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Int J Soc Psychiatry. 2016 Nov;62(7):635-644. doi: 10.1177/0020764016666572. Epub 2016 Sep 26.

Patients' perceptions of barriers to self-managing bipolar disorder: A qualitative study.

Author information

1
1 Department of Psychiatry, Case Western Reserve University, Cleveland, OH, USA.
2
2 Center for Health Care Research and Policy, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH, USA.
3
3 School of Medicine, Case Western Reserve University, Cleveland, OH, USA.
4
4 Department of Psychiatry, Neurology, and Biostatistics & Epidemiology, School of Medicine, Case Western Reserve University, Cleveland, OH, USA.
5
5 Neurological Institute, University Hospitals Case Medical Center, Cleveland, OH, USA.

Abstract

BACKGROUND:

Self-management of bipolar disorder (BD) is challenging for many individuals.

MATERIAL:

Interviews were used to assess perceived barriers to disease self-management among 21 high-risk patients with BD. Content analysis, with an emphasis on dominant themes, was used to analyze the data.

RESULTS:

Three major domains of barriers emerged: individual barriers (psychological, knowledge, behavioral and physical health); family/community-level barriers (lack of support and resources); and provider/healthcare system (inadequate communication and access to care).

CONCLUSION:

Care approaches providing social and peer support, optimizing communication with providers and integrating medical and psychiatric care may improve self-management of BD in this vulnerable population.

KEYWORDS:

Bipolar disorder; barriers; self-management

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