The authors argue that the outpatient treatment of bipolar disorder should involve both somatic and psychosocial components. Show all authors. 2. Our … METHODS: A review of the literature was conducted in Medline/PubMed for articles published during 2000-2010 that respond to the combination of "bipolar disorder" with the … Sagar V Parikh . The aim of this review is to encourage … 2003;5 Suppl 2:80-7. The introduction of formal, manual-based psychotherapeutic interventions that include specific educational components has been particularly promising. Adjunctive psychosocial treatment appears to offer more positive outcomes for bipolar disorder than pharmacotherapy. And, third, we discuss means by which research and theory in line with the BAS dysregulation model can inform psychosocial interventions for bipolar disorder. Unlike standard meta-analysis that can compare only two treatments at a time, NMA … The aim of this brief commentary is to support uptake by offering some context for these new guidelines. Meta-regression techniques were used to identify factors related to the efficacy of this group of therapies. Innovations in adjunctive psychosocial interventions for bipolar disorder. Psychosocial interventions specific to bipolar disorder. Sagar V Parikh, MD, FRCPC 1. Background: Bipolar disorder is associated with significant psychosocial impairment and high use of mental health services. psychosocial interventions being viewed as critical to bridg-ing the gap between theoreticalefficacyand real-world effec-tiveness.6 Several important manualized, reproducible, adjunctive psychosocial interventions have been developed, including CBT, PE, FFT, and IPT.7–11 These focused psychotherapies for bipolar disorder were developed on the Search strategy … Because somatotherapy for bipolar disorder has led to only modest improvements in outcome in general clinical practice, increasing attention has been paid to psychosocial interventions as adjuvants to standard medical model treatment. Moreover, findings from the multisite Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) indicate that each of the three existing psychosocial interventions for bipolar disorder enhance life functioning (Miklowitz, Otto, Frank, Reilly-Harrington, Kogan, et al., 2007) and hasten recovery from a bipolar depressive episode (Miklowitz, et al., 2007). Published between 1990 and 2009. Search Google Scholar for … 3.2. Six types of intervention were studied: family, psycho-education, cognitive therapy, interpersonal … 5. Results focussed on patient outcomes. Current adjunctive psychosocial interventions for bipolar disorder (BD) aim to impact illness course via information sharing/skill development. This focus on clinical outcomes contrasts with the emergent recovery paradigm, which prioritises adaptation to serious mental illness and movement towards personally meaningful goals. Bipolar Disord. As in the main outcome Participants 18 years +. Further research is necessary to identify and the psychosocial risk factors associated with bipolar disorder to design effective interventions to diminish their effects and improve outcome. This chapter complements and extends other recent reviews of this area by (a) evaluating psychotherapy studies according to the evidence … There have been only four reports from trials of psychosocial interventions that focus exclusively on individuals with bipolar II disorder. Second, we review extant research on psychosocial interventions for bipolar disorder. ari.zaretsky@sw.ca Pharmacotherapy is the foundation of treatment for bipolar disorder, but research suggests that adjunctive psychosocial … Psychosocial Interventions for Bipolar Disorder and Coping Style Modification: Similar Clinical Outcomes, Similar Mechanisms? What is the evidence that psychosocial treatment adds to the efficacy of pharmacotherapy in forestalling episodes of bipolar disorder … Over the past decade, psychosocial interventions have been shown to be effective adjuncts to pharmacotherapy for bipolar disorder (BD). Statistics from the National Institute of Mental Health reveal that as many as 5.7 million adult Americans suffer from bipolar mood disorder. Aim: To provide a selected overview of the literature on psychosocial treatments for bipolar disorder Method: Selective literature review Results: Randomised controlled trials of psychosocial … Adjunct psychosocial interventions have been shown to improve outcomes in bipolar disorder because they teach patients strategies to manage their mood instability (Miklowitz, 2008, Swartz et al., 2012b). Study selection. 4. Controlled studies of psychosocial interventions (adjunctive to pharmacotherapy) for adults (18 years or over) with bipolar disorder were eligible for inclusion. Question Family intervention 10 Psycho-education 10 For people with bipolar disorder are disorder-specific Cognitive therapy 7 psychosocial interventions as an adjunct to medication Interpersonal social rhythm therapy 3 Chronic/systematic care 3 more effective than usual care in improving symptoms, Intensive therapies 2 relapse and functioning? Results There were no significant differences between the CBT and psychoeducation groups based on sociodemographic or clinical characteristics (Table 1). Psychological interventions for bipolar disorder were operationalised in the following way: any non-pharmacological intervention delivered in individual, family, multifamily, or group settings, incorporating strategies to prevent or delay the onset of a first bipolar disorder episode (depression, hypomania, or mania), to improve the wellbeing of the off spring of parents with bipolar disorder … INTRODUCTION: Multiple psychosocial interventions for bipolar disorder have been proposed in recent years. Psychosocial Interventions for Alcohol and Substance Use Disorders Many individuals with bipolar disorder also struggle with an alcohol or substance use disorder. The exact cause of the condition remains unknown, however hereditary causes and brain chemistry imbalances are known factors that contribute to its prevalence Therefore, we consider that a critical review of empirically validated models would be useful. 