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Factors associated with poor medication adherence in patients with Bipolar Disorders

Published online by Cambridge University Press:  19 July 2023

H. Jemli*
Affiliation:
1Psychiatry deparment A, Razi Hospital, Manouba, Tunisia
M. Djelassi
Affiliation:
2Psychiatry deparment A, Razi Hospital, Manouba
Y. Zgueb
Affiliation:
2Psychiatry deparment A, Razi Hospital, Manouba
R. Zaibi
Affiliation:
2Psychiatry deparment A, Razi Hospital, Manouba
*
*Corresponding author.

Abstract

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Introduction

Treatment adherence in patients living with Bipolar Disorders can influence prognosis and quality of life. It is associated with an increased morbidity and healthcare costs.

Objectives

The aim of our study was to evaluate treatment adherence in a sample of patients living with Bipolar disorders and to determine factors associated with poor adherence.

Methods

We conducted a cross sectional study where we included bipolar patients being treated in psychiatry department A. We developed a survey containing sociodemographic and clinical features. We used the medical adherence rating scale to evaluate treatment adherence.

Results

Our sample consisted of 100 patients with a mean age of 47,5 years old. Sixty seven patients were being treated for bipolar disorder type 1. Medication adherence rate was 64%.

Factors associated with poor medication adherence were being single, an early age of onset, comorbid substance abuse disorder, severe treatment side effects and poor insight.

Conclusions

Poor medication adherence is a major issue for people living with Bipolar Disorders. Clinicians should pay more attention to sociodemographic and clinical factors to predict and enhance treatment adherence.

Disclosure of Interest

None Declared

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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