| Literature DB >> 27435356 |
Jennifer B Levin1,2, Anna Krivenko3,4, Molly Howland3, Rebecca Schlachet3, Martha Sajatovic3,5,6.
Abstract
Poor medication adherence is a pervasive problem that causes disability and suffering as well as extensive financial costs among individuals with bipolar disorder (BD). Barriers to adherence are numerous and cross multiple levels, including factors related to bipolar pathology and those unique to an individual's circumstances. External factors, including treatment setting, healthcare system, and broader health policies, can also affect medication adherence in people with BD. Fortunately, advances in research have suggested avenues for improving adherence. A comprehensive review of adherence-enhancement interventions for the years 2005-2015 is included. Specific bipolar adherence-enhancement approaches that target knowledge gaps, cognitive patterns, specific barriers, and motivation may be helpful, as may approaches that capitalize on technology or novel drug-delivery systems. However, much work remains to optimally facilitate long-term medication adherence in people with BD. For adherence-enhancement approaches to be widely adapted, they need to be easily accessible, affordable, and practical.Entities:
Mesh：
Year: 2016 PMID： 27435356 DOI： 10.1007/s40263-016-0368-x
Source DB: PubMed Journal: CNS Drugs ISSN： 1172-7047 Impact factor: 5.749