The Effect of Psychological Resilience on Treatment Compliance and Functionality in Patients with Bipolar Disorder


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Baltacioğlu M., Puşuroğlu M.

NOROPSIKIYATRI ARSIVI, cilt.62, sa.2, ss.136-144, 2025 (SCI-Expanded)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 62 Sayı: 2
  • Basım Tarihi: 2025
  • Doi Numarası: 10.29399/npa.28766
  • Dergi Adı: NOROPSIKIYATRI ARSIVI
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CINAHL, Psycinfo, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.136-144
  • Recep Tayyip Erdoğan Üniversitesi Adresli: Evet

Özet

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 (rs=-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.

Keywords: Bipolar disorder, functionality, psychological resilience,

treatment adherence