Beliefs about antipsychotic versus hypoglycemic medications among individuals with serious mental illness and type 2 diabetes

Patient Prefer Adherence. 2012:6:389-94. doi: 10.2147/PPA.S30975. Epub 2012 May 9.

Abstract

Background: This study compared the beliefs held by individuals with coexisting serious mental illness and type 2 diabetes regarding the necessity and risks of taking antipsychotic versus hypoglycemic medications. We also investigated whether nonadherent patients differed from adherent patients in their beliefs about medications.

Methods: Forty-four individuals with type 2 diabetes and serious mental illness who were prescribed hypoglycemic and antipsychotic medications completed a cross-sectional assessment of medication beliefs and adherence for both medication types.

Results: Patients perceived a greater need for hypoglycemic versus antipsychotic medications; however, their beliefs were not associated with nonadherence to either medication type.

Conclusion: These results suggest that individuals with coexisting serious mental illness and type 2 diabetes have stronger convictions regarding the necessity of their diabetes medication for maintaining their health.

Keywords: antipsychotic medication; hypoglycemic medication; medication beliefs; nonadherence; serious mental illness; type 2 diabetes.