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September 5, 2026Journal of Child and Adolescent Psychopharmacology

Factors Influencing Medication Adherence in Adolescents with Psychiatric Disorders: Quantitative Results from a Multicenter Mixed-Methods Study

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Authors

FHFlorian HandermannCBClara BothLNLarissa Niemeyer

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Overview

Multicenter study reveals that negative treatment attitudes and polypharmacy decrease medication adherence in adolescents with psychiatric disorders, highlighting key targets for clinical support.

Key Points

  • To assess medication attitudes across a diverse psychiatric adolescent population and identify clinical and demographic factors linked to noncomplete adherence.
  • Conducted a secondary analysis of the multicenter SEMA study comprising N = 75 adolescents aged 12–17 years receiving psychopharmacological therapy.
  • Assessed treatment attitudes via the Questionnaire on Attitudes Toward Treatment (QATT) and adherence via the Medication Adherence Report Scale (MARS), classifying adherence as complete or noncomplete.
  • Performed group comparisons alongside multivariable logistic regression to identify independent factors predicting noncomplete medication adherence.
  • A total of 40% of adolescents were classified as not completely adherent to their medication regimen.
  • Higher QATT scores, reflecting less favorable medication attitudes, were observed among older adolescents, inpatients, individuals with internalizing disorders, and those with noncomplete adherence.
  • In multivariable logistic regression, higher QATT scores (OR = 1.05, 95% CI: 1.00–1.10; p = 0.048) and polypharmacy (OR = 3.64, 95% CI: 1.03–12.88; p = 0.046) independently predicted noncomplete medication adherence.

Cite This Study

Handermann et al. (2026) studied this question.

synapsesocial.com/papers/6a9bd4606b95aff0620ec117https://doi.org/10.1177/10445463261485772
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