Journal of Medical Internet Research - International Scientific Journal for Medical Research, Information and Communication on the Internet

Because bipolar disorder causes substantial functional disability, the consequences of misdiagnosis are great. This study looked at 30 years of data on real-world stability of bipolar diagnoses, plus clinical characteristics associated with instability.

We present the case of a 42-year-old female patient with a diagnosis of schizophrenia who, 24 hours after the onset of the Russian invasion of Ukraine, developed a delirium on this topic. This case report illustrates how current news is processed by psychotic patients. Relevant current events can be incorporated into delusional themes due to the intensity and immediacy of information by the media.

Treatment adherence can improve the prognosis of severe mental illnesses. Self-report questionnaires are the main tools to measure it. However, a new assessment method has emerged: the electronic prescription system. This enables us to verify whether patients have collected their medication from the pharmacy, providing an objective measure of adherence. The ADHERA study aims to: (1) Compare digital self-report questionnaires with the electronic prescription system. (2) Identify factors associated with non-adherence. (3) Evaluate the effectiveness of an adherence-promoting intervention. This intervention will consist of the identification of patients with poor adherence and a subsequent program of psychoeducation led by clinical psychologists. Adherence will be reassessed six months later to evaluate the intervention’s effectiveness. By identifying key sociodemographic and clinical factors associated with non-adherence, this project will inform targeted interventions to support patients with schizophrenia and bipolar disorder. Furthermore, the psychoeducational telehealth program may represent an effective, scalable, and patient-centered strategy to improve long-term treatment adherence and clinical outcomes. If successful, this model could be implemented in other regions and chronic conditions, contributing to a more efficient and patient-focused healthcare system.