Volume 7, Issue 6, December 2018, Page: 97-103
Effective Factors of Non-Adherence and Admission in Bipolar Disorder
Mohammad Ebrahimzadeh Mousavi, Department of Clinical Psychology, Faculty of Behavioral Science, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Mercedeh Samiei, Department of Psychiatry, Faculty of Behavioral Science, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Parvaneh Mohammad Khani, Department of Clinical Psychology, Faculty of Behavioral Science, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Abbas Pourshahbaz, Department of Clinical Psychology, Faculty of Behavioral Science, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Imaneh Abbasi, Department of Clinical Psychology, Faculty of Behavioral Science, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Negin Ansari, Department of Clinical Psychology, Faculty of Behavioral Science, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Sarah Aminoroaya, Department of Clinical Psychology, Faculty of Behavioral Science, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Received: Oct. 28, 2018;       Accepted: Dec. 4, 2018;       Published: Dec. 28, 2018
DOI: 10.11648/j.pbs.20180706.11      View  34      Downloads  12
Abstract
Bipolar disorder is a severe mental disorder that becomes chronic in about 40% of the cases and nearly 45% of the patients experience frequent relapses. The study population included all patients with bipolar disorder with a history of admission to psychiatric hospitals. Using a nonrandom sampling method, a total of 73 patients with bipolar I disorder were selected. The study data were collected using medical records, the Structured Clinical Interview (SCID), the Scale to Assess Unawareness in Mental Disorder (SUMD), the Drug Attitude Inventory-10 (DAI-10), the Liberman’s psycho-education protocol, and the checklist for patient’s adherence to behavioral and medication recommendations and the reasons for temporal or permanent stopping taking medications. It was found that female patients, patients with a high school degree or higher, and patients aged older than 30 years had better treatment adherence (p<0.01). Only 3.4% of participants had good treatment adherence. According to the results of Repeated measures ANOVA, participants in the experimental and control groups had significantly different post-test and follow-up scores on drug attitude, insight, and the reasons for stopping taking medication. We can conclude that the Liberman’s psycho-education protocol led to significant improvements in drug attitude, insight, and the reasons for stopping taking medication.
Keywords
Bipolar Disorder, Adherence, Non-Adherence, Psycho-Education, Readmission
To cite this article
Mohammad Ebrahimzadeh Mousavi, Mercedeh Samiei, Parvaneh Mohammad Khani, Abbas Pourshahbaz, Imaneh Abbasi, Negin Ansari, Sarah Aminoroaya, Effective Factors of Non-Adherence and Admission in Bipolar Disorder, Psychology and Behavioral Sciences. Vol. 7, No. 6, 2018, pp. 97-103. doi: 10.11648/j.pbs.20180706.11
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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