Family interventions for bipolar disorder

Justo, Luís Pereira; Soares, Bernardo; Calil, Helena Maria

doi:10.1002/14651858.cd005167.pub2

Cited by 41 publications

(43 citation statements)

References 54 publications

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“…A systematic review of interventions involving relatives was unable to draw conclusions due the heterogeneity and limited size of trials [11]. Nevertheless, recent trials conducted in families of adults [12] and adolescents [13] or carers alone [14] have yielded positive effects on outcome, illustrating the potential value of involving relatives to improve the outcome of bipolar disorder.…”

Section: Introductionmentioning

confidence: 99%

Involving relatives in relapse prevention for bipolar disorder: a multi-perspective qualitative study of value and barriers

et al. 2011

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BackgroundManaging early warning signs is an effective approach to preventing relapse in bipolar disorder. Involving relatives in relapse prevention has been shown to maximize the effectiveness of this approach. However, family-focused intervention research has typically used expert therapists, who are rarely available within routine clinical services. It remains unknown what issues exist when involving relatives in relapse prevention planning delivered by community mental health case managers. This study explored the value and barriers of involving relatives in relapse prevention from the perspectives of service users, relatives and care-coordinators.MethodsQualitative interview study nested within a randomized controlled trial of relapse prevention for individuals with bipolar disorder. The purposive sample of 52 participants comprised service users (n = 21), care coordinators (n = 21) and relatives (n = 10). Data were analyzed using a grounded theory approach.ResultsAll parties identified benefits of involving relatives in relapse prevention: improved understanding of bipolar disorder; relatives gaining a role in illness management; and improved relationships between each party. Nevertheless, relatives were often discouraged from becoming involved. Some staff perceived involving relatives increased the complexity of their own role and workload, and some service users valued the exclusivity of their relationship with their care-coordinator and prioritized taking individual responsibility for their illness over the benefits of involving their relatives. Barriers were heightened when family relationships were poor.ConclusionsWhilst involving relatives in relapse prevention has perceived value, it can increase the complexity of managing bipolar disorder for each party. In order to fully realize the benefits of involving relatives in relapse prevention, additional training and support for community care coordinators is needed.Trial registrationISRCTN41352631

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Section: Introductionmentioning

confidence: 99%

Involving relatives in relapse prevention for bipolar disorder: a multi-perspective qualitative study of value and barriers

et al. 2011

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“…A abordagem interventiva mais utilizada em programas psicossociais destinados a apoiar CI de indivíduos com TB é a psicoeducação, a qual tem vindo a ser amplamente ministrada, quer ao doente, quer aos seus CI, por se reconhecer os benefícios que esta pode trazer para ambas as partes (Justo, Soares, & Calil, 2007;Reinares et al, 2016). A psicoeducação é um meio complementar ao tratamento de doenças psiquiátricas graves, nomeadamente a bipolaridade, revelando-se eficaz na melhoria do estado psicológico dos participantes e na redução de recaídas dos doentes (McFarlane, Dixon, Lukens, & Lucksted, 2003).…”

Section: Psicoeducaçãounclassified

“…Entre as intervenções direcionadas a indivíduos com TB e aos seus familiares/ CI que incluem uma abordagem psicoeducativa, a Family-Focused Therapy (FTT) é a mais popular, o que se deve tanto à forma rigorosa com que foi desenvolvida e testada, como à consistência dos resultados que demostram a sua eficácia a vários níveis (Fiorillo et al, 2013;Justo et al, 2007).…”

Section: Psicoeducaçãounclassified

“…O presente estudo é um indicador que este tipo de intervenções, embora se revelem vantajosas para os seus beneficiários, ainda são escassas e inconsistentes, havendo a clara necessidade de se continuar a investir neste âmbito para que o apoio prestado aos indivíduos com TB e seus CI seja cada vez mais sólido e eficaz, no sentido de se reduzir o impacto negativo que esta patologia acarreta (Fiorillo et al, 2014;Justo et al, 2007;Reinares et al, 2016).…”

Section: Conclusõesunclassified

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Intervenções psicoeducativas dirigidas a familiares de indivíduos com transtorno bipolar

Cabral¹,

Carvalho²,

Castilho³

et al. 2017

R Est Inv Psico y Educ

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ResumoOs familiares/cuidadores informais (CI) de indivíduos com transtornos mentais graves, como é o caso do Transtorno Bipolar (TB), estão sujeitos a um conjunto de dificuldades. Deste modo, é internacionalmente reconhecia a necessidade de se consolidar o apoio prestado a este tipo de CI. O presente estudo tem como objetivo analisar as características de intervenções destinadas a CI de indivíduos com TB, a partir de uma revisão sistemática da literatura. Os artigos analisados destacam que estas intervenções se revelam eficazes na redução da sobrecarga do CI e na melhoria da sua capacidade de cuidar, o que, por sua vez, se traduz na redução de recaídas do indivíduo com TB. Palavras-chave: Doente, Família, Psicoeducação, Intervenção. AbstractThe Relatives/ Informal Caregivers (IC) of individuals with severe mental disorders, such as Bipolar Disorder (TB), are subject to a number of difficulties.Therefore, it is internationally recognized the need to consolidate the support given to this type of IC. The present study is a review of the literature aims to analyze the characteristics of interventions for IC of individuals with TB. The papers analyzed highlight that these interventions prove to be effective in reducing IC overload and improving their ability to care, which, translates into reducing relapses of the individual with TB.

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“…Therefore in the latent stage, a pharmacological treatment may not be compulsory for treating unspecific symptoms. Cognitivebehavioral and family-based approaches as well as functional remediaton are suggested to be beneficial for patients in Stage II [68][69][70][71]. In stage I, mood stabilizers in monotherapy could be appropriate for symptomatic control and maintenance of clinical remission.…”

Section: The Model Of Staging In Bipolar Dis-ordermentioning

confidence: 99%

Soft Bipolar Spectrum and Staging in Bipolar Disorder

Grande¹,

Frey²,

Vieta³

et al. 2013

CPSR

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At present, the classification of mental disorders is tightly rooted in categories despite the fact that a dimensional approach may present some clear advantages. In this review, we compare two dimensional approaches that have been put forward in bipolar disorder. On one hand, the "soft" bipolar spectrum focused on the presentation of affective symptomatology and on the other, the staging model based on the progression of the disorders and impairment in functioning in more severe cases. At a first glance, these concepts may sound as difficult to integrate. However, we hypothesize that a common underlying foundation based on the concept of allostatic load may help to integrate the crossectional phenomenology of the soft spectrum and the progressive neuropsychological and functioning impairment which is experienced by many bipolar patients.

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Family interventions for bipolar disorder

Abstract: References to studies excluded from this reviewAnderson 1986 {published data only} * Anderson CM, Gri in S, Rossi A, Pagonis I, Holder DP, Treiber R. A comparative study of the impact of education vs. process groups for families of patients with a ective disorders.

Cited by 41 publications

References 54 publications

Involving relatives in relapse prevention for bipolar disorder: a multi-perspective qualitative study of value and barriers

Involving relatives in relapse prevention for bipolar disorder: a multi-perspective qualitative study of value and barriers

Intervenções psicoeducativas dirigidas a familiares de indivíduos com transtorno bipolar

Soft Bipolar Spectrum and Staging in Bipolar Disorder

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