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Psychoeducation Prevents Relapse in Select Bipolar Disorder Patients

Psychoeducation Prevents Relapse in Select Bipolar Disorder Patients

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Specific adjunctive psychotherapies have been developed to fill in the gaps of pharmacologic treatment of bipolar disorder. These authors conducted a systematic review of the efficacy of available psychosocial interventions for the treatment of adult patients with bipolar disorder.

The review of 78 studies found support for the usefulness of psychoeducation only for the relapse prevention of mood episodes and only in a selected subgroup of patients at an early stage of the disease who have very good, if not complete remission, of the acute episode. Cognitive-behavioral therapy (CBT) and interpersonal and social rhythms therapy could have some beneficial effect during the acute phase.

Mindfulness interventions could only decrease anxiety. Interventions to improve neurocognition seem to be rather ineffective. Family intervention seems to have benefits mainly for caregivers, not patients.

The authors recommend that interventions should be applied as early as possible and be tailored to the specific needs of the patient to provide personalized care.

RESULT: Psychosocial treatment and interventions for bipolar disorder: a systematic review. Annals of General Psychiatry. | Jul 7, 2015 (FREE FULL TEXT)

Despite evidence for the effectiveness of structured psychological therapies for bipolar disorder, no psychological interventions have been specifically designed to enhance personal recovery for patients with recent-onset bipolar disorder. These authors conducted a single-blind, randomized, controlled trial of 67 recent-onset bipolar disorder patients to compare treatment as usual with recovery-focused CBT plus treatment as usual.

Recovery-focused CBT was delivered up to 18 hours over approximately 6 months at clients’ homes or mental health facilities, according to personal preference. Recovery-focused CBT differs from standard CBT in several ways.

Compared with treatment as usual, recovery-focused CBT significantly improved personal recovery up to 12-months follow-up and increased time to any mood relapse during up to 15 months follow-up. The 2 groups did not differ with respect to medication adherence.

The authors note that current CBT approaches show mixed results with established bipolar disorder. It’s unknown whether the more personalized approach of recovery-focused CBT has benefits for patients with more established bipolar disorder.

RESULT: Recovery-focused cognitive–behavioural therapy for recent-onset bipolar disorder: randomised controlled pilot trial. British Journal of Psychiatry. | Jan 1, 2015 (FREE FULL TEXT)

 

 
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