CONCLUSIONS
In this bipolar disorder spectrum sample seeking family
inclusive treatment, both patients and caregivers presented with
considerable psychiatric distress, which was associated with poorer
adherence in patients but greater adherence in caregivers. Efforts
should be made in such a population to lower anxiety and stigma in
patients, while raising concern and awareness in caregivers. In
addition, it may be of great clinical importance in families presenting
for family treatment to assess how caregiver distress relates to
patient distress, and to shape early interventions accordingly. More
research is needed to further clarify the complex relationships
between caregiver and patient symptoms and perceptions.