The impact of therapeutic communication on treatment adherence in patients with bipolar disorder: a scoping review protocol
DOI:
https://doi.org/10.62741/ahrj.v3iSuppl.169Keywords:
Bipolar disorder, Communication, Patient compliance, Mental health, Scoping review, Therapeutic allianceAbstract
Introduction: According to the World Health Organization, around 450 million people live with mental disorders, with bipolar disorder accounting for high levels of disability and affecting approximately 1.6% of the global population. This condition is associated with high rates of non-adherence to treatment. Therapeutic communication, recognized as an essential tool in mental health care, may positively influence treatment adherence, yet scientific literature on this relationship remains scarce.
Objective: To map the available scientific evidence on the impact of therapeutic communication on treatment adherence in patients diagnosed with bipolar disorder.
Methodology: Scoping review following the guidelines of the Joanna Briggs Institute and based on the question: What evidence is available in the literature on the impact of therapeutic communication on treatment adherence in patients diagnosed with bipolar disorder? The search will be conducted in PubMed, MEDLINE (via EBSCO), CINAHL, and Psychology and Behavioral Sciences Collection databases, Web of Science, as well as in gray literature. Studies published between 2021 and 2026, in Portuguese, English, and Spanish, will be included. The selection of articles will follow the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR statement).
Conclusion: This scoping review will provide a comprehensive and evidence-based overview of the role of therapeutic communication in treatment adherence in bipolar disorder, supporting future research, effective clinical interventions, and person-centered practices.References
Vigo D, Thornicroft G, Atun R. The World Health Organization Mental Health Report: A call to action. Br J Psychiatry. 2023;222(6):241–243. doi:10.1192/bjp.2023.41 DOI: https://doi.org/10.1192/bjp.2023.9
Sociedade Portuguesa de Psiquiatria e Saúde Mental. Termos em saúde/perturbação mental. 2025. Accessed August 11, 2025. https://www.sppsm.org/informemente/termos-em-saudeperturbacao-mental-2/
Souza H. As implicações do transtorno afetivo bipolar na sociedade e os seus possíveis tratamentos. Revista Tópicos. 2025. Accessed August 11, 2025. https://revistatopicos.com.br/artigos/as-implicacoes-do-transtorno-afetivo-bipolar-na-sociedade-e-os-seus-possiveis-tratamentos
Figueiredo B, Silva T, França L, et al. Transtorno bipolar: Desafios etiológicos, clínicos e terapêuticos. Rev Soc Desenvolvimento e Pesquisa. 2022;11(14):e120111436224. doi:10.33448/rsd-v11i14.36224 DOI: https://doi.org/10.33448/rsd-v11i14.36224
Ordem dos Enfermeiros. Uso terapêutico da comunicação. Lisboa: Ordem dos Enfermeiros; 2024. Accessed August 11, 2025. https://www.ordemenfermeiros.pt/media/34686/25_08_2024-22363-p%C3%A1gina-19-geral.pdf
Alpalhão S, Santos E. As intervenções do enfermeiro especialista em enfermagem de saúde mental e psiquiátrica para promover a comunicação terapêutica [master’s thesis]. Instituto Politécnico de Setúbal; 2023. Accessed August 11, 2025. https://comum.rcaap.pt/entities/publication/f4dcde2e-bd24-4398-895a-9a5d5644b1a9
Domingues A. A contribuição das competências de comunicação de médicos e enfermeiros para a literacia em saúde: O modelo ACP – Assertividade (A), Clareza (C) e Positividade (P) na relação terapêutica [master’s thesis]. Instituto Superior de Ciências Sociais e Políticas; 2020. Accessed August 11, 2025. https://repositorio.ulisboa.pt/handle/10400.5/20901
Machuco I. Adesão ao regime terapêutico em doentes psiquiátricos [master’s thesis]. Instituto Politécnico de Beja; 2025. Accessed August 11, 2025. https://repositorio.ipbeja.pt/bitstreams/21fe149b-dc24-4c73-949e-b0500855cf62/download
Carmarneiro A. Adesão terapêutica: Contributos para a compreensão e intervenção. Rev Enferm Referência. 2020;Série V(5):e20082. Accessed August 11, 2025. https://rr.esenfc.pt/rr/index.php?module=rr&target=publicationDetails&pesquisa=&id_artigo=3911&id_revista=55&id_edicao=249
Silveira J, Ribeiro N, Santos F. Aliança terapêutica em contextos de saúde e processos de doença. Sociedade Brasileira de Psicologia Hospitalar; 2025. Accessed August 11, 2025. https://revistasbph.emnuvens.com.br/revista/article/view/543
Saques E, Goossens E, Vanwesemael T, et al. Interventions to improve medication adherence in patients with schizophrenia or bipolar disorder: A systematic review and meta-analysis. Int J Environ Res Public Health. 2021;18(19):10213. doi:10.3390/ijerph18191021 DOI: https://doi.org/10.3390/ijerph181910213
World Health Organization. Adherence to long-term therapies: Evidence for action. Geneva: World Health Organization; 2003. https://iris.who.int/handle/10665/42682
Aromataris E, Lockwood C, Porritt K, Pilla B, Jordan Z, eds. JBI Manual for Evidence Synthesis. JBI; 2024. doi:10.46658/JBIMES-24-01 DOI: https://doi.org/10.46658/JBIMES-24-01
Tricco AC, Lillie E, Zarin W, et al. PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Ann Intern Med. 2018;169(7):467–473. doi:10.7326/M18-0850 DOI: https://doi.org/10.7326/M18-0850
Amorim C, Almeida S, Teixeira S. The impact of therapeutic communication on treatment adherence in patients with bipolar disorder: A scoping review. OSF Preprints. 2025 Jul 28. doi:10.17605/OSF.IO/NQ9EA
Peters MDJ, Godfrey C, McInerney P, et al. Scoping reviews. In: Aromataris E, Lockwood C, Porritt K, Pilla B, Jordan Z, eds. JBI Manual for Evidence Synthesis. JBI; 2020. doi:10.46658/JBIMES-24-09 DOI: https://doi.org/10.46658/JBIMES-24-09
Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ. 2021;71:1–9. DOI: https://doi.org/10.1136/bmj.n71
Joanna Briggs Institute. New JBI levels of evidence. 2014. Accessed August 11, 2025. https://jbi.global/sites/default/files/2019-05/JBI-Levels-of-evidence_2014_0.pdf
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