Research on Humanities and Social Sciences www.iiste.org ISSN (Paper)2224-5766 ISSN (Online)2225-0484 (Online) Vol.6, No.4, 2016 128 The Correlation between Depression, Anxiety and Treatment Motivation in Patients with Affective Disorder Stankovska Gordana, PhD. Faculty of Philosophy, Institute for Psychology, State University of Tetova, Macedonia Angelkoska Slagana, MSc. Center for Social Work, Gostivar, Macedonia Dimitrovski Dimitar, MSc. Institute of Public Health, Skopje, Macedonia Abstract Background: The relationship between affective disorder and symptoms of anxiety and depression is very complex. Although a variety of self-report measures are beginning to be utilized to access anxiety and depression in patients with affective disorder. Also evidence shows that individuals with affective disorder experience better functioning and reduced symptom if they follow recommended psychiatric treatment. Learning to live with a continuous, episodic illness is a huge challenge for people with bipolar disorder and their family. Objective: The relationship between affective disorder and symptoms of anxiety and depression is very complex. Although a variety of self-report measures are beginning to be utilized to access anxiety and depression in patients with affective disorder. Also evidence shows that individuals with affective disorder experience better functioning and reduced symptom if they follow recommended psychiatric treatment Methods: The study involved 80 patients (32 males, 48 females) with an average age 44,5 years, hospitalized in the Psychiatric Hospital in Skopje and the Department of Psychiatry of Clinical Hospital in Tetovo, with a clinical diagnosis of affective disorder. The diagnosis of affective disorder is set against the classification DSM – V (Diagnostic and Statistical Manual of Mental Disorder). All subjects were under adequate psychopharmacological treatment. The Hamilton Anxiety Rating Scale (HAM-A), Hamilton Depression Rating Scale (HAM-D) and Treatment Motivation Questionnaire (TMQ) were applied to the entire population. Results: From the results it is evidenced that the patients with affective disorder have higher scores on the HAM-A and HAM-D. The correlation was positively significant at the level of 0.01. Also there was significant relationship between treatment motivation and the type of disorder (F , 2, 77 = 11.902; p<0.00). Conclusions: Depression and anxiety are common in patients with affective disorder and can interfere with their response to treatment. Key words: Affective Disorder, Depression, Anxiety, Treatment Motivation, Quality of Life Introduction Bipolar disorder, also know as manic-depressive illness, is a brain disorder that causes unusual shift in a person's mood, energy and ability to function(Birchwood, 2000). The mood episodes associated with the disorder persist from days to weeks or longer and can be dramatic witjh period of being overly high and irritable to periods of persestent sadness and hopelessness. Sever changes in behavior go along with mood changes. These periods of hoghs and lows, called episodes often recurring over time or they may occur together in a so-called mixed state. Often people with bipolar disorder experience periods of normal mood in between mood episodes (Verdoux and Bourgeois, 1993).. This kind of disorder is characterized by alternating manic episodes in which the individual feels abnormally euphric, optimistic,full with emergy, sometimes irritable, engages in multiple activities, may develop thinking that is out of step with reality and depressive periods in which the individual feels sad, hopeless, guilty and sometimes suicidal. In fact, there is some evidence that depression phase is much more commom than periods of mania in this illness. Bipolar depression can be much more bistressing than mania and because of the risk of suicide, is potentially more dangerous. Mixed status, where both manic or hypomanic symptoms and depressive symptoms occur at the same time are ofen presented at the patients. It is known that changes are a normal part of life. However, with bipolar disorders, the awings are more extreme. They become so intense, that the person does not realize that he/she is not behavings normally or the person suffers as much from depression that he/she is paralyzed and overwhelmed by suicidal thoughts. Also a large number of studies report that individuals who have experienced affective disorder often feel depressive and anxiety. These disturbances can be seen before to the development of psychosis (Neale et al., 2005) and also appear to be implicated in relapse. Depression was found, in up to 50-60% of patients with affective disorder (Johnson, 2008).