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Effect of treatment adherence training given to patients with bipolar disorder on treatment adherence,social functioning and quality of life: A pilot study
Affiliation:1. Department of Psychiatry, Case Western Reserve University School of Medicine, Cleveland, OH 44106, USA;2. Neurological and Behavioral Outcomes Center, University Hospitals Case Medical Center, Cleveland, OH, USA;3. Department of Neurology, Case Western Reserve University School of Medicine, Cleveland, OH 44106, USA;1. Bipolar and depressive disorders unit, Department of Psychiatry and Psychology, Institute of Neuroscience, Hospital Clínic, University of Barcelona, IDIBAPS, CIBERSAM, Barcelona, Catalonia, Spain;2. Mental Health Group, IMIM-Hospital del Mar, Barcelona, Catalonia, Spain;3. Department of Psychiatry, CHU Clermont-Ferrand, EA 7280, University of Clermont Auvergne, Clermont-Ferrand, France;4. Centre for Affective Disorders, Institute of Psychiatry, Psychology & Neuroscience, King''s College London, London, United Kingdom;1. Deparment of Psychiatry, Igdır State Hospital, Igdır, Turkey;2. Department of Psychiatry, Yıldırım Beyazıt University Faculty of Medicine, Ankara Ataturk Training and Research Hospital, Ankara, Turkey;1. Department of Psychiatry, University Hospitals Cleveland Medical Center, Cleveland, OH, United States of America;2. Department of Neurology, University Hospitals Cleveland Medical Center, Cleveland, OH, United States of America;3. Case Western Reserve University School of Medicine, Cleveland, OH, United States of America;4. Neurological and Behavioral Outcomes Center, University Hospitals Cleveland Medical Center, Cleveland, OH, United States of America;5. Division of Behavioral Medicine and Clinical Psychology, Department of Pediatrics, Cincinnati Children''s Hospital Medical Center, Cincinnati, OH, United States of America;6. University of Cincinnati, College of Medicine, Cincinnati, OH, United States of America;7. Department of Family, Youth and Community Sciences, University of Florida, Gainesville, FL, United States of America
Abstract:Backgroundand purpose: Treatment non-adherence is quite common among patients with bipolar disorder, negatively affects the social functioning of patients and reduces the quality of life. This pilot study aims to measure the effect of treatment adherence training given to patients with bipolar disorder on treatment adherence, social functioning and quality of life.Materials and methodsThe pilot study was conducted with 40 bipolar disorder patients, 19 in the intervention group and 21 in the control group, using a quasi-experimental research design. The data were collected using the Participant Information Form, Medication Adherence Rating Scale, Social Functioning Scale and Short Form of the World Health Organization Quality of Life Questionnaire. Treatment adherence training was given once a week individually for a total of five sessions.ResultsThere was no significant difference between the demographic characteristics and pre-test scale scores of the patients in the intervention and control groups before the treatment adherence training (p > 0.05). The mean treatment adherence, social functioning and quality of life scores of the patients in the intervention group were higher in the post-test and follow-up test compared to the patients in the control group (p < 0.001).ConclusionThe intervention had a positive effect on treatment adherence, social functioning and quality of life of patients. Considering the promising results of this pilot study, treatment adherence training should be studied further in the patients with biplor disorder.
Keywords:bipolar disorder  Treatment adherence  Treatment adherence training  Social functioning  Quality of life
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