Psychological Reactance as a Factor in Patient Noncompliance With Medication Taking: A Field Experiment1
Authors:
- 1 November 2000
- journal article
- Published by Wiley in Journal of Applied Social Psychology
- Vol. 30 (11) , 2365-2391
Abstract
Patient noncompliance with medical recommendations is widespread. The theory of psychological reactance sheds light on the subject. Reactance theory posits that when an individual discems a threat to a valued freedom, a motivational state compels the individual to reassert that freedom. The present study sought evidence of reactance in the compliance behaviors of 101 patients. Participants were exposed to either an authoritative‐oriented or a partnership‐oriented advice‐giving tone, coupled with either an opportumity for the participant to select certain features of the regimen or no opportunity to do so. While neither manipulation produced the anticipated causal results, both quantitative and qualitative correlational data clearly revealed a connection between reactance and noncompliance. The investigators report findings and make suggestions for further research.Keywords
This publication has 50 references indexed in Scilit:
- Measuring adherence with therapy for chronic diseases: Implications for the treatment of heterozygous familial hypercholesterolemiaThe American Journal of Cardiology, 1993
- A New Extended‐Release Formulation of Diltiazem HCl for the Treatment of Mild‐to‐Moderate HypertensionThe Journal of Clinical Pharmacology, 1993
- Effectiveness of family notification efforts and compliance with measles post-exposure prophylaxisJournal of Community Health, 1993
- Enhancing motivation for change in problem drinking: A controlled comparison of two therapist styles.Journal of Consulting and Clinical Psychology, 1993
- Factors affecting patient compliance among women with abnormal pap smearsPatient Education and Counseling, 1993
- Psychological Reactance as a Factor Affecting Patient Compliance to Physician AdviceScandinavian Journal of Behaviour Therapy, 1989
- Relational communication, satisfaction, compliance‐gaining strategies, and compliance in communication between physicians and patientsCommunication Monographs, 1987
- Development and validation of the Health Locus of Control (HLC) Scale.Journal of Consulting and Clinical Psychology, 1976
- Development and validation of the Health Locus of Control (HLC) Scale.Journal of Consulting and Clinical Psychology, 1976
- Variations in patientsʼ compliance with doctorsʼ ordersAcademic Medicine, 1966