Social support and patient adherence to medical treatment: A meta-analysis

被引：1230
作者：
DiMatteo, MR [1 ]
机构：
[1] Univ Calif Riverside, Dept Psychol, Riverside, CA 92521 USA
来源：
HEALTH PSYCHOLOGY | 2004年 / 23卷 / 02期
关键词：
patient adherence; social support; meta-analysis;
D O I：
10.1037/0278-6133.23.2.207
中图分类号：
B849 [应用心理学];
学科分类号：
040203 ;
摘要：
In a review of the literature from 1948 to 2001, 122 studies were found that correlated structural or functional social support with patient adherence to medical regimens. Meta-analyses establish significant average r-effect sizes between adherence and practical, emotional, and unidimensional social support; family cohesiveness and conflict; marital status; and living arrangement of adults. Substantive and methodological variables moderate these effects. Practical support bears the highest correlation with adherence. Adherence is 1.74 times higher in patients from cohesive families and 1.53 times lower in patients from families in conflict. Marital status and living with another person (for adults) increase adherence modestly. A research agenda is recommended to further examine mediators of the relationship between social support and health.
引用
收藏
页码：207 / 218
页数：12
相关论文
共 185 条
[1]   TREATMENT COMPLIANCE IN ADULTS WITH CYSTIC-FIBROSIS [J].
ABBOTT, J ;
DODD, M ;
BILTON, D ;
WEBB, AK .
THORAX, 1994, 49 (02) :115-120
[2]  
al-Shammari S A, 1992, Fam Pract Res J, V12, P171
[3]   An exploratory study of social support, distress, and life disruption among low-income Hispanic women under treatment for early stage breast cancer [J].
Alferi, SM ;
Carver, CS ;
Antoni, MH ;
Weiss, S ;
Durán, RE .
HEALTH PSYCHOLOGY, 2001, 20 (01) :41-46
[4]   Depressive symptoms, social support, and personal health behaviors in young men and women [J].
Allgöwer, A ;
Wardle, J ;
Steptoe, A .
HEALTH PSYCHOLOGY, 2001, 20 (03) :223-227
[5]   Parental involvement in diabetes management tasks: Relationships to blood glucose monitoring adherence and metabolic control in young adolescents with insulin-dependent diabetes mellitus [J].
Anderson, B ;
Ho, J ;
Brackett, J ;
Finkelstein, D ;
Laffel, L .
JOURNAL OF PEDIATRICS, 1997, 130 (02) :257-265
[6]   ASSESSING FAMILY SHARING OF DIABETES RESPONSIBILITIES [J].
ANDERSON, BJ ;
AUSLANDER, WF ;
JUNG, KC ;
MILLER, JP ;
SANTIAGO, JV .
JOURNAL OF PEDIATRIC PSYCHOLOGY, 1990, 15 (04) :477-492
[7]  
ANSON O, 1990, PEDIATRICS, V85, P98
[8]   Determinants of compliance with anticoagulation: A case-control study [J].
Arnsten, JH ;
Gelfand, JM ;
Singer, DE .
AMERICAN JOURNAL OF MEDICINE, 1997, 103 (01) :11-17
[9]   VARIATION IN HEMODIALYSIS PATIENT COMPLIANCE ACCORDING TO DEMOGRAPHIC CHARACTERISTICS [J].
BAME, SI ;
PETERSEN, N ;
WRAY, NP .
SOCIAL SCIENCE & MEDICINE, 1993, 37 (08) :1035-1043
[10]   Effects of self-efficacy and perceived social support on recovery-related behaviors after coronary artery bypass graft surgery [J].
Bastone, EC ;
Kerns, RD .
ANNALS OF BEHAVIORAL MEDICINE, 1995, 17 (04) :324-330
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