FATORES ASSOCIADOS A NÃO ADESÃO FARMACOTERAPÊUTICA DOS ADOLESCENTES AOS MEDICAMENTOS ANTIDEPRESSIVOS

Abstract

The fact that patients take their medications as prescribed is of increasing importance in adolescent psychiatry, as both the number of effective pharmaceutical treatments and the rate of prescriptions for psychotropic compounds are increasing. Adolescent depression can have a chronic course, therefore, the importance of adherence to antidepressant medication for treatment success is emphasized. The objective of this study was to verify the evidence on the factors of non-adherence to antidepressants by adolescents with depressive disorders. A literature review was carried out with descriptors and crossings based on the guiding question. The current state of scientific evidence to determine the factors of non-adherence to antidepressants by adolescents with depression was non-existent, making it necessary to expand the descriptors generalizing the health problem and collecting data in order to address mental disorders treated with medication psychotropics. This demonstrates the need for greater attention to the study of adolescence, depression and adherence to antidepressant medications. Evidence on the factors of non adherence to psychotropic medications by adolescents is scarce, however, it allows concluding that the factors are related to: negative perception of the effect of the medication (adverse and side effects, lack of perception of the therapeutic benefit after using the medication ), individual barriers (forgetting to take the medicine, using a higher dose of the medicine, cognitive difficulty about the treatment, feeling of “not being yourself” after taking the medicine, concern about drug dependence, diminished perspectives on life,) and social barriers (influence and beliefs of parents and/or guardians, economic and cultural issues)