The effects of psychoeducation and motivational interviewing on treatment adherence and functionality in individuals with bipolar disorder

Harmanci, Pınar; Yıldız, Erman

doi:10.1016/j.apnu.2023.04.026

Cited by 5 publications

(2 citation statements)

References 30 publications

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“…This trend continued at the end of the follow-up. Recently, Harmanci et al (43) showed that PE and motivational interviewing have positive effects on improvement in treatment adherence and functionality in persons with BD.…”

Section: The Colom and Vieta Modelmentioning

confidence: 99%

Current practices of psychoeducation interventions with persons with bipolar disorders: a literature review

Levrat,

Favre,

Richard-Lepouriel

2024

Front. Psychiatry

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This review sought to summarize the literature on current practices and forms of psychoeducation in the management of patients with bipolar disorder (BD), including only randomized controlled trials to ensure the best level of evidence. An extensive review of the available literature was conducted using PubMed/MEDLINE, Embase, and PsychInfo databases from inception to April 28th, 2022. The search yielded 381 studies. Seventy articles were included after removing duplicates and applying the inclusion/exclusion criteria. A best-evidence synthesis was used to identify the key results of each study and summarize the outcomes. Eleven descriptive categories were made. They encompass different forms of psychoeducation compared or combined with other psychosocial interventions, varying in setting (individual or group), with or without family members, structured or unstructured, mediated or not by digital tools (smartphone, internet). Globally, these studies show that psychoeducation is important in the treatment of BD, as it leads to a decrease in relapses, mood episodes, hospitalizations, and improved functioning or quality of life. Some studies also showed the benefits of psychoeducation on the patient’s level of knowledge of pharmacological treatment and the disorder or compliance with medication, as well as reduced self-stigma. The limitations of this review are linked to the selection of only RCTs and the reliance on their post-hoc analyses. This review confirms the benefit of psychoeducation and psychosocial interventions on the evolution of BD (in different outcomes, including quality of life, relapse, and rehospitalization rates, for example). More recent interventions, such as mindfulness or online psychoeducation, represent an interesting option but more evidence is needed.

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Section: The Colom and Vieta Modelmentioning

confidence: 99%

Current practices of psychoeducation interventions with persons with bipolar disorders: a literature review

Levrat,

Favre,

Richard-Lepouriel

2024

Front. Psychiatry

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“…Available interventions for improving treatment adherence have been grouped into four categories: educational, behavioural, cognitive-behavioural, and multicomponent approaches ( Torres-Robles et al, 2018 ; Cuijpers et al, 2021 ; Leichsenring et al, 2022 ). The most frequently adopted interventions are psychoeducation ( Killaspy et al, 2022 ; Harmancı and Yıldız, 2023 ), problem-solving strategies ( Chatoo and Lee, 2022 ), and programmes aiming to promote the adoption of a shared decision-making clinical style ( Fiorillo et al, 2020 ; Fulford and Handa, 2021 ; Roe et al, 2022 ). Despite this, adherence rates to treatments remain incredibly low, highlighting the need to develop and implement innovative and effective strategies.…”

Section: Introductionmentioning

confidence: 99%

Physical activity influences adherence to pharmacological treatments in patients with severe mental disorders: results from the multicentric, randomized controlled LIFESTYLE trial

Sampogna,

Luciano,

Di Vincenzo

et al. 2023

Front. Pharmacol.

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Introduction: Poor adherence to pharmacological treatment is frequent in people with severe mental disorders and it often causes lack of effectiveness of many psychotropic drugs. Thus, efforts should be made to improve adherence to pharmacological treatments in patients with these disorders.Methods: In this paper, based on the LIFESTYLE randomized, controlled multicentric trial, we aim to: 1) assess the level of adherence in a real-world sample of patients with severe mental disorders; 2) evaluate differences in treatment adherence according to patients’ socio-demographic and clinical characteristics; 3) evaluate the impact of an innovative psychosocial intervention, on patients’ adherence to treatments. The Lifestyle Psychosocial Group Intervention consists of group sessions, focused on different lifestyle behaviours, including healthy diet; physical activity; smoking habits; medication adherence; risky behaviours; and regular circadian rhythms. At end of each session a 20-min moderate physical activity is performed by the whole group.Results: The sample consists of 402 patients, mainly female (57.1%, N = 229), with a mean age of 45.6 years (±11.8). Less than 40% of patients reported a good adherence to pharmacological treatments. Adherence to treatments was not influenced by gender, age, diagnosis and duration of illness. At the end of the intervention, patients receiving the experimental intervention reported a significant improvement in the levels of adherence to treatments (T0: 35.8% vs. T3: 47.6%, p < 0.005). Patients practicing moderate physical activity reported a two-point improvement in the levels of adherence [odds ratio (OR): 1,542; 95% confidence intervals (CI): 1,157–2,055; p < 0.001], even after controlling for several confounding factors.Discussion: The experimental lifestyle intervention, which can be easily implemented in the routine clinical practice of mental health centres, was effective in improving adherence to pharmacological treatments.

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Effect of Motivational Interviewing on Medication Adherence in Patients with Bipolar Disorder: Systematic Review

Erkuş,

Babaoğlu

2024

Psikiyatride Güncel Yaklaşımlar

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This systematic review was conducted to examine the effect of motivational interviewing method on compliance with medication treatment in individuals diagnosed with bipolar disorder. In this systematic review, the literature was searched in the databases of ''Cochrane, SpringerLink, Ovid, Science Direct, PubMed, ProQuest, Networked Digital Library of Theses and Dissertations (NDLTD), ULAKBIM, YÖKTEZ'', published in the last 5 years, in English language, using the keywords and combinations of ''motivational interviewing'', ''bipolar disorder'', ''adherence''. The titles and abstracts of the studies were reviewed and 6 studies, including 4 randomized controlled trials and 2 nonrandomized studies, that met the inclusion criteria were included in the systematic review. As a result of this systematic review, it was determined that the motivational interviewing method was effective in increasing medication compliance in patients diagnosed with bipolar disorder. In the studies, it was determined that motivational interviewing was applied alone, with medication reminder system or with an educational program. It was determined that motivational interviewing was applied twice a week or twice a month, between 20-60 minutes and between 3-6 sessions. Subjective and objective measurement tools assessing medication adherence and symptoms were used to evaluate the effect of motivational interviewing. It is recommended to increase randomized controlled experimental research examining the effect of motivational interviewing method on medication adherence in patients diagnosed with bipolar disorder and to use motivational interviewing techniques and skills by mental health professionals to increase patients' medication adherence.

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The effects of psychoeducation and motivational interviewing on treatment adherence and functionality in individuals with bipolar disorder

Cited by 5 publications

References 30 publications

Current practices of psychoeducation interventions with persons with bipolar disorders: a literature review

Current practices of psychoeducation interventions with persons with bipolar disorders: a literature review

Physical activity influences adherence to pharmacological treatments in patients with severe mental disorders: results from the multicentric, randomized controlled LIFESTYLE trial

Effect of Motivational Interviewing on Medication Adherence in Patients with Bipolar Disorder: Systematic Review

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