Dysfunctional Personality Disorder Beliefs, Treatment Adherence and Lifetime Suicide Attempts of Bipolar Disorder Patients Type-1

Aim: This study aims to determine the effects of personality-specific dysfunctional beliefs on psychiatric treatment adherence of patients with bipolar disorder (BD) type-1 in relation to their suicide attempt history.Additionally, the clinical features of the patients related to that may influence medication adherence.Materials and Methods: Patients were screened (n=79) using the Morisky Medication Adherence Scale, and the Personality Belief Questionnaire-Short Form to assess psychiatric treatment adherence and personality-specific dysfunctional beliefs, respectively. Results:The results of the study show that the psychiatric medication treatment adherent group consisted of 26 (32.9%) patients, while the psychiatric medication treatment non-adherent group consisted of 53 (67.1%) patients.Participants with a history of suicide attempt had high dysfunctional beliefs specific to avoidant, dependent, histrionic, paranoid, and borderline personalities both in the psychiatric medication treatment adherent and psychiatric medication non-adherent group (p0.05).The number of patients who stopped their medication due to its side effects was significant higher in the psychiatric medication treatment non-adherent group than the psychiatric medication treatment adherent group (p0.05).The age of onset of BD was significantly higher in the psychiatric medication treatment adherent group than in the psychiatric medication treatment non-adherent group (p0.05). Conclusion:This study showed that during the pharmacological management of BD type-1 patients with history of suicide attempt, dysfunctional beliefs specific to avoidant, dependent, histrionic, paranoid, and borderline personalities may be considered.This study highlights the importance of dysfunctional personality beliefs in type-1 BD patients.