L'observance thérapeutique du patient bipolaire : étude comparative des propositions de Basco, Rush et Newman pour l'améliorer

Treatment adherence in bipolar patients is often partial and relapses are relatively common. Enhancing adherence to medication is the main objective of psychotherapy with these patients; behavioral and cognitive therapies have widely improved prognosis. The present study is a comparison of the approaches of Newman and Basco focusing on enhancing treatment adherence in patients with bipolar disorders. Newman proposes daily thought records, guided discovery questioning techniques, weighing the advantages and disadvantages of taking psychotropic medication, as well as stimulus control methods. Basco proposes a compliance contract which includes a statement of thoughts as well as a statement of obstacles, both of which can reduce medication adherence through thoughtful anticipation. The comparison illustrates both similarities and some discrepancies, which provide psychotherapists a wider variety of techniques for helping patients followed in individual therapy adapt to their disorder.