The effect of psychological resilience on treatment compliance and functionality in patients with bipolar disorder

Abstract

Introduction: Bipolar disorder (BD) is a serious psychiatric disorder that is common worldwide, and it is characterized by depressive and manic or hypomanic episodes. This study aimed to investigate the effect of psychological resilience on treatment adherence and functionality in patients diagnosed with BD. Methods: The sample of the study consisted of a total of 111 patients, 56 women and 55 men, who were followed up with a diagnosis of BD. A Sociodemographic and Clinical Characteristics Form, the Young Mania Rating Scale (YMRS), the Hamilton Depression Rating Scale (HDRS), the Resilience Scale for Adults (RSA), the Functioning Assessment Short Test (FAST), and the Morisky Medication Adherence Scale (MMAS) were used as data collection tools. Results: A significant negative relationship was found between the RSA scores and FAST scores of the patients (r(s)=-0.762; p<0.001). It was observed that resilience predicted functionality and treatment adherence. It was determined that each 1-unit increase in RSA scores caused a 0.021unit decrease in functionality scores (p<0.001). It was observed that each 1-unit increase in RSA total scores increased the probability of good treatment adherence by 1.336 times (p<0.001). Conclusion: In our study, it was observed that high psychological resilience had positive effects on functionality and treatment adherence in patients with BD.