Acceptance, coping strategies and health behaviors in bipolar disorder patients taking and not taking lithium carbonate

Abstract

BACKGROUND The variety of dysfunctions in bipolar disorder (BD) affects patients’ perceptions of the diagnosis, acceptance, and illness. Treatment of people with BD includes pharmacotherapy and psychotherapy. Maintaining long-term therapy is difficult, related to the patients’ overall approach to health. The aim was to assess health attitudes in people with BD treated with different mood stabilizers. PARTICIPANTS AND PROCEDURE The study group included 40 patients diagnosed with bipolar disorder. Participants were divided into two groups depending on the medication taken: a group taking lithium ( n = 20) and a group not taking lithium, treated with other drugs ( n = 20). The respondents were measured with psychological tests – Addenbrooke’s Cognitive Examination, Illness Acceptance Scale, Health Behavior Inventory, and Coping Inventory in Crisis Situations. RESULTS 85% of the respondents stopped taking medication at least once without the doctor’s knowledge. People taking lithium had a significantly lower acceptance of the disease ( t = –2.27, p = .015). The study groups did not differ in terms of coping with stress and health behaviors. The correlation analysis indicated that the acceptance of disease and health behaviors are significantly associated with selected coping strategies. CONCLUSIONS Attitudes towards health, understood as acceptance of the disease, coping with stress, and health behaviors are average. It is advisable to develop an optimal approach to activities connected with the daily health maintenance of the patients in order to better cope with the disease and its symptoms.

Coping strategies and adherence in people with mood disorder: a cross-sectional study

“…Denial is defined as a lack of belief in the existence of a stressor or an attempt to recognize the stressor as untrue, while acceptance is the awareness that a given stressful situation is real and should be dealt with ( 24 ). Acceptance is associated with many benefits, for example it makes it easier to cope with the disease and is a key predictor of recovery ( 24 , 25 ). A review of the literature indicates that patients with mood disorders tend to use maladaptive or emotion-oriented strategies ( 26 ), which may affect their QoL, perception of their own illness, and adherence to treatment recommendations.…”