptive correlational research design was utilized. Study tools: Four
tools were used: Tool I: Socio-demographic and Clinical Data Structured Questionnaire. Tool
II: Medication Adherence Rating Scale. Tool III: Multidimensional Health Locus of Control
(form C) . Tool IV: General Self-Efficacy Scale. Results: The study revealed that two thirds
of the studied patients were non adherent to psychotropic medications and the half of them
had moderate level of self-efficacy. Self-efficacy and health locus of control had statistically
significant role in the prediction of psychotropic medication adherence among studied
subjects. Conclusions: Self-efficacy and health locus of control are strong determinants in the
occurrence of medication adherence among patients with psychiatric disorders.
Recommendations: Developing programs for enhancing health locus of control and selfefficacy among patients with psychiatric disorders