Identifying and improving non‐adherence in bipolar disorders

Bipolar Disorders - Tập 7 Số s5 - Trang 24-31 - 2005
Francesc Colom1,2, Eduard Vieta1,3, MJ Tacchi4, José Sánchez‐Moreno1,5, Jan Scott2,4,6
1Bipolar Disorders Program, Institut d'Investigacions Biomédiques Agustí Pi Sunyer, Barcelona Stanley Foundation Center Barcelona
2Division of Psychological Medicine, Institute of Psychiatry, London
3Department of Psychiatry, Hospital Clinic, University of Barcelona, Barcelona, Spain
4NNNT Mental Health Trust, Newcastle upon Tyne, UK
5Psychiatry Department, Universidad Autonoma de Madrid, Madrid, Spain
6University of Newcastle upon Tyne, Royal Victoria Infirmary, Newcastle upon Tyne, UK

Tóm tắt

Objectives:  To review the definition of non‐adherence, its clinical and economic impact and identify its role and impact in clinical practice.Methods:  A selective review of the literature as conducted of articles and literature known to the authors.Results:  There is a paucity of studies examining specifically treatment non‐adherence and its consequences in bipolar disorder. Few studies have systematically examined ways in which treatment adherence can impact treatment and improve outcome.Conclusion:  Non‐adherence is common in the management of bipolar disorder. Clinicians and Researchers alike need to remain alert and be aware of issues related to non‐adherence – in particular suicide. Like other course‐modifiers non‐adherence has to be considered, sought and addressed, and this is perhaps best done by including psychoeducation in routine clinical care.

Từ khóa


Tài liệu tham khảo

Keck PE, 1996, Factors associated with pharmacologic noncompliance in patients with mania, J Clin Psychiatry, 57, 292

10.1001/archpsyc.1979.01780080040011

10.4088/JCP.v61n0802

10.4088/JCP.v63n0502

10.1192/bjp.180.2.104

10.1176/appi.ajp.159.1.103

10.1034/j.1600-0447.2002.1e003.x

10.1034/j.1600-0447.2002.1r084.x

10.1111/j.1600-0447.1997.tb09646.x

10.1192/bjp.164.6.741

Myers LB, 1998, Adherence to Treatment in Medical Conditions, 32

Frank E, 1992, Relationship of pharmacologic compliance to long‐term prophylaxis in recurrent depression, Psychopharmacol Bull, 28, 231

World Health Organization, 2003, Adherence to Long‐Term Therapies: Evidence for Action, 85

Colom F, 2002, Treatment adherence in bipolar disorders, Clin Approaches Bipolar Disord, 1, 49

Maj M, 1999, Bipolar Disorders: Clinical Course and Outcome, 21

Goodwin FK, 1990, Manic‐Depressive Illness

10.1017/S0924270800035584

10.4088/JCP.v59n0405

10.1001/jama.260.23.3476

10.1176/ajp.147.10.1377b

10.1111/j.1360-0443.1991.tb03106.x

10.1097/00004714-200110000-00002

10.4088/JCP.v62n0612c

Wyatt RJ, 1995, An economic evaluation of manic‐depressive illness – 1991, Soc Psychiatry Psychiatr Epidemiol, 30, 213, 10.1007/BF00789056

10.1192/bjp.180.3.227

10.1176/appi.ps.52.6.805

10.1176/ps.50.12.1539

10.2165/00019053-200119050-00004

10.1023/A:1010319610021

10.1192/bjp.149.4.498

10.1111/j.1600-0447.1988.tb06323.x

10.1016/S0140-6736(88)92947-9

10.1001/archpsyc.55.1.49

10.1176/appi.ajp.162.7.1281

10.1176/appi.ajp.159.11.1927

10.1111/j.1600-0447.1996.tb09870.x

10.1007/BF03035132

10.1016/0165-0327(91)90030-V

10.1016/0165-0327(92)90040-D

10.1176/appi.ajp.161.1.163

10.1016/S0165-0327(97)00198-5

10.1034/j.1399-5618.2003.00037.x

10.1034/j.1399-5618.2002.02242.x

10.1097/00005053-198808000-00001

Volkmar FR, 1981, Group therapy in the management of manic‐depressive illness, Am J Psychother, 35, 226, 10.1176/appi.psychotherapy.1981.35.2.226

10.4088/JCP.v66n0517

10.1176/appi.ps.55.9.1029

10.1055/s-2007-1017111

Frank E, 1985, Implications of noncompliance on research in affective disorders, Psychopharmacol Bull, 21, 37

10.1055/s-2007-1014670

10.1097/00005053-199211000-00004

10.1176/appi.ajp.161.2.262

10.1176/ajp.155.5.646

10.1016/S0165-1781(99)00108-0

10.1192/bjp.180.4.320

10.1192/bjp.175.3.246

10.4088/JCP.v64n0610

10.1016/j.psc.2005.01.002

10.1001/archpsyc.59.6.530

10.1002/(SICI)1520-6394(1998)7:1 <11::AID-DA4>3.0.CO;2-I

10.1002/(SICI)1520-6394(1997)6:1<10::AID-DA2>3.0.CO;2-9

10.1016/0163-8343(93)90009-D

10.1176/ps.48.11.1420

10.1176/ps.49.2.196

10.1136/bmj.319.7210.612

10.1097/00005650-199201000-00007

Cochran SD, 1984, Preventing medical noncompliance in the outpatient treatment of bipolar affective disorders, J Consult Clin Psychol, 52, 873, 10.1037/0022-006X.52.5.873

Tacchi M, 2005, Medication Adherence in schizophrenia and Bipolar Disorders

10.1007/s11920-002-0022-9

10.1111/j.1399-5618.2004.00136.x

Roy CK, 2005, Barriers to the effective management of bipolar disorder: a survey of psychiatrists based in the UK and USA, Bipolar Disord, 7, 38

10.1001/archpsyc.60.4.402

10.4088/JCP.v64n0917

Thông tin
Thông tin xuất bản

Bipolar Disorders

Tập 7 Số s5

24-31

Thông tin tác giả