The Effect of Group Psychoeducation Program on Medication Adherence in Patients with Bipolar Mood Disorders: a Randomized Controlled Trial
Open accessAbstract
Introduction: Medication nonadherence is highly prevalent in patients with bipolar disorders and often results in worsening disease prognosis. The purpose of this study was to investigate the effect of group psychoeducation on medication adherence in female patients with bipolar mood disorder type I. Methods: This randomized controlled trial was conducted on 76 patients with bipolar mood disorder admitted in female psychiatric wards of Razi teaching hospital, Tabriz, Iran. The participants were selected by convenience sampling method and were randomly assigned to experimental and control groups. Patients in experimental group received 10 continuous 90 minutes sessions of psychoeducation, two times a week. Medication adherence was measured using the medicine check list and medication adherence rating scale (MARS) before and after intervention. Data analysis was performed with SPSS ver.13. Results: There was no significant difference between two groups regarding medication adherence before the intervention. After the study intervention, the mean scores of medication adherence check list and medication adherence rating scale in the experimental group were significantly higher than the control group. Conclusion: Since group psychoeducation was effective in improving patients' medication adherence, it could be recommended for psychiatric nurses to apply this intervention in the clinical setting.
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Psychoeducation has been shown to be helpful in teaching people about the important role the face plays in communication and social interaction.
“However, psychoeducation has shown to be helpful in teaching people about the important role the face plays in communication and social interaction (Rahmani et al., 2016).”
From A Novel Psychological Group Intervention Targeting Appearance-Related Distress Among People With a Visible Disfigurement (Inside Out): A Case Study (2023) · cites this paper as Rahmani et al., 2016
The Materials and methods section describes psychoeducation sessions about bipolar disorder, treatment, and medication adherence. The Introduction and Discussion discuss treatment collaboration and social support, but neither addresses teaching people about the face’s role in communication or social interaction. Searches for that claim and for facial expressions found no supporting passage; page numbers were unavailable in our copy. (LLM, conf=0.78)
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Cites
A Rating Scale for Mania: Reliability, Validity and Sensitivity
Young, R. C., Biggs, J. T., Ziegler, V. E., & Meyer, D. A. (1978) · British Journal of Psychiatry · doi:10.1192/bjp.133.5.429 · Cited by 8,744 · see citing works
Development of a Rating Scale for Primary Depressive Illness
Hamilton, M. (1967) · British Journal of Social and Clinical Psychology · doi:10.1111/j.2044-8260.1967.tb00530.x · Cited by 8,410 · see citing works
Osterberg, L., & Blaschke, T. (2005) · New England Journal of Medicine · doi:10.1056/nejmra050100 · Cited by 7,974 · see citing works
Kirk, J. M. W., MacDonald, A., Lavender, P., Dean, J. M., & Rubin, G. (2017) · Biomedicine Hub · doi:10.1159/000480347 · Cited by 3,901 · see citing works
Merikangas, K. R., Akiskal, H. S., Angst, J., Greenberg, P. E., Hirschfeld, R. M. A., Petukhova, M., & Kessler, R. C. (2007) · Archives of General Psychiatry · doi:10.1001/archpsyc.64.5.543 · Cited by 2,399 · see citing works
Medication Adherence: WHO Cares?
Brown, M. T., & Bussell, J. K. (2011) · Mayo Clinic Proceedings · doi:10.4065/mcp.2010.0575 · Cited by 1,928 · see citing works
Lacro, J. P., Dunn, L. B., Dolder, C. R., Leckband, S. G., & Jeste, D. V. (2002) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v63n1007 · Cited by 1,383 · see citing works
The Hamilton Depression Rating Scale: Has the Gold Standard Become a Lead Weight?
