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OBJECTIVES: We sought to understand the association of specific aspects of care satisfaction, such as patients' perceived relationship with their psychiatrist and access to their psychiatrist and staff, and therapeutic alliance with participants' likelihood to adhere to their medication regimens among patients with bipolar disorder. METHODS: We examined data from the multicenter Systematic Treatment Enhancement Program for Bipolar Disorder, an effectiveness study investigating the course and treatment of bipolar disorder. We expected that participants (n = 3037) with positive perceptions of their relationship with their psychiatrist and quality of psychopharmacologic care, as assessed by the Helping Alliance Questionnaire and Care Satisfaction Questionnaire, would be associated with better medication adherence. We utilized logistic regression models controlling for already established factors associated with poor adherence. RESULTS: Patients' perceptions of collaboration, empathy, and accessibility were significantly associated with adherence to treatment in individuals with bipolar disorder completing at least 1 assessment. Patients' perceptions of their psychiatrists' experience, as well as of their degree of discussing medication risks and benefits, were not associated with medication adherence. CONCLUSIONS: Patients' perceived therapeutic alliance and treatment environment impact their adherence to pharmacotherapy recommendations. This study may enable psychopharmacologists' practices to be structured to maximize features associated with greater medication adherence.

Original publication

DOI

10.1097/JCP.0b013e3182900c6f

Type

Journal article

Journal

J Clin Psychopharmacol

Publication Date

06/2013

Volume

33

Pages

343 - 350

Keywords

Adult, Bipolar Disorder, Empathy, Female, Follow-Up Studies, Health Services Accessibility, Humans, Logistic Models, Longitudinal Studies, Male, Medication Adherence, Patient Participation, Patient Satisfaction, Physician-Patient Relations, Prospective Studies, Quality of Health Care, Surveys and Questionnaires