Carol Blixen1,2, Adam T Perzynski2, Ashley Bukach1, Molly Howland3, Martha Sajatovic4,5. 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.
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.
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