Some of the patient-related factors reported to affect adherence are: forgetfulness; psychosocial stress;
anxieties about possible adverse effects; low motivation; inadequate knowledge and skill in managing
the disease symptoms and treatment; lack of self-perceived need for treatment; lack of perceived effect
of treatment; negative beliefs regarding the efficacy of the treatment;misunderstanding and nonacceptance
of the disease; disbelief in the diagnosis; lack of perception of the health risk related to the
disease;misunderstanding of treatment instructions; lack of acceptance of monitoring; low treatment
expectations; low attendance at follow-up, or at counselling, motivational, behavioural, or psychotherapy
classes; hopelessness and negative feelings; frustration with health care providers; fear of dependence;
anxiety over the complexity of the drug regimen, and feeling stigmatized by the disease.