Dergiler / Psychiatry and behavioral sciences (Online) / 2020 / Cilt: 10 - Sayı: 4

Treatment Adherence in Patients with Bipolar Disorder and Beliefs Related to Non-Adherence

Sayfa
192–198
DOI
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Conclusion: providing access to medication, informing the prescribing medicines with using visual material and patient-centered approaches would increase the compliance of the medication, especially with minimal use of sedative drugs.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Objective: Our aim in this study was to identify treatment adherence in bipolar disorder patients who regularly use medications and to examine the factors and beliefs associated with treatment compliance.
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Temel Bulgular & Veri:Methods: Our sample consisted of 92 patients who were followed up by bipolar disorder.
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Sonuç & Katkı:Conclusion: providing access to medication, informing the prescribing medicines with using visual material and patient-centered approaches would increase the compliance of the medication, especially with minimal use of sedative drugs.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

Objective: Our aim in this study was to identify treatment adherence in bipolar disorder patients who regularly use medications and to examine the factors and beliefs associated with treatment compliance. Methods: Our sample consisted of 92 patients who were followed up by bipolar disorder. Participants assessed for diagnosis and remission by criteria of affective disorders part of SCID I then Sociodemographic data form, Morisky Medication Adherence Scale (MMAS) and The Beliefs about Medication Compliance Scale (BMCS) was given. Results: Treatment non-adherence rate were %29,3. Variables that differ significantly in non-adherent group then adherent as follows: low education (p=0.03), medications that causes sedation (p=0,001), not educated about treatment (p=0,05), young age (p=0,04), difficulty in obtaining medicine (p=0,003) and treatment complexity (p=0,01). Particularly training the patient with written/visualized materials were higher in adherent group (p=0,02). While there was no significant difference in terms of BMCS benefit subscale (p=0,47), patients with poor treatment compliance reported significantly higher scores on the BMCS barrier subscale (p=0,01). In the logistic regression analysis, sedative medications, difficulty in obtaining medication and treatment complexity were found to be significant predictors of treatment nonadherence. Conclusion: providing access to medication, informing the prescribing medicines with using visual material and patient-centered approaches would increase the compliance of the medication, especially with minimal use of sedative drugs.

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Bu Makaleye Atıf Yap

UYGUN, E., KÜÇÜKGÖNCÜ, S. (2020). Treatment Adherence in Patients with Bipolar Disorder and Beliefs Related to Non-Adherence. Psychiatry and behavioral sciences (Online), Cilt: 10 - Sayı: 4, 192–198. https://ajindex.com/articles/302798

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Kaynakça (12)

  1. Balikci A, Erdem M, Zincir S, Bolu A, Zincir SB, Ercan S, et al. Adherence with outpatient appointments and medication: A two-year prospective study of patients with schizophrenia. Bull Clin Psychopharmacol. 2016;23(1):57-64
  2. WHO. Adherence to long-term therapies;Evidence for action. World Health Organisation, ISBN: 92 4 154599 2, Geneva, 2003
  3. Ervatan SÖ, Özel A, Türkçapar H. Treatment compliance in depressive patients: A natural follow-up study. Clinical Psychiatry. 2003;6:5–11.[Turkish] [4] Soykan A. Strategies to increase treatment compliance in bipolar disorder. J Mood Disord. 2013;3(Suplement:1,):9–10. [Turkish] 5] Thase ME. Strategies for increasing treatment adherence in bipolar disorder. J Clin Psychiatry. 2012;73(2):1-8
  4. Selvakumar N, Menon V, Kattimani S. A Cross-sectional analysis of patterns and predictors of medication adherence in bipolar disorder: Single center experience from. Clin Psychopharmacol Neurosci. 2018;16(2):168–175
  5. Levin JB, Krivenko A, Howland M, Schlachet R, Sajatovic M. Medication adherence in patients with bipolar disorder: A Comprehensive Review. CNS Drugs. 2016;30(9):819–835
  6. Belzeaux R, Correard N, Boyer L, Etain B, Loftus J, Bellivier F, et al. Depressive residual symptoms are associated with lower adherence to medication in bipolar patients without substance use disorder: Results from the FACE-BD cohort. J Affect Disord. 2013;151(3):1009–1015
  7. Demirkol ME, Tamam L. Treatment compliance in psychiatric disorders. Current Approaches in Psychiatry, 2016;8(1):85–93. [Turkish] [10] Chapman SCE, Horne R. Medication nonadherence and psychiatry. Curr Opin Psychiatry. 2013;26(5):446–452
  8. San L, Bernardo M, Gómez A, Martínez P, González B, Peña M. Socio-demographic, clinical and treatment characteristics of relapsing schizophrenic patients. Nord J Psychiatry. 2013;67(1):22–29
  9. Witt K, Van Dorn R, Fazel S. Risk Factors for Violence in Psychosis: Systematic review and meta-regression analysis of 110 studies. PLoS One. 2013. doi: 10.1371/journal.pone.0055942
  10. Morisky DE, Green LW, Levine DM. Concurrent and predictive validity of a self-reported measure of medication adherence. Med Care 1986;24(1):67–74
  11. Bahar G, Savaş HA, Ünal A, Savaş E, Kaya H, Bahar A. Reliability and validity of the Morisky Medication Adherence Scale for bipolar mood disorder. Anadolu Psikiyatr Derg. 2014;15:141–149
  12. Bennett SJ, Milgrom LB, Champion V, Huster GA. Beliefs about medication and dietary complian