40 research outputs found
Psykiatrisessa hoidossa olevan nuoren hoitoon sitoutuminen
No full textAbstractThe purpose of this study was to investigate treatment adherence among adolescents receiving mental health care, with a special focus on psychiatric inpatient treatment. Key goals were to derive a general definition of adherence suitable for this purpose and to assess adolescents’ adherence to medication and non-pharmacological treatments. This study had two phases; phase one involved conducting systematic literature reviews, and phase two was based on empirical research in which data were collected by analyzing notes on hospital patients. The aim of the reviews were to review current research evidence into treatment adherence in adolescents and factors relating adherence among adolescents receiving mental health care (original publication n=15 and original publication n=17). Phase two was part of a clinical follow-up project called STUDY-70 conducted at the Department of Psychiatry at Oulu University Hospital in Finland. This phase yielded two further original publications — papers III and IV. Paper III examined adherence among adolescents receiving psychiatric inpatient care (n=72), focusing on both medication and non-pharmacological treatments. Paper IV examined factors affecting treatment adherence among these 72 inpatient adolescents, including family- and clinic-related variables.The systematic reviews demonstrated that many different definitions of adherence have been used in the literature. A concept synthesis was applied to these definitions to establish a basis for empirical research. The main factors that were found to correlate positively with treatment adherence among adolescents were the patients’ own will to be treated and positive sentiments, but family also played an important role. Factors that correlated negatively with adherence included negative feelings, a lack of cooperation with treatment, and adverse mental symptoms. Adolescent who has received special support at school was found to favor treatment adherence, whereas involuntary treatment, self-mutilative behavior and a close maternal relationship were all linked to non-adherence.Treatment adherence is an ongoing process, and achieving high levels of adherence should be an important goal in all treatment processes. It is important for clinical staff to be aware of factors influencing adherence in order to support the provision of effective and high-quality care for adolescents.TiivistelmäTutkimuksen tarkoituksena oli selvittää mielenterveyspalveluita käyttävien nuorien hoitoon sitoutumista ja erityisesti psykiatrisessa osastohoidossa olevan nuoren sitoutumista hoitoon. Keskeisinä tavoitteina oli kuvata hoitoon sitoutumisen määrittelyä ja arvioida nuoren sitoutumista lääke- ja ei-lääkinnälliseen hoitoon. Tutkimus sisälsi kaksi vaihetta: vaihe yksi systemaattiset kirjallisuuskatsaukset sekä vaihe kaksi empiirisen tutkimuksen, jossa tieto kerättiin analysoimalla potilasasiakirjoja. Systemaattisen kirjallisuuskatsauksen tarkoituksena oli selvittää nuoren hoitoon sitoutumista ja siihen yhteydessä olevia tekijöitä (alkuperäisjulkaisu I n=15, alkuperäisjulkaisu II n=17). Vaihe kaksi oli osa Oulun yliopistollisen sairaalan psykiatrian klinikan projektia, STUDY-70, joka tuotti kaksi osajulkaisua. Alkuperäisjulkaisun III tarkoituksena oli tutkia osastohoidossa olevan nuoren sitoutumista lääke- sekä ei lääkinnälliseen hoitoon (n=72). Alkuperäisjulkaisussa IV selvitettiin näiden nuoren sitoutumista hoitoon ja erityinen mielenkiinto tässä tutkimuksessa oli perhe- ja kliinisillä tekijöillä sitoutuminen (n=72).Systemaattisen kirjallisuuskatsauksen perusteella sitoutumisen määrittelyt vaihtelivat. Tästä huolimatta käsitteen määrittelyjen synteesi oli mahdollinen ja se loi pohjan empiiriselle tutkimukselle. Tämän tutkimuksen perusteella nuoren oma tahto ja positiivinen asenne olivat positiivisesti yhteydessä hoitoon sitoutumiseen. Myös perheen toiminta vaikutti hoitoon sitoutumiseen. Nuoren negatiiviset tunteet, yhteistyökyvyttömyys ja mielenterveysoireet vaikuttivat negatiivisesti sitoutumiseen. Lisäksi nuoren saamat erityispalvelut koulussa tukivat osastohoidossa olevan nuoren hoitoon sitoutumista. Vastentahtoinen hoito, viiltely sekä läheinen ja kestävä äitisuhde olivat yhteydessä sitoutumattomuuteen.Hoitoon sitoutuminen on kokonaisvaltainen prosessi ja yksi hoidon tavoitteista, joka voidaan saavuttaa. Hoitoon sitoutumisen edistämiseksi henkilökunnan tulee tiedostaa ne tekijät, jotka vaikuttavat hoitoon sitoutumiseen. Näin voidaan suunnitella ja toteuttaa laadukasta ja vaikuttavaa hoitoa.Academic dissertation to be presented with the assent of the Doctoral Training Committee of Health and Biosciences of the University of Oulu for public defence in Auditorium F202 of the Department of Pharmacology and Toxicology (Aapistie 5 B), on 22 May 2015, at 12 noonAbstract
