Effects of family-focused therapy on suicidal ideation and behavior in youth at high risk for bipolar disorder

Miklowitz, David J.; Merranko, John; Weintraub, Marc J.; Walshaw, Patricia D.; Singh, Manpreet K.; Chang, Kiki; Schneck, Christopher D.

doi:10.1016/j.jad.2020.06.015

Cited by 23 publications

(12 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These results suggest that simultaneous attention to environmental and cognitive factors is an important step in the treatment of patients with BD-I. This nding is consistent with the results of previous studies, reporting FFT as an evidence-based treatment (9,37,38).…”

Section: Discussionsupporting

confidence: 91%

Comparison of the Effectiveness of Family-Focused Therapy and Social Cognition and Interaction Training in Preventing the Relapse of Bipolar Disorder and Improving the Patient’s Interpersonal Relationships and Components Related to Social Functioning: Randomized Clinical Trial

Tabas

Momeni

Bakhshani

et al. 2023

Preprint

View full text Add to dashboard Cite

Background: Bipolar disorder type I (BD-I) is characterized by periodic mood swings, including mania and depression. Family stress and cognitive defects are among the important factors in the relapse of this disorder. The present study aimed to investigate the effectiveness of family-focused therapy (FFT) and social cognitive and interaction training (SCIT) in preventing BD-I relapse and improving the patient’s interpersonal relationships and components related to social functioning. Methods: This quasi-experimental study had a controlled, pretest-posttest, and three-month follow-up design. Sixty patients with BD-I, hospitalized in Zahedan Psychiatric Hospital (Zahedan, Iran), as well as one of their primary caregivers, were selected purposefully based on the inclusion criteria and randomly assigned to three groups. A total of 56 individuals completed all the study questionnaires until the follow-up. The SCIT group (consisting of only patients) and the FFT group (consisting of patients with a primary caregiver) each participated in 15 sessions of group interventions. The research tools were completed before the intervention, after the first session of the intervention, after the intervention, and in the follow-up. Results: The present results showed that the SCIT and FFT could equally improve relapse prevention and promote social functioning and its components, except for the component of interpersonal relationships, where SCIT was more effective than FFT in the posttest (β=3, P=0.034) and follow-up (β=5.043, P=0.001). Conclusion: According to the present results, since FFT is an evidence-based treatment for BD-I patients, SCIT can be used along with this intervention, as simultaneous attention to environmental factors and social cognitive defects can provide an opportunity to improve the social functioning of patients with BD-I, especially their interpersonal relationships.

show abstract

Section: Discussionsupporting

confidence: 91%

Comparison of the Effectiveness of Family-Focused Therapy and Social Cognition and Interaction Training in Preventing the Relapse of Bipolar Disorder and Improving the Patient’s Interpersonal Relationships and Components Related to Social Functioning: Randomized Clinical Trial

Tabas

Momeni

Bakhshani

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Drawing on emotion‐focused therapy, with its roots in attachment theory, the intervention is designed to strengthen parent–child attachment thereby increasing the young person's social support and reducing suicide risk (Diamond, Diamond, & Levy, 2014). Research has found family‐focused interventions that improve communication (Richman, 2001), family psychoeducation (Miklowitz et al., 2020), and cognitive‐behavioural family therapy (Esposito‐Smythers et al., 2019; Weinstein et al., 2018; Wijana, Enebrink, Liljedahl, & Ghaderi, 2018) to be effective in reducing suicidal ideation in the identified struggling family member. A few CFT models have been adapted to address suicidality.…”

Section: Relational Approaches To Addressing Suicidalitymentioning

confidence: 99%

A Critical, Relational Approach for Working with Suicide in Family Therapy

Ellis

2022

ANZ J of Family Therapy

View full text Add to dashboard Cite

Suicidality is a major global public health issue that couple and family therapists will inevitably encounter in their clinical work. While relational therapies for addressing suicidality are growing, few specifically outline ways to address the influence of systemic oppression on suicidality, reflecting the push to de-politicise suicide research. To address this issue, scholars have proposed integrating narrative approaches with evidence-based practices. This paper therefore delineates the integration of narrative therapy with dialectical behaviour therapy as a material discursive therapy. All main aspects of theory integration are described, including the epistemological framework, approach to the therapeutic relationship, and interventions. Finally, the change process is described using clinical case examples throughout to illustrate the ways in which these models can be integrated to produce a critical, relational approach for addressing suicidality in family therapy.

show abstract

“…Moreover, for those children with high-risk BD and adolescents (children with prominent depression and mania symptoms, parents having mood disorders, and at least one parent showing high levels of criticism), FFT was confirmed to be effective and the interval time of depression was prolonged after 4-months of FFT ( 93 ). Meanwhile, after FFT, suicidal ideation significantly decreased, the interval time without suicidal behaviors was prolonged, and children-reported family conflicts decided the efficiency of FFT to suicidal ideation ( 94 ), clinically-related depression scores, and the frequency of perceived criticism from parents were also reduced ( 95 ). For high-risk children, FFT may therefore improve not only depression, hypomania, and psycho–social scores but also YMRS and CDRS scores ( 96 ).…”

Section: Psychotherapymentioning

confidence: 99%

Research Status in Clinical Practice Regarding Pediatric and Adolescent Bipolar Disorders

et al. 2022

View full text Add to dashboard Cite

Bipolar disorders (BDs) have high morbidity. The first onset of 27.7% of BDs occurs in children under 13 years and of 37.6% occurs in adolescents between 13 and 18 years. However, not all of the pediatric and adolescent patients with BD receive therapy in time. Therefore, studies about pediatric and adolescent patients with disorders have aroused increased attention in the scientific community. Pediatric and adolescent patients with BD present with a high prevalence rate (0.9–3.9%), and the pathogenic factors are mostly due to genetics and the environment; however, the pathological mechanisms remain unclear. Pediatric and adolescent patients with BD manifest differently from adults with BDs and the use of scales can be helpful for diagnosis and treatment evaluation. Pediatric and adolescent patients with BDs have been confirmed to have a high comorbidity rate with many other kinds of disorders. Both medication and psychological therapies have been shown to be safe and efficient methods for the treatment of BD. This review summarizes the research status related to the epidemiology, pathogenic factors, clinical manifestations, comorbidities, diagnostic and treatment scales, medications, and psychological therapies associated with BDs.

show abstract

Effects of family-focused therapy on suicidal ideation and behavior in youth at high risk for bipolar disorder

Cited by 23 publications

References 41 publications

Comparison of the Effectiveness of Family-Focused Therapy and Social Cognition and Interaction Training in Preventing the Relapse of Bipolar Disorder and Improving the Patient’s Interpersonal Relationships and Components Related to Social Functioning: Randomized Clinical Trial

Comparison of the Effectiveness of Family-Focused Therapy and Social Cognition and Interaction Training in Preventing the Relapse of Bipolar Disorder and Improving the Patient’s Interpersonal Relationships and Components Related to Social Functioning: Randomized Clinical Trial

A Critical, Relational Approach for Working with Suicide in Family Therapy

Research Status in Clinical Practice Regarding Pediatric and Adolescent Bipolar Disorders

Contact Info

Product

Resources

About