Bagby, R. M., Ryder, A. G., Schuller, D. R., & Marshall, M. B. (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.161.12.2163 · Cited by 1,148 · see citing works
Lobbestael, J., Leurgans, M., & Arntz, A. (2011) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.693 · Cited by 1,124 · see citing works
Reliability and validity of a new Medication Adherence Rating Scale (MARS) for the psychoses
Thompson, K. N., Kulkarni, J., & Sergejew, A. A. (2000) · Schizophrenia Research · doi:10.1016/s0920-9964(99)00130-9 · Cited by 997 · see citing works
Geddes, J. R., Burgess, S., Hawton, K., Jamison, K., & Goodwin, G. M. (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.161.2.217 · Cited by 661 · see citing works
Miklowitz, D. J., George, E. L., Richards, J. A., Simoneau, T. L., & Suddath, R. L. (2003) · Archives of General Psychiatry · doi:10.1001/archpsyc.60.9.904 · Cited by 641 · see citing works
Perry, A., Tarrier, N., Morriss, R. K., McCarthy, E., & Limb, K. (1999) · BMJ · doi:10.1136/bmj.318.7177.149 · Cited by 588 · see citing works
Integrated Theory of Health Behavior Change
Ryan, P. A. (2009) · Clinical Nurse Specialist · doi:10.1097/nur.0b013e3181a42373 · Cited by 410 · see citing works
Colom, F., Vieta, E., Sánchez‐Moreno, J., Palomino-Otiniano, R., Reinares, M., Goikolea, J. M., Benabarre, A., & Martínez‐Arán, A. (2009) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.107.040485 · Cited by 384 · see citing works
First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1997) · Medical Entomology and Zoology · Cited by 367 · see citing works
Attitudes Toward Antipsychotic Medication
Day, J. C., Bentall, R. P., Roberts, C., Randall, F., Rogers, A. E., Cattell, D., Healy, D., Rae, P., & Power, C. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.7.717 · Cited by 360 · see citing works
Clinical Factors Associated With Treatment Noncompliance in Euthymic Bipolar Patients
Colom, F., Vieta, E., Martínez‐Arán, A., Reinares, M., Benabarre, A., & Gastó, C. (2000) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v61n0802 · Cited by 340 · see citing works
DelBello, M. P., Hanseman, D. J., Adler, C. M., Fleck, D. E., & Strakowski, S. M. (2007) · American Journal of Psychiatry · doi:10.1176/ajp.2007.164.4.582 · Cited by 327 · see citing works
Cognitive Behavioral Therapy for Mood Disorders: Efficacy, Moderators and Mediators
Driessen, E., & Hollon, S. D. (2010) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2010.04.005 · Cited by 291 · see citing works
Versión española de una escala de evaluación de la manía: validez y fiabilidad de la Escala de Young
Colom, F., Vieta, E., Martínez‐Arán, A., García-García, M., Reinares, M., Torrent, C., Goikolea, J. M., Banús, S., & Salamero, M. (2002) · Medicina Clínica · doi:10.1016/s0025-7753(02)73419-2 · Cited by 291 · see citing works
Svarstad, B. L., Shireman, T. I., & Sweeney, J. K. (2001) · Psychiatric Services · doi:10.1176/appi.ps.52.6.805 · Cited by 281 · see citing works
Psychoeducation Manual for Bipolar Disorder
Colom, F., Vieta, E., & Scott, J. (2006) · doi:10.1017/cbo9780511543685 · Cited by 215 · see citing works
Barkhof, E., Meijer, C. J., de Sonneville, L. M. J., Linszen, D. H., & de Haan, L. (2012) · European Psychiatry · doi:10.1016/j.eurpsy.2011.02.005 · Cited by 183 · see citing works
Identifying and improving non‐adherence in bipolar disorders
Colom, F., Vieta, E., Tacchi, M., Sánchez‐Moreno, J., & Scott, J. (2005) · Bipolar Disorders · doi:10.1111/j.1399-5618.2005.00248.x · Cited by 182 · see citing works
Treatment Adherence With Lithium and Anticonvulsant Medications Among Patients With Bipolar Disorder
Sajatovic, M., Valenstein, M., Blow, F., Ganoczy, D., & Ignacio, R. (2007) · Psychiatric Services · doi:10.1176/ps.2007.58.6.855 · Cited by 172 · see citing works
Enhancing medication adherence in patients with bipolar disorder
Berk, L., Hallam, K. T., Colom, F., Vieta, E., Hasty, M., Macneil, C., & Berk, M. (2010) · Human Psychopharmacology: Clinical and Experimental · doi:10.1002/hup.1081 · Cited by 149 · see citing works
Beynon, S., Soares‐Weiser, K., Woolacott, N. F., Duffy, S., & Geddes, J. R. (2008) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.107.037887 · Cited by 146 · see citing works