The purpose of this study was to investigate treatment adherence among adolescents receiving mental health care, with a special focus on psychiatric inpatient treatment. Key goals were to derive a general definition of adherence suitable for this purpose and to assess adolescents’ adherence to medication and non-pharmacological treatments. This study had two phases; phase one involved conducting systematic literature reviews, and phase two was based on empirical research in which data were collected by analyzing notes on hospital patients. The aim of the reviews were to review current research evidence into treatment adherence in adolescents and factors relating adherence among adolescents receiving mental health care (original publication n=15 and original publication n=17). Phase two was part of a clinical follow-up project called STUDY-70 conducted at the Department of Psychiatry at Oulu University Hospital in Finland. This phase yielded two further original publications — papers III and IV. Paper III examined adherence among adolescents receiving psychiatric inpatient care (n=72), focusing on both medication and non-pharmacological treatments. Paper IV examined factors affecting treatment adherence among these 72 inpatient adolescents, including family- and clinic-related variables.
The systematic reviews demonstrated that many different definitions of adherence have been used in the literature. A concept synthesis was applied to these definitions to establish a basis for empirical research. The main factors that were found to correlate positively with treatment adherence among adolescents were the patients’ own will to be treated and positive sentiments, but family also played an important role. Factors that correlated negatively with adherence included negative feelings, a lack of cooperation with treatment, and adverse mental symptoms. Adolescent who has received special support at school was found to favor treatment adherence, whereas involuntary treatment, self-mutilative behavior and a close maternal relationship were all linked to non-adherence.
Treatment adherence is an ongoing process, and achieving high levels of adherence should be an important goal in all treatment processes. It is important for clinical staff to be aware of factors influencing adherence in order to support the provision of effective and high-quality care for adolescents.Tiivistelmä
Tutkimuksen tarkoituksena oli selvittää mielenterveyspalveluita käyttävien nuorien hoitoon sitoutumista ja erityisesti psykiatrisessa osastohoidossa olevan nuoren sitoutumista hoitoon. Keskeisinä tavoitteina oli kuvata hoitoon sitoutumisen määrittelyä ja arvioida nuoren sitoutumista lääke- ja ei-lääkinnälliseen hoitoon. Tutkimus sisälsi kaksi vaihetta: vaihe yksi systemaattiset kirjallisuuskatsaukset sekä vaihe kaksi empiirisen tutkimuksen, jossa tieto kerättiin analysoimalla potilasasiakirjoja. Systemaattisen kirjallisuuskatsauksen tarkoituksena oli selvittää nuoren hoitoon sitoutumista ja siihen yhteydessä olevia tekijöitä (alkuperäisjulkaisu I n=15, alkuperäisjulkaisu II n=17). Vaihe kaksi oli osa Oulun yliopistollisen sairaalan psykiatrian klinikan projektia, STUDY-70, joka tuotti kaksi osajulkaisua. Alkuperäisjulkaisun III tarkoituksena oli tutkia osastohoidossa olevan nuoren sitoutumista lääke- sekä ei lääkinnälliseen hoitoon (n=72). Alkuperäisjulkaisussa IV selvitettiin näiden nuoren sitoutumista hoitoon ja erityinen mielenkiinto tässä tutkimuksessa oli perhe- ja kliinisillä tekijöillä sitoutuminen (n=72).
Systemaattisen kirjallisuuskatsauksen perusteella sitoutumisen määrittelyt vaihtelivat. Tästä huolimatta käsitteen määrittelyjen synteesi oli mahdollinen ja se loi pohjan empiiriselle tutkimukselle. Tämän tutkimuksen perusteella nuoren oma tahto ja positiivinen asenne olivat positiivisesti yhteydessä hoitoon sitoutumiseen. Myös perheen toiminta vaikutti hoitoon sitoutumiseen. Nuoren negatiiviset tunteet, yhteistyökyvyttömyys ja mielenterveysoireet vaikuttivat negatiivisesti sitoutumiseen. Lisäksi nuoren saamat erityispalvelut koulussa tukivat osastohoidossa olevan nuoren hoitoon sitoutumista. Vastentahtoinen hoito, viiltely sekä läheinen ja kestävä äitisuhde olivat yhteydessä sitoutumattomuuteen.
