Özet:

Non-adherence to medical treatment is one of the common causes of difficulties and disability in bipolar disorder (BD) patients. In this study it is aimed to determine the level of treatment compliance and the factors that may affect the treatment compliance in many aspects. 50 patients followed up with BD type I in remission and they were evaluated with sociodemographic data form, The Mini International Neuropsychiatric Interview (MINI Plus 5.0.0), Hamilton Depression Scale (HAM-D), Young Mania Rating Scale (YMRS), Functioning Assessment Short Test (FAST), Schedule for Assesing the Three Components of Insight, UKU Side Effect Rating Scale, The Multidimensional Scale of Perceived Social Support (MSPSS) and Medication Adherence Rating Scale (MARS). The total score of treatment compliance differed statistically among patients depending on the gender (p<0,05), employment status (p<0,05), marital status (p<0,05), treatment compliance according to a relative (p<0,05) and presence of generalized anxiety disorder (GAD) (p<0,05). The total score of MARS is statistically related with the duration of regular medication use (p<0.01) and total score of insight scale (p<0.01). On the other hand, it has statistically significant inverse relationships with YMRS total score, Psychological Side Effects Subscale of UKU (UKU1) (p<0,01) and total UKU score (UKU total) (p<0,05). In the regression analysis, employment status, accompanying GAD and YMRS total scores were found to be effective factors on the MARS total score (R=0.64). In BD, being male and married, working in a regular job, having high insight affect treatment compliance positively, side effects and presence of subthreshold manic symptoms affect treatment compliance adversely. According to these results it can be inferred that supporting the working and social life of patients with BD, focusing on psychoeducation to inform patients about the disorder and treatment issues are important.

Anahtar Kelimeler: