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