Hoitoon sitoutuminen on kokonaisvaltainen prosessi ja yksi hoidon tavoitteista, joka voidaan saavuttaa. Hoitoon sitoutumisen edistämiseksi henkilökunnan tulee tiedostaa ne tekijät, jotka vaikuttavat hoitoon sitoutumiseen. Näin voidaan suunnitella ja toteuttaa laadukasta ja vaikuttavaa hoitoa
Latent Class Analysis of upbringing and mental health status among youth and young adults in Greenland
No full textBackground
Profound socio-cultural changes in Grenland during the last 70 years have resulted in radical
changes in the health and well-being of the population. Suicide rates and mental health problems
have been rising, particularly among the young part of the Greenland Inuit. Previous research
has found that protective factors for mental health in the Arctic often are linked to traditional
activities and Inuit culture. Yet, most previous research has been assessing the youth in general,
and more knowledge is needed, on how the youth and young adults in Greenland differ.
Design and Methods
This thesis was made as a cross-sectional study with data from the Greenland Health Survey
2018 and included 658 respondents between 15-34 years. The thesis sought to investigate
how conditions in upbringing characterise Greenlandic youth and young adults with different
negative and positive mental health outcomes. This was done by latent class analysis with distal
variables.
Results
Four subgroups of youth and young adults were identified based on conditions in upbringing.
Class 1 (n=178, 27%) and Class 2 (n=164, 25%) were both characterised by a relatively low
probability of adverse childhood experiences (ACEs) during upbringing and a high probability
of having grown up with strong ties to Inuit culture. These classes had the lowest probability of
negative mental health outcomes. Class 3 (n= 224, 34 %) grew up with the highest probability
of having experienced ACEs during upbringing and the highest probability of negative mental
health. Class 4 (n= 92, 14 %) had the lowest probability of having grown up with strong ties to
Inuit culture and the second-highest probability of an upbringing with ACEs.
Conclusion
Individuals growing up with the combination of an absence of ACEs and with strong ties to
Inuit culture have the best mental health outcomes. This combination fosters good mental health
independent of whether the individuals grew up in a settlement or town and independent of
Danish language proficiency. Individuals growing up with ACEs have the poorest mental health
outcomes. A significant proportion of the youth and young adults in Greenland have ACEs, and
the ACEs investigated often co-occur
Latent Class Analysis of upbringing and mental health status among youth and young adults in Greenland
No full textBackground
Profound socio-cultural changes in Grenland during the last 70 years have resulted in radical
changes in the health and well-being of the population. Suicide rates and mental health problems
have been rising, particularly among the young part of the Greenland Inuit. Previous research
has found that protective factors for mental health in the Arctic often are linked to traditional
activities and Inuit culture. Yet, most previous research has been assessing the youth in general,
and more knowledge is needed, on how the youth and young adults in Greenland differ.
Design and Methods
This thesis was made as a cross-sectional study with data from the Greenland Health Survey
2018 and included 658 respondents between 15-34 years. The thesis sought to investigate
how conditions in upbringing characterise Greenlandic youth and young adults with different
negative and positive mental health outcomes. This was done by latent class analysis with distal
variables.
Results
Four subgroups of youth and young adults were identified based on conditions in upbringing.
Class 1 (n=178, 27%) and Class 2 (n=164, 25%) were both characterised by a relatively low
probability of adverse childhood experiences (ACEs) during upbringing and a high probability
of having grown up with strong ties to Inuit culture. These classes had the lowest probability of
negative mental health outcomes. Class 3 (n= 224, 34 %) grew up with the highest probability
of having experienced ACEs during upbringing and the highest probability of negative mental
health. Class 4 (n= 92, 14 %) had the lowest probability of having grown up with strong ties to
Inuit culture and the second-highest probability of an upbringing with ACEs.