6. Aim: To provide a selected overview of the literature on psychosocial treatments for bipolar disorder Method: Selective literature review Results: Randomised controlled trials of psychosocial interventions in bipolar disorder fall … Therefore, we consider that a critical review of empirically validated models would be useful. 1. Bipolar Disorder Saeed Khalil Saeed bin Jabal 1, Khalid Ibrahim S Albulushi 2, ... Psychosocial interventions, such as CBT and FFT should be employed in combination with pharmacological therapy for bipolar patients in order to increase medication compliance, decrease depressive symptoms and recognize early warning signs of an affective episode should ideally help to … Miklowitz DJ(1), Otto MW. Interventions were adjunctive to pharmacotherapy. Targeted psychosocial interventions for bipolar disorder. Psychosocial interventions can enhance patients' adherence to medications, ability to cope with environmental stress triggers, … Studies needed to report patient outcomes using any validated measurement instrument. Request PDF | On Mar 1, 2004, S Parikh published Psychosocial interventions for bipolar disorder | Find, read and cite all the research you need on ResearchGate Psychosocial interventions for bipolar disorder: a review of literature and introduction of the systematic treatment enhancement program. Although medication is the mainstay of treatment for bipolar disorder, several adjunctive psychosocial interventions have been manualized over the last decade. Aims: To systematically review the evidence for the efficacy of psychosocial interventions for bipolar disorder and examine the implications for mental health nursing practice. Bipolar disorder is an affective disorder characterised by mood episodes which can cause considerable impairment in everyday life. Psychosocial Interventions for Bipolar Disorder and Coping Style Modification: Similar Clinical Outcomes, Similar Mechanisms? 3. Commencing with evidence of the emerging interest in … Author information: (1)Department of Psychology, University of Colorado, Boulder, CO, USA. Deputy Psychiatrist-in-Chief, University Health Network, Toronto, Ontario; Professor of Psychiatry, University of Toronto, Toronto, Ontario See all articles by this author. Multiple psychosocial interventions for bipolar disorder have been proposed in recent years. Context Psychosocial interventions have been shown to enhance pharmacotherapy outcomes in bipolar disorder.. Background: Bipolar disorder (BD) is a chronic condition with a high relapse rate, morbidity and psychosocial impairment that often persist despite pharmacotherapy, highlighting the need for adjunctive psychosocial treatments. Patients with bipolar disorder are prone to recurrences even when they are maintained on lithium or anticonvulsant regimens. Zaretsky A(1). 7. Thus, adjunctive psychosocial interventions are increasingly employed for bipolar disorder. 6 - Psychosocial interventions in bipolar disorder: theories, mechanisms and key clinical trials By Sagar V. Parikh , Vytas Velyvis Edited by Allan H. Young , University of British Columbia, Vancouver , I. Nicol Ferrier , University of Newcastle upon Tyne , Erin E. Michalak , University of British Columbia, Vancouver psychosocial interventions used for the adjunctive treatment of bipolar disorder in adults on relapse rates, depressive and manic symptoms, global functioning and medication adherence. tions about psychosocial intervention in bipolar disorder (BD). This paper provides a current review of literature pertaining to the psychosocial treatment of children with early-onset bipolar spectrum disorder (EOBPSD). The rationale for including psychosocial intervention in bipolar disorder relapse prevention and symptom management is described. This paper's objective is to empirically evaluate the different treatment approaches. Co-occurring disorders are best treated concurrently, meaning that treatment for bipolar disorder should be integrated with the treatment for the alcohol or drug problem. Because of this dearth of information, clinicians must rely on information garnered from trials that include subsets of individuals with bipolar II, in addition to those diagnosed with bipolar I or related bipolar disorders. Experimental design. Particular attention is given to the clinical implications of research, suggesting that bipolar disorder is characterized by high … Generally medication is effective in the treatment of acute episodes but there … Objective To examine the benefits of 4 disorder-specific psychotherapies in conjunction with pharmacotherapy on time to recovery and the likelihood of remaining well after an episode of bipolar depression.. Design Randomized controlled trial. Psychosocial interventions for bipolar disorder Castle DJ, Berk L, Lauder S, Berk M, Murray G. Psychosocial interventions for bipolar disorder. It is still unclear which populations are most likely to benefit from which approach and the best timing to implement them. Reported outcome data using any measurement instrument. However, effect sizes are not large, mechanisms are poorly understood, and more research is urgently required to improve outcomes for people with BD. 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