Treatment Non-Compliance in BPAD Patients: A Study From a Tertiary Care Centre in Nepal

  • Sandip Subedi Associate Professor, Department of Psychiatry, Universal College Of Medical Sciences, Bhairahawa, Nepal
  • Kamala Paudel Lecturer, MMIHS, Kathmandu, Nepal
Keywords: Non-Compliance, BPAD, Nepal


Background: Treatment Non-compliance is a major challenge in the treatment of Bipolar Affective Disorder. This is a serious issue because non-compliance can give rise to lots of unwanted consequences. Non-compliance results from multiple factors. Therefore, understanding various reasons for non-compliance and taking steps to reduce it is a key step in minimizing the unwanted consequences. Thus, This study was done to know the pattern of non-compliance in patients with BPAD and Factors affecting it.

Material And Methods: This was a crosssectional study including 76 patients who attended Psychiatry OPD of Universal College Of Medical Sciences. Socio-demographic data sheet, Data sheet for various factors related to non-compliance, Morisky 8-Item Medication Adherence Scale (MMAS-8) and Descriptive summaries of socio-demographic and contributing factors for all patients were used to record the data.

Results: Out of Total 76 patients, males (55.2%) were slightly higher than Females. Mean age of participants was 35.78 with SD ±12.25. About 76.8% patients were non-compliant. High non-compliance was seen in age below 40 years (48.7%), male (52.6%), duration of illness up to 15 years (78.9%), having up to 3 pills (44.7%) and having previous treatment history (60.5%).

Conclusion: Treatment non-compliance was very high in patients with BPAD. Appropriate measures needs to be taken care to reduce the non-compliance.

How to Cite
Subedi S, Paudel K. Treatment Non-Compliance in BPAD Patients: A Study From a Tertiary Care Centre in Nepal. JKAHS [Internet]. 8Apr.2020 [cited 28May2020];3(1):1-. Available from:
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