title: Bipolar affective disorder and medication therapy: identifying barriers.
abstract: This study identified the barriers faced by people with bipolar affective disorder (BAD) regarding the need for continuous medication. The qualitative approach was used, and the methodological framework was based on the Grounded Theory in the light of Symbolic Interactionism. In total, of 14 people with BAD, who were being attended at the Outpatient Unit for Mood Disorders of a university hospital, and 14 relatives indicated by them participated in the study. The data collection was carried out through interviews and observation. Two categories emerged from the results, describing the barriers faced by people with BAD: to have affective and cognitive losses and to have several limitations. People with BAD feel ambivalent regarding medication adherence, as they perceive that, no matter the direction they take, it will lead to a context of prejudice, losses and limitations in various spheres of daily life.
authors.affiliation: University of Sao Paulo at Ribeirao Preto College of Nursing, WHO Collaborating Center for Nursing Research Development, Brazil. amiasso@eerp.usp.br
authors.forename: Adriana Inocenti
authors.initials: AI
authors.lastname: Miasso
authors.forename: Silvia Helena De Bortoli
authors.initials: SH
authors.lastname: Cassiani
authors.forename: Luiz Jorge
authors.initials: LJ
authors.lastname: Pedrão
mesh_terms: D014150:Antipsychotic Agents / Q000627:therapeutic use*; D001714:Bipolar Disorder / Q000188:drug therapy* / Q000453:epidemiology / Q000451:nursing*; D003072:Cognition Disorders / Q000453:epidemiology; D007172:Erectile Dysfunction / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D012959:Socioeconomic Factors
chemical_list: D014150:Antipsychotic Agents