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The eight-item Morisky Medication Adherence Scale(MMAS-8) (Morisky, Ang, Krousel-Wood, & Ward, 2008) is astructured self-report measure of medication-taking behavior.It was developed from a previously validated four-itemscale (Morisky, Green, & Levine, 1986) and supplementedwith additional items addressing the circumstances surroundingadherence behavior. This measure was designedto facilitate the recognition of barriers to and behaviorsassociated with adherence to chronic medications such aspsychiatric drugs. The scale provides information on behaviorsrelated to medication use that may be unintentional(e.g., forgetfulness) or intentional (e.g., not taking medicationsbecause of side effects). Besides its authors, otherresearchers (e.g., Gupta & Goren, 2013) have provided evidenceof good psychometric properties of the scale. TheMMAS-8 is currently available in 33 languages and is widelyused in various types of studies (i.e., Al-Qazaz et al., 2010;Kim et al., 2014; Yan et al., 2014).The purpose of this study was to explore the psychometricproperties of the Spanish version of the eight-itemMorisky Medication Adherence Scale (MMAS-8) in a psychiatricoutpatient setting. We are aware of the debate aboutthe appropriateness of certain diagnostic labels (Pemberton& Wainwright, 2014; Robles et al., 2014), including proposalsfor eliminating such labels (Timimi, 2014). In thisstudy, however, we used the major psychiatric diagnosislabels mainly for communication purposes. Specifically,we will examine the internal structure of MMAS-8 (withboth exploratory and confirmatory factor analyses). Forexternal evidences, MMAS-8 will be related or contrastedwith (i) socio-demographic and contextual variables, usuallyassociated with adherence to treatment (gender, age, educationallevel, treatment duration, treatment complexity,and psychiatric diagnosis); and (ii) psychological processes(self-efficacy, health locus of control, and psychologicalreactance). Attitude toward drugs was used a criterion foradherence.
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