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Interactive effects of social support and social conflict on medication adherence in multimorbid older adults
Citation
Warner, LM and Schuz, B and Aiken, L and Ziegelmann, JP and Wurm, S and Tesch-Romer, C and Schwarzer, R, Interactive effects of social support and social conflict on medication adherence in multimorbid older adults, Social Science and Medicine, 87, (2013) pp. 23-30. ISSN 0277-9536 (2013) [Refereed Article]
Copyright Statement
Copyright 2013 Elsevier
DOI: doi:10.1016/j.socscimed.2013.03.012
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 Aging 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.
Item Details
| Item Type: | Refereed Article |
|---|---|
| Keywords: | medication adherence, social support, older adults, multimorbidity |
| Research Division: | Psychology and Cognitive Sciences |
| Research Group: | Psychology |
| Research Field: | Health, Clinical and Counselling Psychology |
| Objective Division: | Health |
| Objective Group: | Public Health (excl. Specific Population Health) |
| Objective Field: | Behaviour and Health |
| Author: | Schuz, B (Dr Benjamin Schuez) |
| ID Code: | 83994 |
| Year Published: | 2013 |
| Web of Science® Times Cited: | 5 |
| Deposited By: | Psychology |
| Deposited On: | 2013-04-08 |
| Last Modified: | 2015-07-23 |
| Downloads: | 63 View Download Statistics |
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