Implicit versus explicit attitudes toward psychiatric medication: Implications for insight and treatment adherence

Nicolas Rüsch*, Andrew R. Todd, Galen V. Bodenhausen, Peter J. Weiden, Patrick W. Corrigan

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

47 Scopus citations

Abstract

Implicit attitudes are automatically activated evaluative impulses that are difficult to control and potentially outside conscious awareness. The association of implicit attitudes toward psychiatric medication with treatment adherence and insight was investigated in 85 persons with schizophrenia, schizoaffective, or affective disorders using the Brief Implicit Association Test. Explicit attitudes, insight, perceived need for treatment and adherence were measured by self-report. Implicit, but not explicit, positive attitudes predicted increased insight and perceived need for treatment. Explicit, but not implicit, positive attitudes predicted self-reported adherence. Implicit measures can improve our understanding of medication attitudes and evaluation of interventions to increase treatment adherence.

Original languageEnglish (US)
Pages (from-to)119-122
Number of pages4
JournalSchizophrenia Research
Volume112
Issue number1-3
DOIs
StatePublished - Jul 2009

Funding

This work was supported by a Marie Curie Outgoing International Fellowship of the European Union (to Nicolas Rüsch [grant number 038909]); and by funding from NIAAA, NIMH and the Fogarty International Center (to Patrick W. Corrigan [grant number AA014842-01]). All funding agencies had no further role in study design; in the collection, analysis and interpretation of data; in the writing of the report; and in the decision to submit the paper for publication.

Keywords

  • Adherence
  • Attitudes
  • Implicit Association Test
  • Insight
  • Medication

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry

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