Awareness of Illness and Nonadherence to Antipsychotic Medications Among Persons With Schizophrenia
Olfson, M., Marcus, S. C., Wilk, J. E., & West, J. C. (2006) · Psychiatric Services · doi:10.1176/appi.ps.57.2.205 · Cited by 143 · see citing works
Sharifi, V., Assadi, S. M., Mohammadi, M. R., Amini, H., Kaviani, H., Semnani, Y., Shabani, A., Shahrivar, Z., Davari-Ashtiani, R., Shooshtari, M. H., et al. (2008) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2008.04.004 · Cited by 113 · see citing works
Stabilizing the stabilizer: group psychoeducation enhances the stability of serum lithium levels
Colom, F., Vieta, E., Sánchez‐Moreno, J., Martínez‐Arán, A., Reinares, M., Goikolea, J., & Scott, J. L. (2005) · Bipolar Disorders · doi:10.1111/j.1399-5618.2005.00249.x · Cited by 103 · see citing works
Javadpour, A., Hedayati, A., Dehbozorgi, G., & Azizi, A. (2013) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2012.12.005 · Cited by 102 · see citing works
D’Souza, R. F., Piškulić, D., & Sundram, S. (2009) · Journal of Affective Disorders · doi:10.1016/j.jad.2009.03.018 · Cited by 79 · see citing works
Eker, F., & Gemicioğlu, Ş. H. (2012) · Journal of Affective Disorders · doi:10.1016/j.jad.2012.01.004 · Cited by 77 · see citing works
Collaborative Care: Models for Treatment of Patients with Complex Medical-Psychiatric Conditions
Ivbijaro, G. O., Enum, Y., Khan, A. A., Lam, S. S.-K., & Gabzdyl, A. (2014) · Current Psychiatry Reports · doi:10.1007/s11920-014-0506-4 · Cited by 71 · see citing works
Poole, R., Smith, D., & Simpson, S. (2015) · BMC Psychiatry · doi:10.1186/s12888-015-0556-0 · Cited by 45 · see citing works
Klingberg, S., Schneider, S., Wittorf, A., Buchkremer, G., & Wiedemann, G. (2008) · Psychiatry Research · doi:10.1016/j.psychres.2007.07.027 · Cited by 43 · see citing works
Psychoeducational Approaches to Medication Adherence in Patients with Bipolar Disorder
Sajatovic, M., Chen, P., Dines, P. L., & Shirley, E. R. (2007) · Disease Management & Health Outcomes · doi:10.2165/00115677-200715030-00006 · Cited by 37 · see citing works
Impact of the life goals group therapy program for bipolar patients: An open study
de Andrés, R. D., Aillon, N., Bardiot, M.-C., Bourgeois, P., Mertel, S., Nerfin, F., Romailler, G., Gex‐Fabry, M., & Aubry, J. (2006) · Journal of Affective Disorders · doi:10.1016/j.jad.2006.03.014 · Cited by 32 · see citing works
Strategies for Monitoring Outcomes in Patients With Bipolar Disorder
Ketter, T. A. (2010) · The Primary Care Companion to The Journal of Clinical Psychiatry · doi:10.4088/pcc.9064su1c.02 · Cited by 24 · see citing works
Bahredar, M. J., Farid, A. A. A., Ghanizadeh, A. J., & Birashk, B. (2014) · Europe PMC (PubMed Central) · Cited by 9 · see citing works
Prodromes, precipitants, and risk factors for relapse in bipolar disorder.
Látalová, K., Praško, J. P., Diveky, T., Kamarádová, D., Grambal, A., & Velartova, H. (2012) · PubMed · Cited by 9 · see citing works
THE EFFECT OF THERAPEUTIC RELATIONSHIP IN SCHIZOPHRENIC PATIENTS
Ebrahimi, H., Ranjbar, F., Namdar, H., & mosaffa, F. (2014) · Cited by 3 · see citing works
Adherence and the societal burden of mental illness
Buckley, P. F., Foster, A. E., Patel, N. C., & Wermert, A. (2009) · doi:10.1093/oso/9780195384338.003.0001 · Cited by 1 · see citing works
Flagged first, then by citations
Research works printed but not linked: 3
- [1]Fontaine KL Mental health nursing 6th ed 2008 UK Pearson
- [11]Buckley PF Foster AE Adherence to mental health treatment 1st ed 2009 New York Oxford University Press
- [35]Ebrahimi H Ranjbar F Namdar H Mosaffa F The effect of therapeutic relationship in schizopherenic pateints Journal of Urmia Nursing And Midwifery Faculty 2014 12 6 491 498 (Persian)
Cited by
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Barriers to Family Caregivers’ Coping With Patients With Severe Mental Illness in Iran
Ebrahimi, H., Seyedfatemi, N., Areshtanab, H. N., Ranjbar, F., Thornicroft, G., Whitehead, B., & Rahmani, F. (2018) · Qualitative Health Research · doi:10.1177/1049732318758644 · Cited by 66 · see citing works
Is a SIMPLe smartphone application capable of improving biological rhythms in bipolar disorder?
