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

Author

Listed:
  • Carol Blixen
  • Adam T Perzynski
  • Ashley Bukach
  • Molly Howland
  • Martha Sajatovic

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.

Suggested Citation

  • Carol Blixen & Adam T Perzynski & Ashley Bukach & Molly Howland & Martha Sajatovic, 2016. "Patients’ perceptions of barriers to self-managing bipolar disorder: A qualitative study," International Journal of Social Psychiatry, , vol. 62(7), pages 635-644, November.
  • Handle: RePEc:sae:socpsy:v:62:y:2016:i:7:p:635-644
    DOI: 10.1177/0020764016666572
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    References listed on IDEAS

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    1. Arora, Neeraj K., 2003. "Interacting with cancer patients: the significance of physicians' communication behavior," Social Science & Medicine, Elsevier, vol. 57(5), pages 791-806, September.
    2. Livingston, James D. & Boyd, Jennifer E., 2010. "Correlates and consequences of internalized stigma for people living with mental illness: A systematic review and meta-analysis," Social Science & Medicine, Elsevier, vol. 71(12), pages 2150-2161, December.
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