IDEAS home Printed from https://ideas.repec.org/a/sae/socpsy/v62y2016i7p635-644.html
   My bibliography  Save this article

Patients’ perceptions of barriers to self-managing bipolar disorder: A qualitative study

Author

Listed:
  • Carol Blixen
  • Adam T Perzynski
  • Ashley Bukach
  • Molly Howland
  • Martha Sajatovic

Abstract

Background: Self-management of bipolar disorder (BD) is challenging for many individuals. Material: Interviews were used to assess perceived barriers to disease self-management among 21 high-risk patients with BD. Content analysis, with an emphasis on dominant themes, was used to analyze the data. Results: Three major domains of barriers emerged: individual barriers (psychological, knowledge, behavioral and physical health); family/community-level barriers (lack of support and resources); and provider/healthcare system (inadequate communication and access to care). Conclusion: Care approaches providing social and peer support, optimizing communication with providers and integrating medical and psychiatric care may improve self-management of BD in this vulnerable population.

Suggested Citation

  • Carol Blixen & Adam T Perzynski & Ashley Bukach & Molly Howland & Martha Sajatovic, 2016. "Patients’ perceptions of barriers to self-managing bipolar disorder: A qualitative study," International Journal of Social Psychiatry, , vol. 62(7), pages 635-644, November.
    • Handle: RePEc:sae:socpsy:v:62:y:2016:i:7:p:635-644
    DOI: 10.1177/0020764016666572
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0020764016666572
    Download Restriction: no
    File URL: https://libkey.io/10.1177/0020764016666572?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Arora, Neeraj K., 2003. "Interacting with cancer patients: the significance of physicians' communication behavior," Social Science & Medicine, Elsevier, vol. 57(5), pages 791-806, September.
    2. Livingston, James D. & Boyd, Jennifer E., 2010. "Correlates and consequences of internalized stigma for people living with mental illness: A systematic review and meta-analysis," Social Science & Medicine, Elsevier, vol. 71(12), pages 2150-2161, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Lars Hansson & Henrika Jormfeldt & Petra Svedberg & Bengt Svensson, 2013. "Mental health professionals’ attitudes towards people with mental illness: Do they differ from attitudes held by people with mental illness?," International Journal of Social Psychiatry, , vol. 59(1), pages 48-54, February.
    2. Fenton, Anny T. & Elliott, Marc N. & Schwebel, David C. & Berkowitz, Zahava & Liddon, Nicole C. & Tortolero, Susan R. & Cuccaro, Paula M. & Davies, Suzy L. & Schuster, Mark A., 2018. "Unequal interactions: Examining the role of patient-centered care in reducing inequitable diffusion of a medical innovation, the human papillomavirus (HPV) vaccine," Social Science & Medicine, Elsevier, vol. 200(C), pages 238-248.
    3. Kvaale, Erlend P. & Gottdiener, William H. & Haslam, Nick, 2013. "Biogenetic explanations and stigma: A meta-analytic review of associations among laypeople," Social Science & Medicine, Elsevier, vol. 96(C), pages 95-103.
    4. Eggly, Susan & Penner, Louis A. & Greene, Meredith & Harper, Felicity W.K. & Ruckdeschel, John C. & Albrecht, Terrance L., 2006. "Information seeking during "bad news" oncology interactions: Question asking by patients and their companions," Social Science & Medicine, Elsevier, vol. 63(11), pages 2974-2985, December.
    5. Sharma, Anupam Joya & Subramanyam, Malavika Ambale, 2020. "Psychological responses to reservation-based discrimination: A qualitative study of socially marginalized youth at a premier Indian university," International Journal of Educational Development, Elsevier, vol. 79(C).
    6. Kühlbrandt, Charlotte & Balabanova, Dina & Chikovani, Ivdity & Petrosyan, Varduhi & Kizilova, Kseniya & Ivaniuto, Oksana & Danii, Olga & Makarova, Noune & McKee, Martin, 2014. "In search of patient-centred care in middle income countries: The experience of diabetes care in the former Soviet Union," Health Policy, Elsevier, vol. 118(2), pages 193-200.
