The meaning of medication therapy for the person with major depressive disorder

• Grant number: 13/12043-6
• Support Opportunities: Regular Research Grants
• Start date: October 01, 2013
• End date: September 30, 2015
• Field of knowledge: Health Sciences - Nursing - Psychiatric Nursing
• Principal Investigator: Kelly Graziani Giacchero Vedana
• Grantee: Kelly Graziani Giacchero Vedana
• Host Institution: Escola de Enfermagem de Ribeirão Preto (EERP). Universidade de São Paulo (USP). Ribeirão Preto , SP, Brazil
• Associated researchers: Adriana Inocenti Miasso ; Ana Carolina Guidorizzi Zanetti ; Mario Francisco Pereira Juruena

Abstract

Depression has a high prevalence and is highly disabling. medication adherence is needed to control of the symptoms and avoid relapse and recurrence. This study aim to understand the meaning of medication therapy for depression patients, from their own perspective and that of their relative, and to formulate a theoretical model for the study phenomenon. Therefore, Symbolic Interactionism will be adopted as the theoretical framework, and Grounded Theory as the methodological framework. The research will be developed at a Psychiatric Clinical Outpatient Service of a teaching hospital located in the interior of São Paulo State - Brazil. The sampling will be defined through a theoretical sampling process. Interview and observation will be the main strategies for data collection. It will be adopted as selection criterias for patients: to have a diagnosis of major depression and to be using psychotropic medication. The family members in the study should to be indicated by a person with depression as the family member most involved in the treatment. It will be excluded of the sample patients with comorbid and people whit ageless 18 years or unable to express themselves verbally.Data collection will be conducted after approval by the Research Ethics Committee and consent of the participants. Data will be collected through interviews, observation and consultation records. The collected data will be transcribed and later analyzed in three phases: open, axial and selective coding.This study can contribute for a broad, contextualized, motivational and empathetic understanding of the depression person experience following the drug treatment, and thus can colaborate to the improvement of care to these individuals and their families. (AU)