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Impact of brief structured psychoeducation on quality of life, medication adherence, and health anxiety in euthymic patients with bipolar disorder

Cilt: 50 Sayı: 4 22 Aralık 2025
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Impact of brief structured psychoeducation on quality of life, medication adherence, and health anxiety in euthymic patients with bipolar disorder

Öz

Purpose: This study aimed to examine the effects of psychoeducation on quality of life, functionality, medication adherence, health anxiety, and sleep quality in individuals diagnosed with bipolar disorder. Material and Methods: A total of 25 individuals diagnosed with bipolar disorder according to DSM-5 criteria and in remission were prospectively followed. Eligible participants were between 18 and 65 years old and had been on a stable medication regimen and euthymic for at least one year. The Sociodemographic Data Form, Global Assessment Scale (GAS), World Health Organization Quality of Life-BREF (WHOQOL-BREF), Pittsburgh Sleep Quality Index (PSQI), Multidimensional Scale of Perceived Social Support (MSPSS), Functioning Assessment Short Test for Bipolar Disorder (FAST), Morisky Medication Adherence Scale (MMAS), and Short Health Anxiety Inventory (SHAI) were administered. Results: Of the participants, 68% were female (n=17) and 32% male (n=8), with a mean age of 40.4 ± 13.2 years and mean age at diagnosis of 27.2 ± 7.3 years. After psychoeducation, WHOQOL-BREF scores (from 52.05 to 60.80) and GAS scores (from 74.18 to 83.40) significantly increased, while SHAI scores decreased (from 18.50 to 15.73). Medication adherence improved from 48% to 100%. Knowledge test scores significantly improved (from 83.18 to 89.55). Conclusion: Psychoeducation improved quality of life and medication adherence while reducing health anxiety in individuals with bipolar disorder. These findings suggest that brief, structured psychoeducation may positively influence treatment adherence and overall well-being.

Anahtar Kelimeler

Bipolar disorder, psychoeducation, quality of life, medication adherence, health anxiety

Destekleyen Kurum

None

Proje Numarası

1

Etik Beyan

Prior to the study, approval was obtained from the Ethics Committee of Çukurova University Faculty of Medicine (Approval No: 151, dated 03.01.2025).

Teşekkür

None

Kaynakça

  1. Gitlin MJ, Swendsen J, Heller TL, Hammen C. Relapse and impairment in bipolar disorder. Am J Psychiatry. 1995;152:1635-40.
  2. Torrent C, Martinez-Arán A, Bonnin C del M et al. Long-term outcome of cognitive impairment in bipolar disorder. J Clin Psychiatry. 2012;73:e899-905.
  3. Khafif TC, Belizario GO, Silva M, Gomes BC, Lafer B. Quality of life and clinical outcomes in bipolar disorder: an 8-year longitudinal study. J Affect Disord. 2021;278:239-43.
  4. Vieta E, Torrent C. Functional remediation: the pathway from remission to recovery in bipolar disorder. World Psychiatry. 2016;15:288-89.
  5. Karaytuğ MO, Tamam L, Demirkol ME, Namlı Z. Bipolar bozukluk tanılı hastalarda tedaviye uyum ve ilişkili faktörler. Arşiv Kaynak Tarama Dergisi. 2022;31:21-7.
  6. Rabelo JL, Cruz BF, Ferreira JDR, Viana BM, Barbosa IG. Psychoeducation in bipolar disorder: a systematic review. World J Psychiatry. 2021;11:1407-24.
  7. Levrat V, Favre S, Richard-Lepouriel H. Current practices of psychoeducation interventions with persons with bipolar disorders: a literature review. Front Psychiatry. 2024;14:1320654.
  8. Pakpour AH, Modabbernia A, Lin CY, Saffari M, Ahmadzad Asl M, Webb TL. Promoting medication adherence among patients with bipolar disorder: a multicenter randomized controlled trial of a multifaceted intervention. Psychol Med. 2017;47:2528-39.
  9. Couillard Larocque M, Fortin-Vidah G, Angers M, et al. Anxiety in bipolar disorder: a review of publication trends. J Affect Disord. 2023;320:340-47.
  10. Vangal KK, Soman S, Bhandary RP, Praharaj SK. Sleep quality and quality of life in remitted bipolar disorder patients: a cross-sectional comparative study. Indian J Psychol Med. 2024;47:356-61.

