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Illness behaviour and rehospitalization in bipolar affective disorder
Psychological Medicine
|August 1, 1985
Summary
Patients with bipolar disorder who were readmitted to hospital had more past admissions and struggled to recognize relapse symptoms. They were also less accepting of prescribed medication.
Area of Science:
- Psychiatry
- Clinical Psychology
Background:
- Bipolar disorder is a significant mental health condition requiring ongoing management.
- Hospital readmissions are common in bipolar disorder patients, indicating challenges in long-term care.
Purpose of the Study:
- To identify predictors of hospital readmission in patients with bipolar disorder.
- To understand the factors associated with relapse in bipolar disorder.
Main Methods:
- Interviewed 50 hospitalized patients with bipolar disorder at discharge.
- Followed up with patients for 12 months to track readmissions.
- Assessed past hospital admissions, symptom recognition, and medication acceptance.
Main Results:
- 36 out of 50 patients were readmitted within 12 months.
- Readmitted patients had a higher number of previous hospitalizations.
- Lower ability to recognize relapse symptoms and reduced medication acceptance were noted in readmitted patients.
Conclusions:
- Past hospitalizations are a predictor of future readmissions in bipolar disorder.
- Impaired symptom recognition and medication adherence are critical factors in bipolar disorder relapse.
- Interventions targeting symptom awareness and medication compliance may reduce readmission rates.