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Self-efficacy mediates the relationship between depressive symptoms and medication adherence among hypertensive African Americans.
Health Educ Behav. 2009 Feb; 36(1):127-37.HE

Abstract

Many studies have documented the negative effects of depression on adherence to recommended treatment; however, little is known about the mechanism underlying this relationship. Using the Kenny and Baron analytic framework of mediation, the authors assessed whether self-efficacy mediated the relationship between depression and medication adherence in 167 hypertensive African Americans followed in a primary care practice. Depressive symptoms are associated with poor medication adherence (beta=.013, p=.036) and low self-efficacy (beta=-.008, p=.023). Self-efficacy is negatively associated with medication adherence at follow-up (beta=-.612, p<.001). The relationship between depressive symptoms and medication adherence becomes nonsignificant when controlling for self-efficacy (beta=.010, p=.087). Implications for further examination into the mediating role of self-efficacy and the deleterious effect of depression on medication adherence are discussed.

Authors+Show Affiliations

Department of Health and Behavior Studies, Teachers College, Columbia University, New York, NY 10027, USA. ams2125@columbia.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Multicenter Study
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

18077654

Citation

Schoenthaler, Antoinette, et al. "Self-efficacy Mediates the Relationship Between Depressive Symptoms and Medication Adherence Among Hypertensive African Americans." Health Education & Behavior : the Official Publication of the Society for Public Health Education, vol. 36, no. 1, 2009, pp. 127-37.
Schoenthaler A, Ogedegbe G, Allegrante JP. Self-efficacy mediates the relationship between depressive symptoms and medication adherence among hypertensive African Americans. Health Educ Behav. 2009;36(1):127-37.
Schoenthaler, A., Ogedegbe, G., & Allegrante, J. P. (2009). Self-efficacy mediates the relationship between depressive symptoms and medication adherence among hypertensive African Americans. Health Education & Behavior : the Official Publication of the Society for Public Health Education, 36(1), 127-37.
Schoenthaler A, Ogedegbe G, Allegrante JP. Self-efficacy Mediates the Relationship Between Depressive Symptoms and Medication Adherence Among Hypertensive African Americans. Health Educ Behav. 2009;36(1):127-37. PubMed PMID: 18077654.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Self-efficacy mediates the relationship between depressive symptoms and medication adherence among hypertensive African Americans. AU - Schoenthaler,Antoinette, AU - Ogedegbe,Gbenga, AU - Allegrante,John P, Y1 - 2007/12/12/ PY - 2007/12/14/pubmed PY - 2009/4/22/medline PY - 2007/12/14/entrez SP - 127 EP - 37 JF - Health education & behavior : the official publication of the Society for Public Health Education JO - Health Educ Behav VL - 36 IS - 1 N2 - Many studies have documented the negative effects of depression on adherence to recommended treatment; however, little is known about the mechanism underlying this relationship. Using the Kenny and Baron analytic framework of mediation, the authors assessed whether self-efficacy mediated the relationship between depression and medication adherence in 167 hypertensive African Americans followed in a primary care practice. Depressive symptoms are associated with poor medication adherence (beta=.013, p=.036) and low self-efficacy (beta=-.008, p=.023). Self-efficacy is negatively associated with medication adherence at follow-up (beta=-.612, p<.001). The relationship between depressive symptoms and medication adherence becomes nonsignificant when controlling for self-efficacy (beta=.010, p=.087). Implications for further examination into the mediating role of self-efficacy and the deleterious effect of depression on medication adherence are discussed. SN - 1090-1981 UR - https://www.unboundmedicine.com/medline/citation/18077654/Self_efficacy_mediates_the_relationship_between_depressive_symptoms_and_medication_adherence_among_hypertensive_African_Americans_ L2 - https://journals.sagepub.com/doi/10.1177/1090198107309459?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -