Psychological factors involved in psychopharmacological medication adherence in mental health patients: A systematic review.

BACKGROUND: Psychopharmacological medication adherence is essential for psychiatric patients' treatment and well-being. OBJECTIVE: This review aimed to identify psychological factors related to health control that have been linked to psychopharmacological medication adherence in psychiatric patients. METHODS: A literature search was performed through the databases Medline, PubMed, PsycINFO, and Google Scholar to identify relevant studies published before October 15th, 2019. Articles published in peer-reviewed journals that analyzed the psychological factors of health belief and health control involved in psychopharmacological medication adherence in a psychiatric population were included. RESULTS: The search identified 124 potentially relevant papers, 29 of which met the eligibility criteria. The final sample was 222 adolescents, most with a diagnosis of attention deficit/hyperactivity disorder (ADHD), and 6139 adults diagnosed especially with schizophrenia spectrum disorder, bipolar disorder, or depressive disorder. Results suggested that medication adherence is associated with health beliefs and psychological variables, such as self-efficacy and locus of control. Family support was also positively related to medication adherence. CONCLUSION: Psychopharmacological medication adherence requires a consideration of multicausality, which depends on sociodemographic, clinical, and psychological factors. PRACTICE IMPLICATIONS: These findings should be considered in the development and implementation of psychological interventions focused on self-control and family support.

Anxiety and Depression in Drug-Dependent Patients with Cluster C Personality Disorders.

OBJECTIVE: Comorbidity between personality disorders (PD) and substance-use disorders (SUD) is one of the most common findings in the psychiatric field. The patients with Cluster C disorders present maladjustment traits often characterized by high levels of anxiety. The main aim of this study was to find evidences about higher anxiety and depression prevalence on Cluster C than others Clusters, analyzing similarities and differences within, with other Cluster A and B PD patients and patients without PD. METHOD: A total of 822 substance dependent patients (ages18-78; Mean = 38.35, SD = 10.14) completed the structured clinical interview for DSM-IV Axis I and Axis II disorders, Beck Depression Inventory, and State-Trait Anxiety Inventory. RESULTS: Results supported poly-consumption in Cluster C patients, being greater alcohol consumption as well as abuse of both stimulants and depressants. Anxiety and depression did not show just one pattern for all patients with SUD-Cluster C PD. There was a relation between anxiety and depression for all the groups except for the Dependent-PD. CONCLUSION: Interventions should focus on aspects like depression and anxiety more than on the substance consumed.

Schizotypal personality questionnaire: new sources of validity evidence in college students.

Schizotypal traits represent the behavioral expression of vulnerability to psychosis in general population. Among the most widely used measurement instruments, we could find the Schizotypal Personality Questionnaire (SPQ) (Raine, 1991). However, some aspects of its psychometric quality have yet to be analyzed. The main goal of the present study was to gather new sources of validity evidence of the SPQ scores in non-clinical young adults. The final sample was made up of 1123 college students (M=20.3 years; S.D.=2.6). The study of the internal structure using exploratory factor analysis revealed that SPQ items were grouped in a theoretical structure of seven second-order factors. Confirmatory factor analyses showed that the four-factor model (Paranoid) displayed better goodness-of-fit indices than the other hypothetical dimensional models tested. More complex measurement models, such as those tested using second-order confirmatory factor analyses and Exploratory Structural Equation Modeling, also showed adequate goodness-of-fit indices. The reliability of the SPQ scores ranged from 0.80 to 0.91. A total of 11 items showed differential functioning by gender. Advances in psychosis phenotype measurement open up new horizons to understand the structure and content of schizotypy.

Mate retention tactics in Spain: personality, sex differences, and relationship status.

Mate retention is an important problem in romantic relationships because of mate poachers, infidelity, and the risk of outright defection. The current study (N=892) represents the first study of mate retention tactics conducted in Spain. We tested hypotheses about the effects of gender, relationship commitment status, and personality on mate retention tactics. Women and men differed in the use of resource display, appearance enhancement, intrasexual violence, and submission/self-abasement as mate retention tactics. Those in more committed relationships reported higher levels of resource display, appearance enhancement, love, and verbal signals of possession. Those in less committed relationships more often reported intentionally evoking jealousy in their partner as a mate retention tactic. Personality characteristics, particularly Neuroticism and Agreeableness, correlated in coherent ways with mate retention tactics, supporting two evolution-based hypotheses. Discussion focuses on the implications, future research directions, and interdisciplinary syntheses emerging between personality and social psychology and evolutionary psychology.