Conclusion
Individuals growing up with the combination of an absence of ACEs and with strong ties to
Inuit culture have the best mental health outcomes. This combination fosters good mental health
independent of whether the individuals grew up in a settlement or town and independent of
Danish language proficiency. Individuals growing up with ACEs have the poorest mental health
outcomes. A significant proportion of the youth and young adults in Greenland have ACEs, and
the ACEs investigated often co-occur
COVID-19 impacts in Northernmost Finland
No full textThe COVID-19 pandemic challenged our lives during the years 2020–2022. Impacts could be seen in everyday life, both locally and nationally, through economic, mental and social elements. However, these effects varied depending on the life situation of individuals. This paper aims to gather information from the representatives and operators working in two Finnish municipalities, Inari and Utsjoki, to understand and learn about their experiences during the COVID-19 pandemic. The data (20 interviews) were collected between December 2021 and February 2022 and analysed following the principles of the qualitative content analysis. The results suggest that the effects of COVID-19 emerged through issues related to the national border between Finland and Norway, economic challenges, and the pressure that people experienced. However, despite challenges, people were supported by everyday life and a connection to nature, communality and close co-operation. Additionally, local needs were highlighted among participants. The results provide a deeper understanding about the public health impacts in these Northernmost municipalities and can therefore be utilised in future development work. They also provide relevant information on the experiences of Sámi people, and specific views related to Sámi people can be recognised
Communicating and complying with COVID-19 actions in northernmost Finland
No full textIn Finland, national and local restrictions were implemented to control the COVID-19 pandemic after the increase of cases, and it changed the everyday life of people. The purpose of our study was to explore public health communication and compliance related to the COVID-19 public health instructions, recommendations, and restrictions in two municipalities in Northernmost Finland, Inari and Utsjoki. We interviewed the representatives and operators working in the municipalities to understand and learn about their experiences. Results suggested that residents complied with different COVID-19 actions, and overall, communication was found to be good. Altogether, guidelines were easy to follow but required the individual’s own activity. Guidelines were also published in Sámi language. National border restrictions were a challenging part of communication and information, and guidelines were found to be contradictory at times. National border actions required resources from the municipalities, e.g. testing, which caused more demands on municipalities operating with already low resources. In the future, it is essential to consider the local situation of the pandemic and harmonise actions and put effort on local cooperation. It is important to invest in clear communication, which reaches people of all ages, and in three Sámi languages
Arktiset olosuhteet ja terveys
No full textArktinen alue muuttuu. Ilmaston lämpeneminen on läsnä ihmisten jokapäiväisessä elämässä, ikirouta ja jäätiköt sulavat, meri on jäätön sekä sadanta ja tuuli ovat erilaisia kuin ennen. Luonto tukee terveyttä ja hyvinvointia, vaikka muuttuneessa ympäristössä ei voida enää toimia kuin ennen. Suurimmat yhteisöjen huolet liittyvät ruoka- ja vesiturvallisuuteen, mielenterveyteen ja globaalin muutoksen mukanaan tuomiin uusiin elinkeinoihin, kuten kaivostoimintaan ja turismiin. Ilmastonmuutos ja ikiroudan sulaminen aiheuttavat taloudellista rasitetta talojen ja teiden vaurioituessa, eläin- ja kasvikunnan muuttumista sekä uudenlaisia riskejä ympäristössä liikkumiseen. Haasteista huolimatta paikallisilla on luja luottamus hyvän elämän jatkumiseen. Heidän, viranomaisten ja tutkijoiden yhteistyötä tarvitaan muutoksien arvioimiseksi kestävän kehityksen tueksi.Arktinen alue muuttuu. Ilmaston lämpeneminen on läsnä ihmisten jokapäiväisessä elämässä, ikirouta ja jäätiköt sulavat, meri on jäätön sekä sadanta ja tuuli ovat erilaisia kuin ennen. Luonto tukee terveyttä ja hyvinvointia, vaikka muuttuneessa ympäristössä ei voida enää toimia kuin ennen. Suurimmat yhteisöjen huolet liittyvät ruoka- ja vesiturvallisuuteen, mielenterveyteen ja globaalin muutoksen mukanaan tuomiin uusiin elinkeinoihin, kuten kaivostoimintaan ja turismiin. Ilmastonmuutos ja ikiroudan sulaminen aiheuttavat taloudellista rasitetta talojen ja teiden vaurioituessa, eläin- ja kasvikunnan muuttumista sekä uudenlaisia riskejä ympäristössä liikkumiseen. Haasteista huolimatta paikallisilla on luja luottamus hyvän elämän jatkumiseen. Heidän, viranomaisten ja tutkijoiden yhteistyötä tarvitaan muutoksien arvioimiseksi kestävän kehityksen tueksi
Adolescent's adherence to treatment in psychiatric care
No full textAbstract
The purpose of this study was to investigate treatment adherence among adolescents receiving mental health care, with a special focus on psychiatric inpatient treatment. Key goals were to derive a general definition of adherence suitable for this purpose and to assess adolescents’ adherence to medication and non-pharmacological treatments. This study had two phases; phase one involved conducting systematic literature reviews, and phase two was based on empirical research in which data were collected by analyzing notes on hospital patients. The aim of the reviews were to review current research evidence into treatment adherence in adolescents and factors relating adherence among adolescents receiving mental health care (original publication n=15 and original publication n=17). Phase two was part of a clinical follow-up project called STUDY-70 conducted at the Department of Psychiatry at Oulu University Hospital in Finland. This phase yielded two further original publications — papers III and IV. Paper III examined adherence among adolescents receiving psychiatric inpatient care (n=72), focusing on both medication and non-pharmacological treatments. Paper IV examined factors affecting treatment adherence among these 72 inpatient adolescents, including family- and clinic-related variables.