Hidalgo-Mazzei, D., Reinares, M., Mateu, A., Juruena, M. F., Young, A. H., Pérez-Sola, V., Vieta, E., & Colom, F. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.07.028 · Cited by 52 · see citing works
Demissie, M., Hanlon, C., Birhane, R., Ng, L., Medhin, G., & Fekadu, A. (2018) · BJPsych Open · doi:10.1192/bjo.2018.46 · Cited by 43 · see citing works
Group therapy for mood disorders: A meta-analysis
Janis, R. A., Burlingame, G. M., Svien, H., Jensen, J., & Lundgreen, R. (2020) · Psychotherapy Research · doi:10.1080/10503307.2020.1817603 · Cited by 36 · see citing works
Burke, A. M., Davoren, M. P., Arensman, E., & Harrington, J. M. (2024) · BMJ Open · doi:10.1136/bmjopen-2023-077007 · Cited by 21 · see citing works
Chakrabarti, S. (2019) · Harvard Review of Psychiatry · doi:10.1097/hrp.0000000000000228 · Cited by 17 · see citing works
Levrat, V., Favre, S., & Richard-Lepouriel, H. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1320654 · Cited by 15 · see citing works
Tabatabaee, M., Nooraie, R. Y., Aghaei, A. M., Abadi, Y. R., Ansari, M., Sharifi, S., & Sharifi, V. (2022) · International Journal of Social Psychiatry · doi:10.1177/00207640221077580 · Cited by 13 · see citing works
Casellas‐Pujol, E., Raventós, B., Piñeiro-Ríos, M., Navarro-Martínez, H., Castillón-Espezel, M., Portella, M. J., & Martín‐Blanco, A. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18095019 · Cited by 11 · see citing works
Updated strategies for the management of poor medication adherence in patients with bipolar disorder
McVoy, M. K., & Levin, J. B. (2023) · Expert Review of Neurotherapeutics · doi:10.1080/14737175.2023.2198704 · Cited by 10 · see citing works
Siemann, I., Custers, J., van den Heuvel-Djulic, S., Pouwels, S., Kwakkenbos, L., & Spillekom-van Koulil, S. (2023) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2022.03.005 · Cited by 7 · see citing works
Sarabi, R. E., Ebnehoseini, Z., Nejad, A. S., Akbarzadeh, F., Ziaee, M., & Hashemi, Z. (2021) · Shiraz E-Medical Journal · doi:10.5812/semj.105674 · Cited by 7 · see citing works
Psychological Intervention for Bipolar Disorder in Iran: A Systematic Review
Tabas, M. Y., Momeni, F., Bakhshani, N., Pourshahbaz, A., & Rezaei, O. (2023) · Entomology and Applied Science Letters · doi:10.51847/284tunfrcr · Cited by 6 · see citing works
Effect of Medication Education on Drug Adherence with Mental Disorders: A Clinical Trial Study
Sadeghian, E., dost, M. N., tapak, L., & Shamsaei, F. (2019) · نشریه روان پرستاری · doi:10.21859/ijpn-06066 · Cited by 6 · see citing works
Klein, C. C., Modi, A. C., Welge, J. A., Fornari, V., Kurtz, B. P., Blom, T. J., Higdon, C., Correll, C. U., & DelBello, M. P. (2024) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2024.0011 · Cited by 4 · see citing works
Hatzioannou, A., Chatzittofis, A., Koutroubas, V. S., Papastavrou, E., & Karanikola, M. N. K. (2021) · JMIR Research Protocols · doi:10.2196/25168 · Cited by 3 · see citing works
Şahin, E., Keskin, S. G., & Terzi, M. (2021) · Perspectives In Psychiatric Care · doi:10.1111/ppc.12949 · Cited by 3 · see citing works
Desmet, K., Vrancken, B., Bergs, J., Hecke, A. V., Deproost, E., Bracke, P., Muylaert, S., & Verhaeghe, S. T. L. (2025) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/jpm.70006 · Cited by 2 · see citing works
Medication Non-Compliance: Compliance to Psychotropic Medications within Community Mental Health
DePetro, E. (2020) · Cited by 2 · see citing works
Can Smartphone Apps Assist People with Serious Mental Illness in Taking Medications as Prescribed?
