Effects of Psychoeducational Intervention for Married Patients with Bipolar Disorder and Their Spouses

Clarkin, John F.; Carpenter, Daniel; Hull, James W.; Wilner, Philip J.; Glick, Ira D.

doi:10.1176/ps.49.4.531

Cited by 182 publications

(98 citation statements)

References 2 publications

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“…The presence of these family attitudes has been associated with more frequent relapses and worse symptomatic outcomes in a number of studies (Honig et al, 1997;Kim & Miklowitz, 2004;Miklowitz et al, 2000;O"Connell et al 1991;Yan et al, 2004). Moreover, psychosocial family interventions which focused upon educating family members about bipolar disorder, facilitating better communication, and optimising problem-solving have been associated with better global functioning (Clarkin et al, 1998) in addition to fewer relapses and greater improvements in depressive symptoms (Miklowitz et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

A qualitative investigation into the relationships between social factors and suicidal thoughts and acts experienced by people with a bipolar disorder diagnosis

Owen

Gooding

Dempsey

et al. 2015

Journal of Affective Disorders

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This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting galley proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. AbstractBackground: The prevalence rate of completed suicide in bipolar disorder is estimated to be as high as 19%. Social factors or influences, such as stigmatisation and family conflict, contribute to the development of suicidal ideation in clinical and non-clinical populations. Yet, there is a lack of studies examining suicidality from a psychosocial perspective in people who experience bipolar disorder.Method: Semi-structured interviews were used to collect qualitative data from 20 participants with bipolar disorder. The interview focused on the effects of social factors upon participants" experiences of suicidality (suicidal thoughts, feelings or behaviours). A thematic analysis was used to understand the data.Results: Social or interpersonal factors which participants identified as protective against suicidality included, 'the impact of suicide on others' and, 'reflecting on positive social experiences'. Social factors which triggered suicidal thoughts included, 'negative social experiences' and, 'not being understood or acknowledged'. Social factors which worsened suicidal thoughts or facilitated suicidal behaviour were, 'feeling burdensome," and 'reinforcing negative self-appraisals'.Limitations: Some participants had not experienced suicidal thoughts for many years and were recalling experiences which had taken place over ten years ago. The accuracy and reliability of these memories must therefore be taken into consideration when interpreting the results. Conclusions:The themes help to enhance current understanding of the ways in which social factors affect suicidality in people who experience bipolar disorder. These results highlight the importance of considering the social context in which suicidality is experienced and incorporating strategies to buffer against the effects of negative social experiences in psychological interventions which target suicide risk in bipolar disorder.

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Section: Introductionmentioning

confidence: 99%

A qualitative investigation into the relationships between social factors and suicidal thoughts and acts experienced by people with a bipolar disorder diagnosis

Owen

Gooding

Dempsey

et al. 2015

Journal of Affective Disorders

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“…61 Effects extended to relationship functioning and life satis faction. 62 No differences emerged between the three intensive modalities in symptoms or psychosocial functioning over 1 year. Interestingly, patients with depression in STEP-BD who were treated with mood stabilisers and randomly assigned to adjunctive anti depressant treatment did not recover faster than patients who were assigned to adjunctive placebo treatment.…”

