An ISBD perspective on the sociocultural challenges of managing bipolar disorder: a content analysis

Oedegaard, Christine H., Berk, Lesley, Berk, Michael, Youngstrom, Eric A., Dilsaver, Steven C., Belmaker, Robert H., Oedegaard, Ketil J., Fasmer, Ole B. and Engebretsen, Ingunn M. 2016, An ISBD perspective on the sociocultural challenges of managing bipolar disorder: a content analysis, Australian and New Zealand journal of psychiatry, vol. 50, no. 11, pp. 1096-1103, doi: 10.1177/0004867416668790.

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Title An ISBD perspective on the sociocultural challenges of managing bipolar disorder: a content analysis
Author(s) Oedegaard, Christine H.
Berk, LesleyORCID iD for Berk, Lesley
Berk, MichaelORCID iD for Berk, Michael
Youngstrom, Eric A.
Dilsaver, Steven C.
Belmaker, Robert H.
Oedegaard, Ketil J.
Fasmer, Ole B.
Engebretsen, Ingunn M.
Journal name Australian and New Zealand journal of psychiatry
Volume number 50
Issue number 11
Start page 1096
End page 1103
Total pages 8
Publisher Sage
Place of publication London, Eng.
Publication date 2016-11
ISSN 1440-1614
Keyword(s) Bipolar disorder
International Society for Bipolar Disorders
health service delivery
qualitative research
Science & Technology
Life Sciences & Biomedicine
Summary OBJECTIVE: Clinical management of bipolar disorder patients might be affected by culture and is further dependent on the context of healthcare delivery. There is a need to understand how healthcare best can be delivered in various systems and cultures. The objective of this qualitative study was to gain knowledge about culture-specific values, beliefs and practices in the medical care provided to patients with bipolar disorders from a provider perspective in various areas of the world.

SAMPLING AND METHODS: The International Society for Bipolar Disorders (ISBD) network provided the framework for this qualitative study. An electronic interview with open-ended questions was administered to 19 international experts on bipolar spectrum disorder representing the International Society for Bipolar Disorders chapter network in 16 countries and six continents. In addition, there were two in-depth interviews with bipolar spectrum disorder experts done prior to the survey. The data were analysed using content analysis, and the information was structured using the software NVivo by QSR International Pty Ltd.

FINDINGS: All participants described sociocultural factors as important in healthcare delivery to bipolar patients in their part of the world, both in accessing healthcare and in providing culturally appropriate care. Factors that affected the provider's ability to supply good clinical management of patients were access to treatment options and long-term follow-up, as well as general strategies to combat stigma. In some societies, the patients' use of alternative treatments, gender issues and religion were also important factors. Understanding the impact of such culturally specific factors was overall regarded as essential for proper treatment interventions.

CONCLUSION: Sociocultural factors clearly affect the nature and quality of medical services delivered to bipolar patients. Financial, social and cultural factors affect patients' health-seeking behaviour, and this highlights the need for knowledge about such factors in order to adequately identify and treat bipolar patients globally. Culturally adapted training and psychoeducation programmes are particularly warranted.
Language eng
DOI 10.1177/0004867416668790
Field of Research 110319 Psychiatry (incl Psychotherapy)
Socio Economic Objective 920410 Mental Health
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, The Royal Australian and New Zealand College of Psychiatrists
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