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A systematic narrative review of the literature: adherence to pharmacological and nonpharmacological treatments among adolescents with mental disorders

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  • Ulla Timlin
  • Helinä Hakko
  • Raija Heino
  • Helvi Kyngäs

Abstract

Aims and objectives To review current research into the adherence to mental health treatment by adolescents. Background Nonadherence to medication among adolescents has been studied much more extensively than nonadherence to other forms of treatment. Monitoring adherence to all recommended services is essential when assessing the long‐term effectiveness of different treatment programmes. Healthcare professionals who treat patients with mental illness must be able to accurately determine which of their patients are adhering to all prescribed treatments. Design This is a systematic narrative literature review of the current literature. Methods Using a narrative synthesis, the data from 15 relevant articles concerning adolescents in inpatient or outpatient mental health care were extracted and synthesised. Results The reviewed papers are discussed in terms of the methods used to study treatment adherence, the working definition of adherence used in each case and the results obtained concerning adherence in adolescents. Thirty‐four to sixty‐seven per cent of adolescents treated are fully adherent to their medication and exhibit reasonably good follow‐through for the recommended treatments. However, rates of noncompliance with medication are quite high, and significant numbers of adolescents choose to discontinue their medication. Conclusions This review synthesises current published data on adherence to mental health treatment among adolescents in order to provide practitioners and researchers with a better understanding of this important area. It is recommended that future investigations should focus on adherence in inpatient care, adherence to nonpharmacological treatments and the identification of factors that influence adherence. Relevance to clinical practice The monitoring and understanding of adherence to recommended services is important. Therefore, these findings can be used by healthcare professionals who treat patients with mental illness to help them assess which of their patients are adhering to the prescribed treatments.

Suggested Citation

  • Ulla Timlin & Helinä Hakko & Raija Heino & Helvi Kyngäs, 2014. "A systematic narrative review of the literature: adherence to pharmacological and nonpharmacological treatments among adolescents with mental disorders," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(23-24), pages 3321-3334, December.
  • Handle: RePEc:wly:jocnur:v:23:y:2014:i:23-24:p:3321-3334
    DOI: 10.1111/jocn.12589
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    References listed on IDEAS

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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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    1. Daniela Haluza & Regina Schönbauer & Renate Cervinka, 2014. "Green Perspectives for Public Health: A Narrative Review on the Physiological Effects of Experiencing Outdoor Nature," IJERPH, MDPI, vol. 11(5), pages 1-17, May.
    2. Carlos Laranjeira & Daniel Carvalho & Olga Valentim & Lídia Moutinho & Tânia Morgado & Catarina Tomás & João Gomes & Ana Querido, 2023. "Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis," IJERPH, MDPI, vol. 20(5), pages 1-16, February.
    3. Gül Dikec & Cansın Kardelen & Laura Pilz González & Marjan Mohammadzadeh & Öznur Bilaç & Christiane Stock, 2022. "Perceptions and Experiences of Adolescents with Mental Disorders and Their Parents about Psychotropic Medications in Turkey: A Qualitative Study," IJERPH, MDPI, vol. 19(15), pages 1-17, August.
    4. Michele Virgolesi & Gianluca Pucciarelli & Anna Maria Colantoni & Fabio D'Andrea & Barbara Di Donato & Fabio Giorgi & Lidia Landi & Eleonora Salustri & Carlo Turci & Maria Grazia Proietti, 2017. "The effectiveness of a nursing discharge programme to improve medication adherence and patient satisfaction in the psychiatric intensive care unit," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 4456-4466, December.

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