Factors Affecting Non-Adherence among Patients Diagnosed with Unipolar Depression in a Psychiatric Department of a Tertiary Hospital in Kolkata, India

Table 11

Patient reported barriers to adherence of prescribed treatment (𝑁=193).

Patient reported barriers to adherence	Yes	%	No	%
Patient related and social factors
Forget to take medicines	109	56.5	84	43.5
Difficult to take medicines at specified time	72	37.3	121	62.7
Did not feel like taking medicines (medication fatigue)	63	32.6	130	67.4
Too much of work at home	55	28.5	138	71.5
Unable to visit hospital working hours due to loss of wages	44	22.8	149	77.2
Stop medication for religious reasons	43	22.3	150	77.7
Did not get leave from work	26	13.5	167	86.5
Medicines were costly to buy	24	12.4	169	87.6
No one at home to remind about taking medications	21	10.9	172	89.1
Did not want others to know	19	9.8	174	90.2
Suggested by someone within family to stop medication	19	9.8	174	90.2
No one to accompany me to the hospital	19	9.8	174	90.2
Did not feel current treatment is effective	16	8.2	177	91.8
Afraid of side effects	13	6.7	180	93.3
Personal other illness (gall bladder operation, asthma, etc.)	11	5.7	182	94.3
Do not believe medicines will improve condition	10	5.2	183	94.8
Someone outside the family suggested stopping medicines	9	4.7	184	95.3
Could not arrange money to come to the hospital	7	3.6	186	96.4
Medication related
Afraid of medication dependency	53	27.5	140	72.5
Feel worse after taking medication	36	18.7	157	81.3
Lack of proper explanation on how to take medicines	26	13.5	167	86.5
Too many medicines to take	22	11.4	171	88.6
Health-facility related
Hospital is far from home	92	47.7	101	52.3
Long waiting hours in the hospital	61	31.6	132	68.4
No direct transportation to the hospital; change many times	47	24.4	146	75.6
Doctor did not spend enough time to examine	15	7.8	178	92.2
Medicines provided by hospital not available at the facility	5	2.6	188	97.4
Miscellaneous
Inclement weather particularly rains	19	9.8	174	90.2
Difficulty in swallowing medicines	6	3.1	187	96.9
Medical store did not have supply of medicines prescribed	5	2.6	188	97.4