Journal
JOURNAL OF NERVOUS AND MENTAL DISEASE
Volume 205, Issue 3, Pages 182-187Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/NMD.0000000000000544
Keywords
Bipolar disorder; medical comorbidities; medication adherence; medication nonadherence; nonpsychiatric medication adherence
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Funding
- National Institute of Mental Health, Neurological and Behavioral Outcomes Center, University Hospitals Case Medical Center, Cleveland, OH [R01MH093321]
- Clinical and Translational Science Award (CTSC) [UL1TR 000439]
- Reuter Foundation
- Reinberger Foundation
- Woodruff Foundation
- Janssen Scientific Affairs
- National Institutes of Health (NIH)
- Pfizer
- Merck
- Ortho-McNeil Janssen
- Janssen
- NIH
- Centers for Disease Control and Prevention
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Individuals with bipolar disorder (BD) have high rates of nonadherence, medical illness, and premature mortality. This analysis reexamined correlates of poor adherence to nonpsychiatric medication in 73 patients with BD and medical comorbidities. The majority was female (74%) and African American (77%) with mean age of 48.08 (SD, 8.04) years, mean BD duration of 28.67 (SD, 10.24) years, mean years of education of 12.01 (SD, 1.87), and mean proportion of days with missed doses in past week of 43.25 (SD, 31.14). Sex, age, education, race, and living alone did not correlate with adherence. More BD medications and more severe psychiatric symptoms correlated with worse adherence. Specifically, poor adherence correlated with the retardation and vegetative factors of Montgomery-angstrom sberg Depression Rating Scale and affect factor of the Brief Psychiatric Rating Scale. Among poorly adherent patients with BD and medical comorbidities, the number of BD medications, tension/anxiety, and somatic symptoms of depression related to worse nonpsychiatric medication adherence.
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