Section: Adjunctive Psychotherapy In Acute Treatmentmentioning

confidence: 93%

The Treatment of Bipolar Disorder

Möller¹,

Nasrallah²

2017

Oxford Medicine Online

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We review recent developments in the acute and long-term treatment of bipolar disorder and identify promising future routes to therapeutic innovation. Overall, advances in drug treatment remain quite modest. Antipsychotic drugs are effective in the acute treatment of mania; their efficacy in the treatment of depression is variable with the clearest evidence for quetiapine. Despite their widespread use, considerable uncertainty and controversy remains about the use of antidepressant drugs in the management of depressive episodes. Lithium has the strongest evidence for long-term relapse prevention; the evidence for anticonvulsants such as divalproex and lamotrigine is less robust and there is much uncertainty about the longer term benefits of antipsychotics. Substantial progress has been made in the development and assessment of adjunctive psychosocial interventions. Long-term maintenance and possibly acute stabilisation of depression can be enhanced by the combination of psychosocial treatments with drugs. The development of future treatments should consider both the neurobiological and psychosocial mechanisms underlying the disorder. We should continue to repurpose treatments and to recognise the role of serendipity. We should also investigate optimum combinations of pharmacological and psychotherapeutic treatments at different stages of the illness. Clarification of the mechanisms by which different treatments affect sleep and circadian rhythms and their relation with daily mood fluctuations is likely to help with the treatment selection for individual patients. To be economically viable, existing psychotherapy protocols need to be made briefer and more efficient for improved scalability and sustainability in widespread implementation.

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“…Existem também estudos abordando terapia com casais no tratamento do transtorno bipolar (Davenport et al, 1977;Clarkin et al, 1998). Davenport et al (1977) dividiram, não randomicamente, 65 pacientes bipolares eutímicos, que haviam sido recentemente internados para participar de um dos três tipos de tratamento a seguir: 1) terapia de casal mais manejo da medicação; 2) manejo da medicação apenas; 3) atendimento usual.…”

Section: Terapia Familiar E De Casalunclassified

“…Os pacientes que, junto com seus cônjuges, participaram da terapia de casal apresentaram melhor funcionamento social e menos hospitalizações em um seguimento de dois a dez anos. Clarkin et al, (1998) realizaram um tratamento psicoeducacional para os pacientes bipolares e para suas esposas. Quarenta e dois pacientes foram randomizados para 11 meses de tratamento usual ou para tratamento usual mais 25 sessões de tratamento envolvendo o casal.…”

Section: Terapia Familiar E De Casalunclassified

Abordagens psicoterápicas no transtorno bipolar

Knapp¹,

Isolan²

2005

Rev. psiquiatr. clín.

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ResumoEmbora o tratamento farmacológico seja essencial para o tratamento do transtorno bipolar, apenas 40% de todos os pacientes que aderem às medicações permanecem assintomáticos durante o período de seguimento, o que tem levado ao desenvolvimento de intervenções psicoterápicas associadas. O objetivo deste artigo é examinar as evidências atuais da eficácia de intervenções psicoterápicas no tratamento do transtorno bipolar. Foi realizada uma pesquisa bibliográfica por meio do MedLine, PsychoINFO, Lilacs e Cochrane Data Bank, até o ano de 2004, em que foram procurados artigos originais e revisões sobre as abordagens psicoterápicas utilizadas no tratamento do transtorno bipolar. Há várias abordagens que podem se mostrar úteis no tratamento do transtorno bipolar. A psicoeducação e a terapia cognitivo-comportamental apresentam as evidências mais consistentes e são as técnicas mais amplamente estudadas. As intervenções envolvendo familiares e a terapia interpessoal e de ritmo social se mostram tratamentos eficazes em determinadas situações. Há alguns estudos empregando a terapia psicodinâmica no transtorno bipolar, mas são estudos com limitações metodológicas. Apesar de haver evidências demonstrando a eficácia de determinadas abordagens psicoterápicas no transtorno bipolar, ainda é necessária a realização de estudos posteriores que comprovem tais dados e que desenvolvam tratamentos baseados em modelos etiológicos e que identifiquem tratamentos específicos para as diferentes fases e tipos de transtorno bipolar.

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Effects of Psychoeducational Intervention for Married Patients with Bipolar Disorder and Their Spouses

Cited by 182 publications

References 2 publications

A qualitative investigation into the relationships between social factors and suicidal thoughts and acts experienced by people with a bipolar disorder diagnosis

A qualitative investigation into the relationships between social factors and suicidal thoughts and acts experienced by people with a bipolar disorder diagnosis

The Treatment of Bipolar Disorder

Abordagens psicoterápicas no transtorno bipolar

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