Bianco, C. L., Myers, A. L., Smagula, S. F., & Fortuna, K. L. (2020) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2020.10.010 · Cited by 2 · see citing works
Lama, A., & Baruah, A. (2022) · International Journal of Health Sciences and Research · doi:10.52403/ijhsr.20220536 · Cited by 1 · see citing works
Almadani, A. H., Alghamdi, A. H., Alkathiri, M. A., Albuqami, F. H., Alrahmah, S. A., Aljumah, K., Alenazi, Z. B., Albadi, E. A., Alfarraj, Y. A., Alkhilaiwi, N. E., et al. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1695769 · Cited by 1 · see citing works
Implementation and evaluation of a psychoeducation program in an outpatient mental health center
Kramer, A., & Bjorklund, P. (2020) · Perspectives In Psychiatric Care · doi:10.1111/ppc.12552 · Cited by 1 · see citing works
Devu, B. K. (2020) · Indian Journal of Public Health Research & Development · doi:10.37506/ijphrd.v11i10.11098 · Cited by 1 · see citing works
فعالية برنامج تثقيفي نفسي تدخلي للحد من الانتکاسة لدي مرضي الاضطراب الوجداني ثنائي القطب .
محمد, ه. أ. م. (2021) · Mağallaẗ Kulliyyaẗ Al-Adāb, Ǧāmiʿaẗ Al-Zaqāzīq/Mağallaẗ Kulliyyaẗ Al-Adāb Ǧāmiʿaẗ Al-Zaqāzīq · doi:10.21608/artzag.2022.107248.1078
Psychological Therapies and Bipolar Disorder: A Review of the Evidence
Arnold, R. A., & Burlingame, G. M. (2024) · Springer eBooks · doi:10.1007/978-3-031-63349-2_4
Boğahan, M., Yılmaz, M., & Yılmaz, M. (2025) · Community Mental Health Journal · doi:10.1007/s10597-025-01527-z
Lewis‐Fernández, R., Lam, P. C., John, D. A., Balán, I. C., Galfalvy, H., Quinn, M. J., Reilly, F., Blanco, C., Duan, N., Rosario, M., et al. (2026) · Journal of Affective Disorders · doi:10.1016/j.jad.2026.121490
Effectiveness of adherence therapy in patients with bipolar disorder: A randomized controlled study
Budak, M., & Yıldırım, A. (2026) · Psychiatria Danubina · doi:10.24869/psyd.2026.68
- Authors
- Rahmani, F., Ebrahimi, H., Ranjbar, F., Razavi, S. S., & Asghari, E.
- Affiliations
- Tabriz University of Medical Sciences (IR)
- Corresponding author
- Asghari, Elnaz
- Venue
- Journal of Caring Sciences
- Publisher
- Maad Rayan Publishing Company
- Published
- 2016-12-01
- Volume
- 5
- Issue
- 4
- Pages
- 287-297
- ISSN
- 2251-9920 (ISSN-L)
- PMC
- PMC5187549
- OpenAlex
- W2558351638
- Cited by
- 30
- References
- 44
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 4 · 2023: 2 · 2022: 3 · 2021: 5 · 2020: 6 · 2019: 2 · 2018: 2 · 2017: 1
- FWCI
- 2.03
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- Journal of Caring Sciences (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Tabriz University of Medical Sciences
- University of Tabriz
- Topics
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacy and Medical Practices
- Keywords
- group psychoeducation, medication adherence, bipolar disorder, female patients, psychiatric nursing intervention, medication non-adherence
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