Aix Marseille Univ, LPS, Aix-en-Provence, France; Unimes, LPS, Nimes, France.
Aix Marseille Univ, LPS, Aix-en-Provence, France; APHM, Conception, Service d'évaluation médicale, Marseille, France.
Compr Psychiatry. 2018 Jan;80:109-115. doi: 10.1016/j.comppsych.2017.10.003. Epub 2017 Oct 12.
According to the Self-Regulation Model, illness perceptions influence an individual's coping (such as the taking of treatment) and emotional response to their illness. Emerging research suggests that this model could be used to explore illness perceptions in mental health. The aim of this exploratory study is, firstly, to measure and describe illness perception in French patients with a bipolar diagnosis and, secondly, to explore associations between illness perceptions and adherence in this population.
Thirty-eight French patients with bipolar disorder completed the Illness Perception Questionnaire for Schizophrenia (except the identity dimension). We measured medication adherence with the Medication Adherence Rating Scale.
Our results showed that patients with high perceptions concerning treatment control, low perceptions of negative emotions of their mental illness, low perception of consequences and high comprehension of their disorder had a better adherence.
Illness perceptions can provide a framework for understanding adherence in bipolar disorder, and the findings could have important clinical and research implications.
根据自我调节模型，疾病认知会影响个体对疾病的应对方式（例如接受治疗）和情绪反应。新出现的研究表明，该模型可用于探索心理健康中的疾病认知。本探索性研究的目的首先是测量和描述法国双相情感障碍患者的疾病认知，其次是探讨该人群中疾病认知与依从性之间的关联。
38 名患有双相情感障碍的法国患者完成了用于精神分裂症的疾病认知问卷（除了身份维度）。我们使用药物依从性评定量表来衡量药物依从性。
我们的研究结果表明，对治疗控制有较高认知、对精神疾病的负面情绪认知较低、对后果认知较低、对疾病认知较高的患者具有更好的依从性。
疾病认知可以为理解双相情感障碍中的依从性提供框架，研究结果可能具有重要的临床和研究意义。
