دورية أكاديمية

Adherence to Psychotropic and Nonpsychotropic Medication Among Patients With Bipolar Disorder and General Medical Conditions.

التفاصيل البيبلوغرافية
العنوان: Adherence to Psychotropic and Nonpsychotropic Medication Among Patients With Bipolar Disorder and General Medical Conditions.
المؤلفون: Levin, Jennifer B., Aebi, Michelle E., Tatsuoka, Curtis, Cassidy, Kristin A., Sajatovic, Martha
المصدر: Psychiatric Services; 3/1/2016, Vol. 67 Issue 3, p342-345, 4p
مصطلحات موضوعية: PSYCHIATRIC drugs, BIPOLAR disorder, THERAPEUTICS, MENTAL illness treatment, BODY mass index, CARDIOVASCULAR disease treatment, HYPERTENSION epidemiology, COMPARATIVE studies, DRUGS, HYPERLIPIDEMIA, RESEARCH methodology, MEDICAL cooperation, PATIENT compliance, RESEARCH, RESEARCH funding, SELF-evaluation, SMOKING, EVALUATION research, DISEASE complications
مصطلحات جغرافية: UNITED States
مستخلص: Objective: This study assessed the relationship between nonadherence to psychotropic and nonpsychotropic medications for 88 patients nonadherent to medication treatment for bipolar disorder.Methods: This descriptive study was part of a clinical trial promoting medication adherence. Nonadherence was defined as ≥ 20% of days with missed doses.Results: A majority of the sample was female and had type I bipolar disorder; 49% had hypertension, 39% had hyperlipidemia, and 69% smoked; average body mass index was 34, and 65% were obese. The median proportion of days with missed doses was 53.6% (interquartile ratio [IQR]=38.10%-73.40%) for psychotropic medications and 33.93% (IQR=13.81%-51.91%) for nonpsychotropic medications. There was a significant difference between nonadherence to psychotropic and nonpsychotropic medication for the past week (z=-4.11, p<.001) and past month (z=-4.19, p<.001). More global psychopathology was associated with nonpsychotropic nonadherence.Conclusions: Psychotropic adherence was worse than nonpsychotropic adherence, yet both were poor. Improving adherence to cardiovascular medications is a reasonable pathway to improve cardiovascular health in this population. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:10752730
DOI:10.1176/appi.ps.201500010