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Abstract
Background: Treatment Non-compliance is a major challenge in the treatment of Bipolar Affective Disorder as it can give rise to lots of unwanted consequences. Therefore, understanding various reasons for non-compliance and taking steps to reduce it is a key step in minimizing the unwanted consequences. Thus, This study was done to identify the pattern of non-compliance in patients with Bipolar Affective Disorder.
 Methods: This was a cross-sectional study including 76 patients who attended Psychiatry OPD of Universal College of Medical Sciences. Socio-demographic datasheet, Datasheet for various factors related to non-compliance, Morisky 8-Item Medication Adherence Scale (MMAS-8) and Descriptive summaries of socio-demographic and contributing factors for all patients were used to record the data.
 Results: Out of a total of 76 patients, males (55.2%) were slightly higher than Females. The mean age of participants was 35.78±12.25 years. About 76.8% of the patients were non-compliant. High non-compliance was seen in age below 40 years (48.7%), male (52.6%) and duration of illness up to 15 years (78.9%), having up to 3 pills (44.7%) and having previous treatment history (60.5%).
 Conclusion: Treatment non-compliance was very high in patients with BPAD. Appropriate measures need to be taken care of to reduce non-compliance.
Highlights
Study shows that treatment non-compliance ranges from 20% to
This was a cross sectional study done in Psychiatry OPD of Universal College of Medical Sciences (UCMS), Bhairahawa Nepal
Patients diagnosed as a case of Bipolar AffectiveDisorder (BPAD), visiting the Psychiatry OPD with a care-taker, above 18 yrs age, under treatment for at least 6 months and currently euthymic were included in the study
Summary
Treatment Compliance is defined as “the extent to which a person's behaviour corresponds with agreed recommendations from a healthcare provider”.1 Study shows that treatment non-compliance ranges from 20% to60% in patients with Bipolar AffectiveDisorder (BPAD).[2,3] This is a serious issue because it can give rise to a number of consequences including poor clinical outcomes, functional impairment, impaired quality of life and higher costs of care.[2,4,5]Multiple factors like past history of nonadherence, longer duration of treatment, poor insight, fear of medication side effects and cluster B personality traits[2,3,6] have important relationship with noncompliance.Understanding these factors can help us to formulate plans to improve compliance in our context. Multiple factors like past history of nonadherence, longer duration of treatment, poor insight, fear of medication side effects and cluster B personality traits[2,3,6] have important relationship with noncompliance. Understanding these factors can help us to formulate plans to improve compliance in our context. Treatment Non-compliance is a major challenge in the treatment of Bipolar Affective Disorder as it can give rise to lots of unwanted consequences. This study was done to identify the pattern of non-compliance in patients with Bipolar Affective Disorder
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