The systematic reviews demonstrated that many different definitions of adherence have been used in the literature. A concept synthesis was applied to these definitions to establish a basis for empirical research. The main factors that were found to correlate positively with treatment adherence among adolescents were the patients’ own will to be treated and positive sentiments, but family also played an important role. Factors that correlated negatively with adherence included negative feelings, a lack of cooperation with treatment, and adverse mental symptoms. Adolescent who has received special support at school was found to favor treatment adherence, whereas involuntary treatment, self-mutilative behavior and a close maternal relationship were all linked to non-adherence.
Treatment adherence is an ongoing process, and achieving high levels of adherence should be an important goal in all treatment processes. It is important for clinical staff to be aware of factors influencing adherence in order to support the provision of effective and high-quality care for adolescents.Tiivistelmä
Tutkimuksen tarkoituksena oli selvittää mielenterveyspalveluita käyttävien nuorien hoitoon sitoutumista ja erityisesti psykiatrisessa osastohoidossa olevan nuoren sitoutumista hoitoon. Keskeisinä tavoitteina oli kuvata hoitoon sitoutumisen määrittelyä ja arvioida nuoren sitoutumista lääke- ja ei-lääkinnälliseen hoitoon. Tutkimus sisälsi kaksi vaihetta: vaihe yksi systemaattiset kirjallisuuskatsaukset sekä vaihe kaksi empiirisen tutkimuksen, jossa tieto kerättiin analysoimalla potilasasiakirjoja. Systemaattisen kirjallisuuskatsauksen tarkoituksena oli selvittää nuoren hoitoon sitoutumista ja siihen yhteydessä olevia tekijöitä (alkuperäisjulkaisu I n=15, alkuperäisjulkaisu II n=17). Vaihe kaksi oli osa Oulun yliopistollisen sairaalan psykiatrian klinikan projektia, STUDY-70, joka tuotti kaksi osajulkaisua. Alkuperäisjulkaisun III tarkoituksena oli tutkia osastohoidossa olevan nuoren sitoutumista lääke- sekä ei lääkinnälliseen hoitoon (n=72). Alkuperäisjulkaisussa IV selvitettiin näiden nuoren sitoutumista hoitoon ja erityinen mielenkiinto tässä tutkimuksessa oli perhe- ja kliinisillä tekijöillä sitoutuminen (n=72).
Systemaattisen kirjallisuuskatsauksen perusteella sitoutumisen määrittelyt vaihtelivat. Tästä huolimatta käsitteen määrittelyjen synteesi oli mahdollinen ja se loi pohjan empiiriselle tutkimukselle. Tämän tutkimuksen perusteella nuoren oma tahto ja positiivinen asenne olivat positiivisesti yhteydessä hoitoon sitoutumiseen. Myös perheen toiminta vaikutti hoitoon sitoutumiseen. Nuoren negatiiviset tunteet, yhteistyökyvyttömyys ja mielenterveysoireet vaikuttivat negatiivisesti sitoutumiseen. Lisäksi nuoren saamat erityispalvelut koulussa tukivat osastohoidossa olevan nuoren hoitoon sitoutumista. Vastentahtoinen hoito, viiltely sekä läheinen ja kestävä äitisuhde olivat yhteydessä sitoutumattomuuteen.
