Effectiveness of Relatives’ Psychoeducation on Family Outcomes in Bipolar Disorder

Psychological interventions for caregivers of people with bipolar disorder: A systematic review and meta-analysis

“…Excluding the substantially larger effect of Kolostoumpis et al (2015) reduced heterogeneity to I 2 = 0%, and the combined effect remained very large g = 2.00 (95% CI: 1.51, 2.49). However, reasons for the larger effect reported by Kolostoumpis et al (2015) were unclear, as standard deviations were similar to those reported in another study for a scale with the same range (Reinares et al, 2004).…”

“…It may be that psychoeducational interventions are unlikely to impact on the objective realities of caregiving, but do impact on caregivers' subjective experience. The results for burden at follow-up are inconclusive, as the large combined effect was predominantly driven by the effect reported by Kolostoumpis et al (2015). It could be that contact with professionals and other caregivers reduces burden in the short-term, but interventions are not sufficient to sustain this in the long-term.…”

“…However, again this was largely driven by the effect for Kolostoumpis et al(2015). Confidence intervals were compatible with both a reduction and increase in symptoms, and there was evidence of high heterogeneity, χ2 (2) = 70.78, p < .001, I 2 = 97%.The substantially larger effect size reported byKolostoumpis et al (2015) may again have been due to very small standard deviations (intervention SD =1.51; control SD = 1.89).…”

“…There was a very large effect on knowledge at post-treatment and follow-up, and the effect remained large when Kolostoumpis et al (2015) was removed from the analysis, which removed any statistical heterogeneity. However, due to lack of information about reliability and validity for the majority of measures used, these results should be interpreted with caution.…”

Avaliação da eficácia da psicoeducação domiciliar individual em relação à psicoeducação em grupo para pacientes com transtorno afetivo bipolar

“…Quando comparados ambos os grupos, os estudos identificaram que pacientes que receberam a Psicoeducação apresentaram maior adesão medicamentosa, porém tal dado foi medido baseado em auto relatos de pacientes e familiares. Além disso, as pesquisas evidenciaram melhoria de qualidade de vida, redução de recaídas e recorrência, diminuição do número de internações e melhora da adesão medicamentosa dos indivíduos que receberam a Psicoeducação(JAVADPOUR et al, 2013;FARIDHOSSEINI et al, 2017).Além do artigode De Souza et al (2016), mais dois avaliaram a eficácia da Psicoeducação em cuidadores(KOLOSTOUMPIS et al, 2015;HUBBARD et al, 2016).Kolostoumpis et al (2015) realizaram sete sessões de Psicoeducação para familiares/cuidadores para investigar a eficácia da Psicoeducação em relação aos seguintes resultados: a) conhecimento dos familiares sobre a doença; b) carga familiar; e c) sofrimento psíquico dos familiares. Após a intervenção, o estudo identificou um aumento no conhecimento sobre o TAB, diminuição da sobrecarga subjetiva e do sofrimento psicológico nos cuidadores.…”