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Coping and medication adherence in bipolar disorder.

W J Greenhouse1, B Meyer, S L Johnson

  • 1Department of Psychology, University of Miami, PO Box 248185, Coral Gables, FL 33124-2070, USA. wgreenhouse@umiami.ir.miami.edu

Journal of Affective Disorders
|June 16, 2000
PubMed
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Acceptance coping positively and denial coping negatively correlate with medication adherence in bipolar disorder patients. Understanding these coping styles can improve treatment adherence and psychosocial interventions.

Area of Science:

  • Psychiatry
  • Psychology
  • Behavioral Science

Background:

  • Medication adherence is crucial for effective bipolar disorder treatment.
  • Pleasure from manic episodes can reduce adherence; denial of illness is common in bipolar disorder and addiction.
  • Acceptance is key in addiction recovery models, suggesting a role in bipolar disorder management.

Purpose of the Study:

  • To investigate the correlation between coping styles (acceptance and denial) and medication adherence in individuals with bipolar disorder.
  • To test the hypothesis that acceptance coping positively correlates and denial coping inversely correlates with adherence to mood-stabilizing medication.

Main Methods:

  • A study involving 32 participants diagnosed with bipolar I disorder.
  • Participants completed scales from the Brief COPE and a self-report measure for medication adherence.

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Main Results:

  • Curvilinear relationships were found between acceptance, denial, and medication adherence.
  • Low acceptance and high denial levels were associated with poorer medication adherence.

Conclusions:

  • Coping styles are linked to medication adherence in psychiatric populations.
  • Acceptance and denial coping mechanisms may influence self-supportive behaviors.
  • Findings suggest potential for psychosocial interventions targeting coping styles to improve adherence.