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Interactive effects of social support and social conflict on medication adherence in multimorbid older adults

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  • Warner, Lisa M.
  • Schüz, Benjamin
  • Aiken, Leona
  • Ziegelmann, Jochen P.
  • Wurm, Susanne
  • Tesch-Römer, Clemens
  • Schwarzer, Ralf

Abstract

With increasing age and multimorbidity, medication regimens become demanding, potentially resulting in suboptimal adherence. Social support has been discussed as a predictor of adherence, but previous findings are inconsistent. The study examines general social support, medication-specific social support, and social conflict as predictors of adherence at two points in time (6 months apart) to test the mobilization and social conflict hypotheses. A total of 309 community-dwelling multimorbid adults (65–85 years, mean age 73.27, 41.7% women; most frequent illnesses: hypertension, osteoarthritis and hyperlipidemia) were recruited from the population-representative German Ageing Survey. Only medication-specific support correlated with adherence. Controlling for baseline adherence, demographics, physical fitness, medication regimen, and attitude, Time 1 medication-specific support negatively predicted Time 2 adherence, and vice versa. The negative relation between earlier medication-specific support and later adherence was not due to mobilization (low adherence mobilizing support from others, which over time would support adherence). Social conflict moderated the medication-specific support to adherence relationship: the relationship became more negative, the more social conflict participants reported. Presence of social conflict should be considered when received social support is studied, because well-intended help might have the opposite effect, when it coincides with social conflict.

Suggested Citation

  • Warner, Lisa M. & Schüz, Benjamin & Aiken, Leona & Ziegelmann, Jochen P. & Wurm, Susanne & Tesch-Römer, Clemens & Schwarzer, Ralf, 2013. "Interactive effects of social support and social conflict on medication adherence in multimorbid older adults," Social Science & Medicine, Elsevier, vol. 87(C), pages 23-30.
    • Handle: RePEc:eee:socmed:v:87:y:2013:i:c:p:23-30
    DOI: 10.1016/j.socscimed.2013.03.012
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    References listed on IDEAS

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    1. Neal Krause & Benjamin A. Shaw, 2000. "Giving Social Support to Others, Socioeconomic Status, and Changes in Self-Esteem in Late Life," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 55(6), pages 323-333.
    2. Neal Krause & Karen S. Rook, 2003. "Negative Interaction in Late Life: Issues in the Stability and Generalizability of Conflict Across Relationships," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 58(2), pages 88-99.
    3. Revenson, Tracey A. & Schiaffino, Kathleen M. & Deborah Majerovitz, S. & Gibofsky, Allan, 1991. "Social support as a double-edged sword: The relation of positive and problematic support to depression among rheumatoid arthritis patients," Social Science & Medicine, Elsevier, vol. 33(7), pages 807-813, January.
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    1. Liping Ye & Xinping Zhang, 2019. "Visualizing the knowledge structure of medication‐adherence research: A bibliometric analysis (1997‐2016)," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1333-1353, October.
    2. Cheryl Nakata & Elif Izberk-Bilgin & Lisa Sharp & Jelena Spanjol & Anna Shaojie Cui & Stephanie Y. Crawford & Yazhen Xiao, 2019. "Chronic illness medication compliance: a liminal and contextual consumer journey," Journal of the Academy of Marketing Science, Springer, vol. 47(2), pages 192-215, March.

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