الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
The psychiatric disorder has a significant impact on family, society, and the community. It has a detrimental impact on patients’ quality of life. medical costs, health outcomes , health resource use, and death rates. These unfavorable consequences are strongly connected to poor adherence to psychotropic medication, which results in poor progression. Without a doubt, medication nonadherence is a major global issue among patients with psychiatric disorders. The most important elements related with medication non-adherence are health locus of control and self-efficacy. The present study aimed to explore the role of health locus of control and self-efficacy on level of psychotropic medication adherence among patients with psychiatric disorders. The study followed a descriptive correlational research design and it was conducted at the Inpatient Psychiatric Department of Tanta University Hospital and the Inpatient Psychiatric Department at The Psychiatry, Neurology and Neurosurgery Center. The study subjects were 140 patients with psychiatric disorders were involved . They had the following inclusion criteria; adult patients from 18 years and more and patients willingness to participate in the study. The study data was collected by using the following tools: - Tool I: Socio-demographic and Clinical Data Structured Questionnaire: The questionnaire was developed by the researcher based on scientific review of literatures to assess and elicit data about socio-demographic characteristics as well as clinical data questionnaire. Tool II: Medication Adherence Rating Scale (MARS): This tool was adopted from Thompson et al (2000). It was used for assessing medication adherence behaviors among patients with psychiatric disorders. It was a self-reported instrument consists of 10 statements. It is a Likert type scale (yes \ no). Yes, scores equal (0) and No scores equal (1). While there are 2 reverse statements (No.7and 8) like (By staying on medication, I can prevent getting sick.). Tool III: Multidimensional Health Locus of Control (MHLC) Scale (form C) It was adopted from Wallston et al (1994). It was a self-reported scale that was used for assessing individuals‘ beliefs related to influences on their health. This scale consisted of 18 items. Each item included a belief statement about the patient’s medical condition. It is a six-point Likert scale which was ranged from strongly disagree (1) to strongly agree (6). It composed of four subscales: one subscale denoted internality and three subscale denoted external locus of control. Tool IV: General Self-Efficacy Scale (GSES) It was adopted from Schwarzer&Jerusalem (1995). This Scale was used to measure the strength of an individual ’ s belief in his or her own ability to respond to novel or difficult situation and to deal with any associated obstacles or setbacks. It consisted of 10- item. It is a four-point Likert scale ranging from 1 (not at all true) to 4 (completely true). During the actual study: The researcher reviewed the patient records first then selected the study subjects who met the inclusion criteria and then reviewed. - These patients were invited to participate in the study after being informed for the nature of the study, and the researcher collected the data of the research through face to face interview with each patient on an individual basis. - The researcher met the patients within range of three to four days per week on the individual basis. The time of interviewing with patient ranged from 45 to 90 minutes according to condition of the patient and his \ her tolerability to answer the questions . - The duration of data collection was five months, starting from July to the end of November 2022. The following were the main results of the study: - - About two thirds of the studied patients (65.7%) were males. Regarding the age; less than half of studied patients (41.4%) aged 30 to less than 40 years old. - About half of studied patients (52.9%) were diagnosed with schizophrenia, while the smallest proportion of them (2.1%) had border line personality disorder. - It was showed that (31.4%) of studied patients had good adherence and (36.4%, 32.2%) had partial and poor adherence respectively. - It clarified that Mean ± SD of external health locus of control dimension was 51.71± 8.761 mean while 21.01±7.691 was for internal health locus of control among studied patients. - It emphasized that (50%) of the studied patients had moderate selfefficacy and more one quarter (28%) of them had high sense of selfefficacy and (21.4%) of the studied patients had low sense of selfefficacy. - Results illustrated that there was a positive statistical significant correlation between general self-efficacy of studied patients and their medication adherence where r= 0.134, p= 0.014. - It was noticed that there was highly positive statistical significant correlation between internal health locus of control of studied patients and medication adherence where r= 0.663, p= 0.000. - Internal locus of control of the studied patients and general self-efficacy had significant positive role on occurrence of medication adherence (β= 0.663; P=0.000 & β= 0.134; P=0.000) respectively. While results showed that external locus of control of the studied patients had significant negative role on occurrence of medication adherence (β= -0.476; P=0.000) This indicates that both internal locus of control and general self-efficacy have statistically significant prediction of occurrence of medication adherence. - There is a positive statistical significant relationship between age, gender, residence, marital status, educational level, income and medication adherence, where (P=0.012 - 0.033 - 0.011 - 0.017 - 0.036 - 0.038) respectively. - There is a highly positive statistical significant relationship between all items of clinical data for the studied patients and their medication adherence, where (p= 0.000). Conclusions: Based on the results of the present study, it can be concluded that Selfefficacy and health locus of control are strong determinants in the occurrence of medication adherence among patients with psychiatric disorders.