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ERIC Number: EJ826339
Record Type: Journal
Publication Date: 2009-Feb
Pages: 11
Abstractor: As Provided
Reference Count: 37
ISBN: N/A
ISSN: ISSN-1090-1981
Self-Efficacy Mediates the Relationship between Depressive Symptoms and Medication Adherence among Hypertensive African Americans
Schoenthaler, Antoinette; Ogedegbe, Gbenga; Allegrante, John P.
Health Education & Behavior, v36 n1 p127-137 Feb 2009
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 less than .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. (Contains 2 figures.)
SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers - Location: New York