Hoitoon sitoutuminen on kokonaisvaltainen prosessi ja yksi hoidon tavoitteista, joka voidaan saavuttaa. Hoitoon sitoutumisen edistämiseksi henkilökunnan tulee tiedostaa ne tekijät, jotka vaikuttavat hoitoon sitoutumiseen. Näin voidaan suunnitella ja toteuttaa laadukasta ja vaikuttavaa hoitoa
Permafrost thaw challenges and life in Svalbard
No full textAbstractSvalbard is facing changes related to climate change and permafrost thaw, which have impacts on the life and well-being of people. This study evaluated impacts of climate change and permafrost thaw on the life of locals living in Longyearbyen, Svalbard and focused on investigating self-rated health, well-being, quality of life, satisfaction with life, and feeling of empowerment when facing the changes and impacts. The aim was to find out which perceived environmental and adaptation factors relate to these dependent variables. The data was collected using a multidisciplinary questionnaire (n = 84); for statistical analysis cross-tabulation was used and the associations were tested either by the Pearson χ2 test or Fisher’s exact test, when appropriate. Binary logistic regression analysis was used to investigate associations between the dependent variables and perceived environmental and adaptation factors. Results suggested that well-being, quality of life, satisfaction with life, and life balance (a sum variable of earlier parameters) were associated with the recognized challenges related to infrastructure or physical environment. Quality of life and life balance were supported by the opinion that not enough has been done to adapt to permafrost thaw by national and global authorities. Despite recognized challenges, participants appear to live satisfied lives. People seemed to have knowledge about the impacts of permafrost thaw, they wanted to adapt to the changes, but more actions are needed from national and global authorities. Research with a larger sample size is needed due to the complexity of the relationships between people, holistic well-being, and climate change.Abstract
Svalbard is facing changes related to climate change and permafrost thaw, which have impacts on the life and well-being of people. This study evaluated impacts of climate change and permafrost thaw on the life of locals living in Longyearbyen, Svalbard and focused on investigating self-rated health, well-being, quality of life, satisfaction with life, and feeling of empowerment when facing the changes and impacts. The aim was to find out which perceived environmental and adaptation factors relate to these dependent variables. The data was collected using a multidisciplinary questionnaire (n = 84); for statistical analysis cross-tabulation was used and the associations were tested either by the Pearson χ2 test or Fisher’s exact test, when appropriate. Binary logistic regression analysis was used to investigate associations between the dependent variables and perceived environmental and adaptation factors. Results suggested that well-being, quality of life, satisfaction with life, and life balance (a sum variable of earlier parameters) were associated with the recognized challenges related to infrastructure or physical environment. Quality of life and life balance were supported by the opinion that not enough has been done to adapt to permafrost thaw by national and global authorities. Despite recognized challenges, participants appear to live satisfied lives. People seemed to have knowledge about the impacts of permafrost thaw, they wanted to adapt to the changes, but more actions are needed from national and global authorities. Research with a larger sample size is needed due to the complexity of the relationships between people, holistic well-being, and climate change
Factors that Affect Adolescent Adherence to Mental Health and Psychiatric Treatment: a Systematic Integrative Review of the Literature
No full textAlthough adherence to somatic treatment has been studied extensively, adherence to mental health treatment has not. In this study, the term treatment adherence is used to refer to adherence to medication regimes and other non-pharmacological recommended treatments as part of mental health and psychiatric care. Knowledge of factors connected to adolescents' adherence to such treatment is fairly fragmented. Although treatment staff members are broadly aware of the factors that influence adherence, it would be desirable to develop formalized treatment assessment and planning approaches that specifically take these factors into account.The purpose of this article is to review the available data related to factors that affect adolescents' adherence to both medication and non-pharmacological treatments in mental health and psychiatric care.A systematic literature search that involved four databases was undertaken. A thematic analysis was conducted on 17 studies to extract relevant information.It appears that an adolescent's own positive beliefs toward his or her treatment are the main factor that improves his or her adherence to that treatment. Good cohesion with close supportive people appears to be positively related to adherence, whereas sociodemographic characteristics (e.g., race, gender) were not related.By identifying the factors related to the treatment adherence of adolescents, this review article can provide guidance to help improve the quality of care and thus further increase adolescents' satisfaction with their mental health and psychiatric treatment
