ArticleJournal of clinical psychopharmacology2013
Association between therapeutic alliance, care satisfaction, and pharmacological adherence in bipolar disorder.
Article in Journal of clinical psychopharmacology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Collaborative care approaches for people with severe mental illness.The Cochrane database of systematic reviews · 2024Pooled it
- Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) 2018 guidelines for the management of patients with bipolar disorder.Bipolar disorders · 2018Guideline
- Adherence to Antipsychotic Medication in Bipolar Disorder and Schizophrenic Patients: A Systematic Review.Journal of clinical psychopharmacology · 2016Pooled it
- Association Between Adherence Barriers, Self-Reported Adherence, and Psychiatric Symptoms Among Adults With Bipolar Disorder.Bipolar disorders · 2025Trial
- Childhood trauma and treatment outcomes during mood-stabilising treatment with lithium or quetiapine among outpatients with bipolar disorder.Acta psychiatrica Scandinavica · 2022Trial
- Views on an antipsychotic regimen administered once every 2 months: a qualitative interview study of people living with bipolar I disorder, caregivers, and prescribers in the USA and Canada.International journal of bipolar disorders · 2026Article
- Shared decision-making in the treatment of bipolar disorder: findings from a nationwide naturalistic cohort study in everyday clinical practice.Social psychiatry and psychiatric epidemiology · 2025Observational
- Psychometric properties of an adapted working alliance scale among Latinos.Frontiers in psychology · 2025Article
- Medication adherence, treatment satisfaction, and patient-doctor relationship in patients with mood disorders at a Saudi tertiary care hospital: a cross-sectional study.Frontiers in psychiatry · 2025Article
- Psychotherapy in Bipolar Depression: Effective Yet Underused.Psychiatric annals · 2023Article
- Prioritizing Treatment Goals of People Diagnosed with Bipolar I Disorder in the US: Best-Worst Scaling Results.Patient preference and adherence · 2023Article
- Composition of treatment alliance in bipolar disorder: A cross-sectional study of patients' perspectives.World journal of psychiatry · 2022Article
- Attachment insecurity partially mediates the relationship between childhood trauma and depression severity in bipolar disorder.Acta psychiatrica Scandinavica · 2022Article
- Development of Coaching Support for LiveWell: A Smartphone-Based Self-Management Intervention for Bipolar Disorder.JMIR formative research · 2021Article
- The Patient-Reported Experience Measure for Improving qUality of care in Mental health (PREMIUM) project in France: study protocol for the development and implementation strategy.Patient preference and adherence · 2019Article
- Medication nonadherence in bipolar disorder: a narrative review.Therapeutic advances in psychopharmacology · 2018Review
- Treatment alliance and adherence in bipolar disorder.World journal of psychiatry · 2018Article
- Shared decision making in pharmacotherapy decisions, perceived by patients with bipolar disorder.International journal of bipolar disorders · 2018Article
- Common Factors in Pediatric Psychiatry: A Review of Essential and Adjunctive Mechanisms of Treatment Outcome.Journal of child and adolescent psychopharmacology · 2017Review
- Treatment-adherence in bipolar disorder: A patient-centred approach.World journal of psychiatry · 2016Review
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectivesWe sought to understand the association of specific aspects of care satisfaction, such as patients' perceived relationship with their psychiatrist and access to their psychiatrist and staff, and therapeutic alliance with participants' likelihood to adhere to their medication regimens among patients with bipolar disorder.
methodsWe examined data from the multicenter Systematic Treatment Enhancement Program for Bipolar Disorder, an effectiveness study investigating the course and treatment of bipolar disorder. We expected that participants (n = 3037) with positive perceptions of their relationship with their psychiatrist and quality of psychopharmacologic care, as assessed by the Helping Alliance Questionnaire and Care Satisfaction Questionnaire, would be associated with better medication adherence. We utilized logistic regression models controlling for already established factors associated with poor adherence.
resultsPatients' perceptions of collaboration, empathy, and accessibility were significantly associated with adherence to treatment in individuals with bipolar disorder completing at least 1 assessment. Patients' perceptions of their psychiatrists' experience, as well as of their degree of discussing medication risks and benefits, were not associated with medication adherence.
conclusionsPatients' perceived therapeutic alliance and treatment environment impact their adherence to pharmacotherapy recommendations. This study may enable psychopharmacologists' practices to be structured to maximize features associated with greater medication adherence.
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