SciELO - Scientific Electronic Library Online

 special issue 2Effectiveness evaluation of a program of skills development in adolescents in order to the promotion of mental healthDesign of the intervention program in nursing ‘Improve skills with others’ author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links

  • Have no similar articlesSimilars in SciELO


Revista Portuguesa de Enfermagem de Saúde Mental

Print version ISSN 1647-2160


FERRAJAO, Paulo Correia  and  OLIVEIRA, Rui Aragão. Factors related to adherence with post-traumatic stress disorder treatment: A qualitative study among Portuguese war veterans. Revista Portuguesa de Enfermagem de Saúde Mental [online]. 2015, n.spe2, pp.21-26. ISSN 1647-2160.

BACKGROUND: Research found better Post-traumatic Stress Disorder treatment outcomes among war veterans with treatment adherence. Perception of lack of benefits from medication, medication side effects, and social stigma were related to treatment non-adherence. Insight about the disease promoted medication adherence. AIM: This study explored the coping strategies and perceived psychosocial resources involved in treatment adherence among traumatized patients. METHODS: Sample was composed of Portuguese war veterans (N=60): 30 participants had chronic Post-traumatic Stress Disorder (non-recovered) and 30 had remission from Post-traumatic Stress Disorder (recovered). It was conducted a semi-structured interview. Content analysis was performed for interviews analysis. RESULTS: Recovered group showed higher frequencies of reported treatment adherence. Participants who reported treatment adherence showed higher frequencies of problem focused coping, self-integration of incongruent experiences in personal schemas, insight, and appraisal of good social support. Participants who reported treatment non-adherence mentioned more use of acting out strategies. CONCLUSIONS: Recovery from Post-traumatic Stress Disorder was facilitated by treatment adherence. Integration of discrepant experiences in personal schemas was a key process for developing higher insight about the disease. Patients’ perceived control over recovery was facilitated by more effective coping strategies in patients with inadequate social support.

Keywords : Trauma; Recovery; Patient’s adherence; Treatment.

        · abstract in Portuguese | Spanish     · text in English     · English ( pdf )