Does stage of illness influence recovery-focused outcomes after psychological treatment in bipolar disorder? A systematic review protocol

Tremain, Hailey, Fletcher, Kathryn, Scott, Jan, McEnery, Carla, Berk, Michael and Murray, Greg 2019, Does stage of illness influence recovery-focused outcomes after psychological treatment in bipolar disorder? A systematic review protocol, Systematic reviews, vol. 8, pp. 1-10, doi: 10.1186/s13643-019-1042-4.

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Title Does stage of illness influence recovery-focused outcomes after psychological treatment in bipolar disorder? A systematic review protocol
Author(s) Tremain, Hailey
Fletcher, Kathryn
Scott, Jan
McEnery, Carla
Berk, MichaelORCID iD for Berk, Michael orcid.org/0000-0002-5554-6946
Murray, Greg
Journal name Systematic reviews
Volume number 8
Article ID 125
Start page 1
End page 10
Total pages 10
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2019-05-25
ISSN 2046-4053
Keyword(s) Bipolar disorder
Clinical staging
Functioning
Moderator
Psychosocial interventions
Psychotherapy
Quality of life
Recovery
Stage of illness
Treatment
Summary BACKGROUND: There is great interest in the possibility that 'stage of illness' moderates treatment outcomes in bipolar disorder (BD). Much remains unknown about the construct of stage of illness, but there is evidence that effectiveness of psychosocial interventions may depend on factors that are plausible proxy measures of stage of illness (e.g., number of episodes). To date, reviews of this data have focused solely on clinical outcomes (particularly symptoms and relapse rates), but a range of recovery-focused outcomes (including functioning, cognitive functioning, and quality of life) have been measured in individuals with established BD. The aim of the proposed systematic review is to synthesise existing evidence for plausible proxy measures of stage of illness as moderators of recovery-focused and functional outcomes in psychosocial treatment studies of BD. METHODS: The proposed review will follow PRISMA guidelines; Scopus, PsychINFO, PubMed and Web of Science will be searched for empirical studies of psychosocial interventions used for established (clinical stages 2-4) BD; and findings will be summarised in a narrative synthesis of clinical stage of illness (operationalised in proxy measures identified in existing staging models) as a moderator of recovery-focused and functional outcomes of psychosocial interventions for established bipolar disorder. DISCUSSION: This review will contribute to the literature by expanding upon previous reviews and potentially inform the psychosocial treatment of established BD. Implications include assisting clinicians, consumers and researchers to identify and select interventions most appropriate to recovery-focused goals based on individuals' clinical status. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42016037868.
Language eng
DOI 10.1186/s13643-019-1042-4
Field of Research 110999 Neurosciences not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2019, The Author(s)
Persistent URL http://hdl.handle.net/10536/DRO/DU:30122849

Document type: Journal Article
Collections: Faculty of Health
School of Medicine
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