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Effective Factors of Non-Adherence and Admission in Bipolar Disorder

Received: 28 October 2018     Accepted: 4 December 2018     Published: 28 December 2018
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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.

Published in Psychology and Behavioral Sciences (Volume 7, Issue 6)
DOI 10.11648/j.pbs.20180706.11
Page(s) 97-103
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Bipolar Disorder, Adherence, Non-Adherence, Psycho-Education, Readmission

References
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Cite This Article
  • APA Style

    Mohammad Ebrahimzadeh Mousavi, Mercedeh Samiei, Parvaneh Mohammad Khani, Abbas Pourshahbaz, Imaneh Abbasi, et al. (2018). Effective Factors of Non-Adherence and Admission in Bipolar Disorder. Psychology and Behavioral Sciences, 7(6), 97-103. https://doi.org/10.11648/j.pbs.20180706.11

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    ACS Style

    Mohammad Ebrahimzadeh Mousavi; Mercedeh Samiei; Parvaneh Mohammad Khani; Abbas Pourshahbaz; Imaneh Abbasi, et al. Effective Factors of Non-Adherence and Admission in Bipolar Disorder. Psychol. Behav. Sci. 2018, 7(6), 97-103. doi: 10.11648/j.pbs.20180706.11

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    AMA Style

    Mohammad Ebrahimzadeh Mousavi, Mercedeh Samiei, Parvaneh Mohammad Khani, Abbas Pourshahbaz, Imaneh Abbasi, et al. Effective Factors of Non-Adherence and Admission in Bipolar Disorder. Psychol Behav Sci. 2018;7(6):97-103. doi: 10.11648/j.pbs.20180706.11

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  • @article{10.11648/j.pbs.20180706.11,
      author = {Mohammad Ebrahimzadeh Mousavi and Mercedeh Samiei and Parvaneh Mohammad Khani and Abbas Pourshahbaz and Imaneh Abbasi and Negin Ansari and Sarah Aminoroaya},
      title = {Effective Factors of Non-Adherence and Admission in Bipolar Disorder},
      journal = {Psychology and Behavioral Sciences},
      volume = {7},
      number = {6},
      pages = {97-103},
      doi = {10.11648/j.pbs.20180706.11},
      url = {https://doi.org/10.11648/j.pbs.20180706.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.pbs.20180706.11},
      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.},
     year = {2018}
    }
    

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    T1  - Effective Factors of Non-Adherence and Admission in Bipolar Disorder
    AU  - Mohammad Ebrahimzadeh Mousavi
    AU  - Mercedeh Samiei
    AU  - Parvaneh Mohammad Khani
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    JF  - Psychology and Behavioral Sciences
    JO  - Psychology and Behavioral Sciences
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    AB  - 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.
    VL  - 7
    IS  - 6
    ER  - 

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Author Information
  • Department of Clinical Psychology, Faculty of Behavioral Science, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

  • Department of Psychiatry, Faculty of Behavioral Science, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

  • Department of Clinical Psychology, Faculty of Behavioral Science, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

  • Department of Clinical Psychology, Faculty of Behavioral Science, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

  • Department of Clinical Psychology, Faculty of Behavioral Science, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

  • Department of Clinical Psychology, Faculty of Behavioral Science, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

  • Department of Clinical Psychology, Faculty of Behavioral Science, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

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