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Bipolar disorder patients' attitudes to and knowledge of their illness: a retrospective study

Published online by Cambridge University Press:  13 June 2014

Patrick McKeon  and
Fionnuala O'Loughlin
Fionnuala O'Loughlin
Affiliation:
Depression Research Unit, St. Patrick's Hospital, James's Street, Dublin 8, Ireland
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Abstract

Objective: To assess the effect of specific psychoeducational sources – support group meetings, lectures and literature – on bipolar disorder patients' knowledge and attitude to their illness. Methods: Eighty bipolar disorder patients attending for a lithium blood test were asked to complete a questionnaire detailing their demographic characteristics, duration of illness, knowledge of manic-depressive illness and their attitude towards their illness and what exposure they had had to relevant support group meetings, lectures and literature on bipolar disorder. Results: The 43 group attenders had a statistically significant higher mean score on the illness and lithium knowledge and the attitude to illness sections of the questionnaire than the 30 patients who did nto attend groups (P<0.001). A multiple regression analysis indicated that, in addition to group attendances, only reading literature contributed significantly to illness knowledge and attitude. Age, sex, duration of illness and socio-economic status did not contribute significantly to these outcome variables. Conclusions: Bipolar disorder patients who attended support group meetings and availed of relevant literature knew more about their illness and lithium therapy and expressed more positive and realistic views about their illness than those who only read literature and attended lectures.

Keywords

PsychoeducationSupport groupsBipolar disorderLithium
Type
Original Papers
Information
Irish Journal of Psychological Medicine , Volume 10 , Issue 2 , June 1993 , pp. 71 - 75
Copyright
Copyright © Cambridge University Press 1993

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References

1.Jamison, KR, Gerner, RH, Goodwin, JK. Patient and physician attitudes towards lithium: relation to compliance. Arch Gen Psychiatry 1979; 36: 866–9.CrossRefGoogle Scholar
2.Van Putten, T. Why do patients stop lithium? Compr Psychiatry 1975; 16: 179–83.CrossRefGoogle ScholarPubMed
3.Folstein, MF, dePaulo, JR, Trepp, K. Unusual mood stability in patients taking lithium. Br J Psychiatry 1982; 140: 188–91.CrossRefGoogle ScholarPubMed
4.Vestergaard, P, Amdisen, A, Schou, M. Clinically significant side effects of lithium treatment: a survey of 237 patients on long-term medication. Acta Psychiatr Scand 1980; 62: 193–200.CrossRefGoogle Scholar
5.Jamison, KR. Compliance with medication and psychological aspects of treatment. In: Johnson, FN, editor. Depression and mania: modern lithium therapy. Oxford: IRL Press, 1987; 117–24.Google Scholar
6.Corcoran, G, McKeon, P. Living with manic-depression. Irish Doctor 1990; 3: 16.Google Scholar
7.Van Gent, EM, Zwart, FM. Psychoeducation of partners of bipolar – manic patients. Affect Disord 1991; 21: 15–8.CrossRefGoogle ScholarPubMed
8.Norris, CM, Stewart, P. The prescribing of lithium: information given to patients, interacting drugs prescribed and O.T.C. In: Birch, NJ, editor. Lithium: psychiatry and inorganic pharmacology (abstracts of 2nd British Lithium Congress, Wolverhampton). Wolverhampton: Wolverhampton Polytechnic Biomedical Press, 1987.Google Scholar
9.Delaney, M. How much do patients on lithium know about their medication? Bulletin of the Royal College of Psychiatrists 1991; 15: 136–7.Google Scholar
10.Ley, P. Satisfaction, compliance and communication. Br J Clin Psychol 1982; 21: 241–54.CrossRefGoogle ScholarPubMed
11.Pendelton, D. Patient education: organising and structuring treatment programs. In: Meichenbaum, D, Turk, DC, editors. Facilitating treatment adherence: a practitioner's handbook. New York: Plenum Press, 1983.Google Scholar
12.Jamison, KR, Akiskal, HS. Medication compliance in patients with bipolar disorder. Psychiatr Clin North Am 1983; 6: 175–92.CrossRefGoogle ScholarPubMed
13.Schou, M. Lithium treatment of manic-depressive illness: a practical guide. Basel: Karger, 1986.Google Scholar
14.McKeon, P. Coping with depression and elation. London: Sheldon Press, 1986.Google Scholar
15.McKeon, P, O'Brien, S, Fehily, J. Lithium: a practical guide. Dublin: AWARE Publication, 1987.Google Scholar
14.Pendelton, D. Patient education: organising and structuring treatment programs. In: Meichenbaum, D, Turk, DC, editors. Facilitating treatment adherence: a practitioner's handbook. New York: Plenum Press, 1983.Google Scholar
15.Jamison, KR, Akiskal, HS. Medication compliance in patients with bipolar disorder. Psychiatr Clin North Am 1983; 6: 175–92.CrossRefGoogle ScholarPubMed