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Reasons for Nonadherence to Psychiatric Medication and Cardiovascular Risk Factors Treatment Among Latino Bipolar Disorder Patients Living in Puerto Rico: A Qualitative Study

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Abstract

Latinos with bipolar disorder (BD) have a high rate of nonadherence to psychiatric medication and treatment for other medical conditions such as cardiovascular disease (CVD) risk factors than non-Latinos with BD. The aim of this study is to identify patients’ perspectives on the reasons for nonadherence to psychiatric medication and for CVD risk factors conditions in outpatients with BD. Three focus group sessions were held for a total of 22 adults ranging from 23 to 60 years old. Participants had BD, Type I/II and CVD risk factors. Audio-recordings of focus groups were transcribed and a content analysis was performed. Reasons identified as barriers to adherence were somewhat different for BD medications in comparison to CVD risk factors suggesting the need for integrated interventions targeting these barriers to adherence for both BD and CVD risk factors.

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Acknowledgements

Research reported in this publication was supported by the National Institute on Minority Health and Health Disparities of the National Institutes of Health Award Number #R25MD007607. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The authors thank Dr. Estela Estape for comments on the manuscript and Yashira Arroyo, MS for revision of the tables.

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Authors and Affiliations

  1. Department of Psychiatry, School of Medicine, University of Puerto Rico, Medical Sciences Campus, P.O. Box 365067, San Juan, PR, 00936-5067, USA

    Sandra I. Ralat

  2. Department of Psychiatry, University of California, San Diego, USA

    Colin A. Depp

  3. Department of Psychology, University of Puerto Rico, Rio Piedras Campus, San Juan, PR, USA

    Guillermo Bernal

Authors
  1. Sandra I. Ralat
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  2. Colin A. Depp
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  3. Guillermo Bernal
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Correspondence to Sandra I. Ralat.

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Ralat, S.I., Depp, C.A. & Bernal, G. Reasons for Nonadherence to Psychiatric Medication and Cardiovascular Risk Factors Treatment Among Latino Bipolar Disorder Patients Living in Puerto Rico: A Qualitative Study. Community Ment Health J 54, 707–716 (2018). https://doi.org/10.1007/s10597-017-0202-z

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  • DOI: https://doi.org/10.1007/s10597-017-0202-z

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