Kaynak Göster

APA
Yeşiloğlu, C., Tamam, L., Demirkol, M. E., Demireğen, T., Sarıoğlu, C. Y., Fettahlıoğlu, Ö., & Altın, D. (2025). Impact of brief structured psychoeducation on quality of life, medication adherence, and health anxiety in euthymic patients with bipolar disorder. Cukurova Medical Journal, 50(4), 1103-1113. https://doi.org/10.17826/cumj.1803773
AMA
1.Yeşiloğlu C, Tamam L, Demirkol ME, vd. Impact of brief structured psychoeducation on quality of life, medication adherence, and health anxiety in euthymic patients with bipolar disorder. Cukurova Med J. 2025;50(4):1103-1113. doi:10.17826/cumj.1803773
Chicago
Yeşiloğlu, Caner, Lut Tamam, Mehmet Emin Demirkol, vd. 2025. “Impact of brief structured psychoeducation on quality of life, medication adherence, and health anxiety in euthymic patients with bipolar disorder”. Cukurova Medical Journal 50 (4): 1103-13. https://doi.org/10.17826/cumj.1803773.
EndNote
Yeşiloğlu C, Tamam L, Demirkol ME, Demireğen T, Sarıoğlu CY, Fettahlıoğlu Ö, Altın D (01 Aralık 2025) Impact of brief structured psychoeducation on quality of life, medication adherence, and health anxiety in euthymic patients with bipolar disorder. Cukurova Medical Journal 50 4 1103–1113.
IEEE
[1]C. Yeşiloğlu vd., “Impact of brief structured psychoeducation on quality of life, medication adherence, and health anxiety in euthymic patients with bipolar disorder”, Cukurova Med J, c. 50, sy 4, ss. 1103–1113, Ara. 2025, doi: 10.17826/cumj.1803773.
ISNAD
Yeşiloğlu, Caner - Tamam, Lut - Demirkol, Mehmet Emin - Demireğen, Tugrul - Sarıoğlu, Cennet Yaren - Fettahlıoğlu, Ömer - Altın, Damla. “Impact of brief structured psychoeducation on quality of life, medication adherence, and health anxiety in euthymic patients with bipolar disorder”. Cukurova Medical Journal 50/4 (01 Aralık 2025): 1103-1113. https://doi.org/10.17826/cumj.1803773.
JAMA
1.Yeşiloğlu C, Tamam L, Demirkol ME, Demireğen T, Sarıoğlu CY, Fettahlıoğlu Ö, Altın D. Impact of brief structured psychoeducation on quality of life, medication adherence, and health anxiety in euthymic patients with bipolar disorder. Cukurova Med J. 2025;50:1103–1113.
MLA
Yeşiloğlu, Caner, vd. “Impact of brief structured psychoeducation on quality of life, medication adherence, and health anxiety in euthymic patients with bipolar disorder”. Cukurova Medical Journal, c. 50, sy 4, Aralık 2025, ss. 1103-1, doi:10.17826/cumj.1803773.
Vancouver
1.Caner Yeşiloğlu, Lut Tamam, Mehmet Emin Demirkol, Tugrul Demireğen, Cennet Yaren Sarıoğlu, Ömer Fettahlıoğlu, Damla Altın. Impact of brief structured psychoeducation on quality of life, medication adherence, and health anxiety in euthymic patients with bipolar disorder. Cukurova Med J. 01 Aralık 2025;50(4):1103-1. doi:10.17826/cumj.1803773