Cyclothymic Temperament, Physical Neglect, and Earlier Age of Onset Predict Poor Medication Adherence in Patients With Bipolar Disorder. Issue 1 (11th January 2023)

• Record Type: Journal Article
• Authors: Li, Ziyan; Liu, Xinzi; Ma, Rui; Feng, Sitong; Zheng, Sisi; Zhu, Hong; Yin, Dongqing; Jia, Hongxiao
• Is Part Of: Journal of nervous and mental disease. Volume 211:Issue 1(2023)
• Page Start: 35
• Page End: 39
• Publication Date: 2023-01-11
• Subjects: Bipolar disorders -- cyclothymic temperament -- childhood adversity -- medication adherence -- age of first onset; Neurology -- Periodicals; Psychiatry -- Periodicals; Neurology; Psychiatry; Neurologie; Psychiatrie; Neurology; Psychiatry; Periodicals; 616.8005
• DOI: 10.1097/NMD.0000000000001573
• Languages: English
• ISSNs: 0022-3018

Abstract

Abstract: Individual-level risk factors may predict poor medication adherence (PMA) in bipolar disorder (BD). This study aimed to evaluate the association between affective temperament, childhood trauma, age of first onset, and PMA in patients with BD in China. A total of 168 patients completed the eight-item Morisky Medication Adherence Scale; the Short Temperament Evaluation of Memphis, Pisa, Paris, and San Diego Autoquestionnaire; and the Childhood Trauma Questionnaire–Short Form. Scores were then compared between PMA and non-PMA groups. Binary logistic regression showed that age of first onset was negatively correlated with PMA ( β = −0.106, p = 0.002), whereas physical neglect and cyclothymic temperament were positively correlated with PMA ( β = 0.143, p = 0.029; β = 0.19, p = 0.001, respectively). These findings indicate that cyclothymic temperament, physical neglect, and earlier onset are predictors of PMA in patients with BD and that such patients may require further attention to improve medical compliance.