1. Patients’ perceptions of barriers to self-managing bipolar disorder: A qualitative study.
- Author
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Blixen, Carol, Perzynski, Adam T., Bukach, Ashley, Howland, Molly, and Sajatovic, Martha
- Subjects
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HEALTH self-care , *CONTENT analysis , *HEALTH services accessibility , *INTERVIEWING , *BIPOLAR disorder , *PERSONAL space , *PHYSICIAN-patient relations , *PSYCHOTHERAPY patients , *QUALITATIVE research , *SOCIAL support , *THEMATIC analysis , *PATIENTS' attitudes , *PSYCHOLOGY - 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. [ABSTRACT FROM AUTHOR]
- Published
- 2016
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