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Coping strategies used by poorly adherent patients for self-managing bipolar disorder

BACKGROUND: Bipolar disorder (BD) is a chronic mental illness associated with reduced quality of life, high rates of suicide, and high financial costs. Evidence indicates that psychosocial stress might play an important role in the onset and course of BD. OBJECTIVE: The objective of this study was t...

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Autores principales: Blixen, Carol, Levin, Jennifer B, Cassidy, Kristin A, Perzynski, Adam T, Sajatovic, Martha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4966652/
https://www.ncbi.nlm.nih.gov/pubmed/27524888
http://dx.doi.org/10.2147/PPA.S110199
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author Blixen, Carol
Levin, Jennifer B
Cassidy, Kristin A
Perzynski, Adam T
Sajatovic, Martha
author_facet Blixen, Carol
Levin, Jennifer B
Cassidy, Kristin A
Perzynski, Adam T
Sajatovic, Martha
author_sort Blixen, Carol
collection PubMed
description BACKGROUND: Bipolar disorder (BD) is a chronic mental illness associated with reduced quality of life, high rates of suicide, and high financial costs. Evidence indicates that psychosocial stress might play an important role in the onset and course of BD. OBJECTIVE: The objective of this study was to address the gap between coping theory and the clinical use of coping strategies used to self-manage BD. METHODS: In-depth interviews were conducted with a sample of 21 poorly adherent patients with BD. All interviews were audiotaped, transcribed verbatim, and analyzed using content analysis with an emphasis on dominant themes. RESULTS: Transcript-based analysis generated two major domains of coping strategies used to self-manage BD: 1) problem focused (altering eating habits, managing mood-stabilizing medications, keeping psychiatric appointments, seeking knowledge, self-monitoring, and socializing) and 2) emotion focused (distracting activities, denial, isolation, modifying/avoiding, helping others, and seeking social support). Participants used both types of coping strategies to deal with stressful situations brought about by the internal and external demands associated with self-management of BD. CONCLUSION: This qualitative study provided a first step in evaluating coping strategies as a possible mediator in the self-management of BD and has implications for health care providers. Being able to characterize an individual’s coping behaviors can help patients modify or replace more maladaptive coping with better coping strategies in the self-management of this chronic mental illness.
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spelling pubmed-49666522016-08-12 Coping strategies used by poorly adherent patients for self-managing bipolar disorder Blixen, Carol Levin, Jennifer B Cassidy, Kristin A Perzynski, Adam T Sajatovic, Martha Patient Prefer Adherence Original Research BACKGROUND: Bipolar disorder (BD) is a chronic mental illness associated with reduced quality of life, high rates of suicide, and high financial costs. Evidence indicates that psychosocial stress might play an important role in the onset and course of BD. OBJECTIVE: The objective of this study was to address the gap between coping theory and the clinical use of coping strategies used to self-manage BD. METHODS: In-depth interviews were conducted with a sample of 21 poorly adherent patients with BD. All interviews were audiotaped, transcribed verbatim, and analyzed using content analysis with an emphasis on dominant themes. RESULTS: Transcript-based analysis generated two major domains of coping strategies used to self-manage BD: 1) problem focused (altering eating habits, managing mood-stabilizing medications, keeping psychiatric appointments, seeking knowledge, self-monitoring, and socializing) and 2) emotion focused (distracting activities, denial, isolation, modifying/avoiding, helping others, and seeking social support). Participants used both types of coping strategies to deal with stressful situations brought about by the internal and external demands associated with self-management of BD. CONCLUSION: This qualitative study provided a first step in evaluating coping strategies as a possible mediator in the self-management of BD and has implications for health care providers. Being able to characterize an individual’s coping behaviors can help patients modify or replace more maladaptive coping with better coping strategies in the self-management of this chronic mental illness. Dove Medical Press 2016-07-25 /pmc/articles/PMC4966652/ /pubmed/27524888 http://dx.doi.org/10.2147/PPA.S110199 Text en © 2016 Blixen et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Blixen, Carol
Levin, Jennifer B
Cassidy, Kristin A
Perzynski, Adam T
Sajatovic, Martha
Coping strategies used by poorly adherent patients for self-managing bipolar disorder
title Coping strategies used by poorly adherent patients for self-managing bipolar disorder
title_full Coping strategies used by poorly adherent patients for self-managing bipolar disorder
title_fullStr Coping strategies used by poorly adherent patients for self-managing bipolar disorder
title_full_unstemmed Coping strategies used by poorly adherent patients for self-managing bipolar disorder
title_short Coping strategies used by poorly adherent patients for self-managing bipolar disorder
title_sort coping strategies used by poorly adherent patients for self-managing bipolar disorder
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4966652/
https://www.ncbi.nlm.nih.gov/pubmed/27524888
http://dx.doi.org/10.2147/PPA.S110199
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