Reasons for Nonadherence to Psychiatric Medication and Cardiovascular Risk Factors Treatment Among Latino Bipolar Disorder Patients Living in Puerto Rico: A Qualitative Study

Community Ment Health J. 2018 Aug;54(6):707-716. doi: 10.1007/s10597-017-0202-z. Epub 2017 Nov 10.


Latinos with bipolar disorder (BD) have a high rate of nonadherence to psychiatric medication and treatment for other medical conditions such as cardiovascular disease (CVD) risk factors than non-Latinos with BD. The aim of this study is to identify patients' perspectives on the reasons for nonadherence to psychiatric medication and for CVD risk factors conditions in outpatients with BD. Three focus group sessions were held for a total of 22 adults ranging from 23 to 60 years old. Participants had BD, Type I/II and CVD risk factors. Audio-recordings of focus groups were transcribed and a content analysis was performed. Reasons identified as barriers to adherence were somewhat different for BD medications in comparison to CVD risk factors suggesting the need for integrated interventions targeting these barriers to adherence for both BD and CVD risk factors.

Keywords: Bipolar disorder; Cardiovascular disease risk factors; Latinos; Nonadherence; Qualitative content analysis; Stigma.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Antipsychotic Agents / therapeutic use*
  • Bipolar Disorder / drug therapy*
  • Bipolar Disorder / psychology*
  • Body Mass Index
  • Cardiovascular Diseases
  • Female
  • Focus Groups
  • Health Knowledge, Attitudes, Practice* / ethnology
  • Humans
  • Male
  • Medication Adherence / psychology*
  • Middle Aged
  • Professional-Patient Relations
  • Puerto Rico
  • Qualitative Research
  • Risk Factors
  • Stereotyping
  • Young Adult


  • Antipsychotic Agents