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Open Access 01-12-2015 | Review

Psychosocial treatment and interventions for bipolar disorder: a systematic review

Authors: Stella Miziou, Eirini Tsitsipa, Stefania Moysidou, Vangelis Karavelas, Dimos Dimelis, Vagia Polyzoidou, Konstantinos N Fountoulakis

Published in: Annals of General Psychiatry | Issue 1/2015

Abstract

Background

Bipolar disorder (BD) is a chronic disorder with a high relapse rate, significant general disability and burden and with a psychosocial impairment that often persists despite pharmacotherapy. This indicates the need for effective and affordable adjunctive psychosocial interventions, tailored to the individual patient. Several psychotherapeutic techniques have tried to fill this gap, but which intervention is suitable for each patient remains unknown and it depends on the phase of the illness.

Methods

The papers were located with searches in PubMed/MEDLINE through May 1st 2015 with a combination of key words. The review followed the recommendations of the Preferred Items for Reporting of Systematic Reviews and Meta-Analyses statement.

Results

The search returned 7,332 papers; after the deletion of duplicates, 6,124 remained and eventually 78 were included for the analysis. The literature supports the usefulness only of psychoeducation 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-behavioural therapy and interpersonal and social rhythms therapy could have some beneficial effect during the acute phase, but more data are needed. Mindfulness interventions could only decrease anxiety, while interventions to improve neurocognition seem to be rather ineffective. Family intervention seems to have benefits mainly for caregivers, but it is uncertain whether they have an effect on patient outcomes.

Conclusion

The current review suggests that the literature supports the usefulness only of specific psychosocial interventions targeting specific aspects of BD in selected subgroups of patients.

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Title: Psychosocial treatment and interventions for bipolar disorder: a systematic review
Authors: Stella Miziou
Eirini Tsitsipa
Stefania Moysidou
Vangelis Karavelas
Dimos Dimelis
Vagia Polyzoidou
Konstantinos N Fountoulakis
Publication date: 01-12-2015
Publisher: BioMed Central
Published in: Annals of General Psychiatry / Issue 1/2015
Electronic ISSN: 1744-859X
DOI: https://doi.org/10.1186/s12991-015-0057-z

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Psychosocial treatment and interventions for bipolar disorder: a systematic review

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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