    7. Adalberto Campo-Arias & Guillermo A Ceballos-Ospino & Edwin Herazo, 2020. "Barriers to access to mental health services among Colombia outpatients," International Journal of Social Psychiatry, , vol. 66(6), pages 600-606, September.
    8. Vyncke, Bart & Van Gorp, Baldwin, 2020. "Using counterframing strategies to enhance anti-stigma campaigns related to mental illness," Social Science & Medicine, Elsevier, vol. 258(C).
    9. Mejia-Lancheros, Cilia & Lachaud, James & Woodhall-Melnik, Julia & O'Campo, Patricia & Hwang, Stephen W. & Stergiopoulos, Vicky, 2021. "Longitudinal interrelationships of mental health discrimination and stigma with housing and well-being outcomes in adults with mental illness and recent experience of homelessness," Social Science & Medicine, Elsevier, vol. 268(C).
    10. Hunter, Bronwyn A. & Mohatt, Nathaniel Vincent & Prince, Dana M. & Thompson, Azure B. & Matlin, Samantha L. & Tebes, Jacob Kraemer, 2017. "Socio-psychological mediators of the relationship between behavioral health stigma and psychiatric symptoms," Social Science & Medicine, Elsevier, vol. 181(C), pages 177-183.
    11. Lindsey Lacey & Nirajana Mishra & Priya Mukherjee & Nikhilesh Prakash & Nishith Prakash & Diane Quinn & Shwetlena Sabarwal & Deepak Saraswat, 2024. "Can Destigmatizing Mental Health Increase Willingness to Seek Help? Experimental Evidence from Nepal," CESifo Working Paper Series 11241, CESifo.
    12. Anselm B M Fuermaier & Lara Tucha & Janneke Koerts & Anna K Mueller & Klaus W Lange & Oliver Tucha, 2012. "Measurement of Stigmatization towards Adults with Attention Deficit Hyperactivity Disorder," PLOS ONE, Public Library of Science, vol. 7(12), pages 1-11, December.
    13. Mao-Sheng Ran & Tian-Ming Zhang & Irene Yin-Ling Wong & Xin Yang & Chang-Cheng Liu & Bo Liu & Wei Luo & Wei-Hong Kuang & Graham Thornicroft & Cecilia Lai-Wan Chan, 2018. "Internalized stigma in people with severe mental illness in rural China," International Journal of Social Psychiatry, , vol. 64(1), pages 9-16, February.
    14. Chen, Haide & Fang, Xiaoyi & Liu, Chaoying & Hu, Wei & Lan, Jing & Deng, Linyuan, 2014. "Associations among the number of mental health problems, stigma, and seeking help from psychological services: A path analysis model among Chinese adolescents," Children and Youth Services Review, Elsevier, vol. 44(C), pages 356-362.
    15. Piotr Świtaj & Paweł Grygiel & Marta Anczewska & Jacek Wciórka, 2014. "Loneliness mediates the relationship between internalised stigma and depression among patients with psychotic disorders," International Journal of Social Psychiatry, , vol. 60(8), pages 733-740, December.
    16. Bharadwaj, Prashant & Pai, Mallesh M. & Suziedelyte, Agne, 2017. "Mental health stigma," Economics Letters, Elsevier, vol. 159(C), pages 57-60.
    17. Adepeju M. Lateef & Euphemia M. Mhlongo, 2020. "Trends in Patient-Centered Care in South West Nigeria: A Holistic Assessment of the Nurses Perception of Primary Healthcare Practice," Global Journal of Health Science, Canadian Center of Science and Education, vol. 12(6), pages 1-73, May.
    18. Álvaro Moraleda & Diego Galán-Casado & Adolfo J. Cangas, 2019. "Reducing Self-Stigma in People with Severe Mental Illness Participating in a Regular Football League: An Exploratory Study," IJERPH, MDPI, vol. 16(19), pages 1-8, September.
    19. Tomar, Nikhil & Thornicroft, Graham, 2020. "Principle of gradient rationality: Revisiting stigma and conceptualizing its guiding mechanism," Social Science & Medicine, Elsevier, vol. 245(C).
    20. Trani, Jean-Francois & Ballard, Ellis & Peña, Juan B., 2016. "Stigma of persons with disabilities in Afghanistan: Examining the pathways from stereotyping to mental distress," Social Science & Medicine, Elsevier, vol. 153(C), pages 258-265.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:socpsy:v:62:y:2016:i:7:p:635-644. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.