Health ministry of republic of moldova the university of medicine and pharmacy nicolae testemiţanu

Factors implicated in the therapeutic compliance imply: 
Individual factors: 
a.
 Cognitive factors: 
–
intelligence necessary to understand the medical prescrip-
tions and the consequences; 
–
attention and memory for conversation retaining; 
–
importance of the medical language; 
–
the responsibility of the doctor to ask the patient if he/she un-
derstood the issues;
 
b.
 Patient’s defense mechanisms and coping strategies: 
–
denial of the disease which implies no need of treatment; 

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–
humor, as mature defense mechanism which can help the 
patient face the situation; 
–
avoidance of the situation which implies postponement the 
medical presentation, alcohol and other drug use, etc; 
–
confrontation with the situation: realistic confrontation/exag-
geration; 
c. 
Social representation of the disease, treatment, etc 
–
disease as shame, stigma, Divine punishment, challenge, etc; 
–
medicine as miraculous devices for cure (in alcoholism) or 
by the contrary, as unhealthy for the individual. 
d.
 
Demographic factors
: 
–
age: children and old persons are less compliant than other 
age categories; 
–
sex of the patient: males complain more and complies less. 
e.
 Social support
 
Factors due to the disease: 
–
degree of severity; 
–
degree of psycho-somatic discomfort (more pain means more 
compliance); 
–
fluctuation in symptoms: more compliance when symptoms are 
present than when symptoms absent; 
–
co morbidities: when several diseases are associated, compliancy 
decreases.