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June 2, 2026Turkiye Klinikleri Journal of Health Sciences0 citationsOpen Access

The Hidden Face of Recovery in Chronic Illness: Psychological Well-Being, Medication Beliefs, and Adherence in Older Adults-A Descriptive and Correlational Study

TGTuba GEÇDİEKEmine KARACANŞBŞerife BİLAL

Key Result

The provided text contains author guidelines and editorial policies for the Turkiye Klinikleri Journal of Health Sciences rather than the actual clinical study data.

Key Points

  • This study aims to examine how psychological conditions influence medication adherence in older adults with chronic diseases.
  • Descriptive and correlational design with 447 older adults at 2 family health centers in Türkiye.
  • Data collected using questionnaires measuring beliefs about medicines and psychological symptoms.
  • Statistical analyses included t-tests, ANOVA, and Pearson correlation.
  • 47.4% of participants had hypertension, 41.4% had diabetes, and 38.3% reported feelings of unhappiness.
  • 88.4% reported regular medication use, but 20.8% experienced medication confusion due to polypharmacy.
  • Higher BSI scores correlated with irregular medication use and negative mental health symptoms (p<0.05).

Structured PICO

Does psychological well-being affect medication adherence in older adults with chronic illnesses?

P
Population
447 elderly individuals with chronic diseases at 2 family health centers in Kahramanmaraş, Türkiye.
O
Outcome
Association between psychological conditions (measured by Brief Symptom Inventory) and medication use/adherencepatient reported

Mental health symptoms such as depression and anxiety are associated with poorer medication adherence in older adults with chronic illnesses.

Abstract

Objective: As the elderly population increases globally, it is also steadily rising in Türkiye. Aging is an inevitable process encompassing biological, physiological, and psychological dimensions. Physiological declines that occur with advancing age during this process directly impact the quality of life of older adults and contribute to an increased prevalence of chronic diseases. This study aimed to examine the effects of psychological conditions on medication use among elderly individuals with chronic diseases. Material and Methods: A descriptive and correlational study was conducted with 447 elderly individuals at 2 family health centers in Kahramanmaraş, Türkiye. Data were collected using the descriptive characteristics form, Beliefs about Medicines Questionnaire, and Brief Symptom Inventory (BSI). Statistical analyses included independent samples t-test, analysis of variance, and Pearson correlation. Results: Of participants, 47.4% had hypertension, 41.4% had diabetes, and 38.3% reported feeling unhappy. Although 88.4% reported regular medication use, 20.8% forgot or confused their medications due to polypharmacy. BSI scores were significantly higher in those with irregular medication use (79.67±43.89), medication confusion (70.47±36.45), and unwillingness to take medication (81.53±36.85) (p<0.05). Mental health symptoms such as depression, anxiety, and hopelessness were associated with medication behavior. Conclusion: This study highlights the hidden psychological burden affecting medication adherence in older adults with chronic illnesses. Negative emotions and concerns about side effects reduce adherence, while strong beliefs in medication necessity improve it. Integrating mental health into geriatric care is essential for holistic medication management. Addressing psychological well-being can enhance adherence and improve chronic disease outcomes.

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Cite This Study

GEÇDİ et al. (2026) studied Chronic Illness. The provided text contains author guidelines and editorial policies for the Turkiye Klinikleri Journal of Health Sciences rather than the actual clinical study data.

synapsesocial.com/papers/6a1e732830b38c64201b6502https://doi.org/10.5336/healthsci.2025-113712
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