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Psychosocial interventions for bipolar disorder

journal contribution
posted on 2009-12-01, 00:00 authored by D J Castle, Lesley BerkLesley Berk, S Lauder, Michael BerkMichael Berk, G Murray
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 largely into five categories, namely: psychoeducation, integrated treatments, family based therapy, cognitive behavioural therapy and interpersonal social rhythm therapy. Most studies have shown some benefit in terms of relapse prevention, but have tended to be effective for either the depressed or the manic pole, and not both. Broader outcome parameters such as quality of life have not been reported consistently. The mechanisms whereby treatments might exert their effects have not been clearly delineated. Many studies have excluded patients with bipolar II and other variants, and those with psychiatric and substance use comorbidities, reducing their generalisability. Discussion: Whilst psychosocial treatments show promise in the area of bipolar disorder, more work is required to delineate the effective elements of such interventions, and to ensure generalisability to individuals with bipolar II and other forms of bipolar disorder, as well as those with psychiatric and substance use comorbidities. Other forms of delivery, such as via the internet, deserve further exploration. © 2009 John Wiley & Sons A/S.

History

Journal

Acta Neuropsychiatrica

Volume

21

Issue

6

Pagination

275 - 284

Publisher

Cambridge University Press

ISSN

0924-2708

eISSN

1601-5215

Language

eng

Publication classification

CN.1 Other journal article