Group-based psychosocial intervention for bipolar disorder: randomised controlled trial

Castle, David; White, Carolynne; Chamberlain, J.R.; Berk, Michael; Berk, Lesley; Lauder, Sue; Murray, Greg; Schweitzer, Isaac; Piterman, Leon; Gilbert, Monica

doi:10.1192/bjp.bp.108.058263

Cited by 114 publications

(88 citation statements)

References 20 publications

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“…RCTs of adjunctive group psychoeducation programs demonstrated a longer time to recurrence, fewer recurrences of any type, less time acutely ill, and fewer days of hospitalization during 1-5 years of follow-up (158,159). A 12-week dyadic (patient-companion) group-based psychoeducation program demonstrated significantly lower relapse rates and a longer time to relapse compared to treatment as usual during a 60-week follow-up (160).…”

Section: Psychosocial Interventions For Maintenance Therapymentioning

confidence: 99%

Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) collaborative update of CANMAT guidelines for the management of patients with bipolar disorder: update 2013

et al. 2012

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Yatham LN, Kennedy SH, Parikh SV, Schaffer A, Beaulieu S, Alda M, O’Donovan C, MacQueen G, McIntyre RS, Sharma V, Ravindran A, Young LT, Milev R, Bond DJ, Frey BN, Goldstein BI, Lafer B, Birmaher B, Ha K, Nolen WA, Berk M.  Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) collaborative update of CANMAT guidelines for the management of patients with bipolar disorder: update 2013.  Bipolar Disord 2012: 00: 000–000. © 2012 John Wiley & Sons A/S.Published by Blackwell Publishing Ltd.The Canadian Network for Mood and Anxiety Treatments published guidelines for the management of bipolar disorder in 2005, with updates in 2007 and 2009. This third update, in conjunction with the International Society for Bipolar Disorders, reviews new evidence and is designed to be used in conjunction with the previous publications.The recommendations for the management of acute mania remain largely unchanged. Lithium, valproate, and several atypical antipsychotic agents continue to be first‐line treatments for acute mania. Monotherapy with asenapine, paliperidone extended release (ER), and divalproex ER, as well as adjunctive asenapine, have been added as first‐line options.For the management of bipolar depression, lithium, lamotrigine, and quetiapine monotherapy, as well as olanzapine plus selective serotonin reuptake inhibitor (SSRI), and lithium or divalproex plus SSRI/bupropion remain first‐line options. Lurasidone monotherapy and the combination of lurasidone or lamotrigine plus lithium or divalproex have been added as a second‐line options. Ziprasidone alone or as adjunctive therapy, and adjunctive levetiracetam have been added as not‐recommended options for the treatment of bipolar depression. Lithium, lamotrigine, valproate, olanzapine, quetiapine, aripiprazole, risperidone long‐acting injection, and adjunctive ziprasidone continue to be first‐line options for maintenance treatment of bipolar disorder. Asenapine alone or as adjunctive therapy have been added as third‐line options.

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Section: Psychosocial Interventions For Maintenance Therapymentioning

confidence: 99%

Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) collaborative update of CANMAT guidelines for the management of patients with bipolar disorder: update 2013

et al. 2012

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“…[20][21][22] The program promotes hope, growth, and partnership [20][21][22] by providing a comprehensive therapeutic approach for consumers, clinicians, service providers, and others to work systematically toward the achievement of optimal health outcomes. 21 The concepts of self-effi cacy and care coordination are integral components of the OHP.…”

Section: Optimal Health Programmentioning

confidence: 99%

Exploring Health Care Providers’ Perceptions of the Needs of Stroke Carers: Informing Development of an Optimal Health Program

O'Brien

Moore

Rolley

et al. 2014

Topics in Stroke Rehabilitation

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Background: Health care provider experiences of the carer have been researched, but little is written about how these can inform development of support programs. Objectives: This study aimed to (1) explore health care provider perceptions of stroke carer roles and support needs and (2) examine carer needs across the stroke care trajectory to assist with development of an Optimal Health Program (OHP) to support carers. This study is part of a staged program of research that will evaluate and refi ne the OHP. Methods: Four dual-moderated semi-structured focus groups of stroke health care providers across acute, subacute, and community rehabilitation services were conducted. Facilitators used a semistructured focus group schedule to guide discussion. Sessions were recorded, transcribed, and analyzed using thematic and content analysis. Results: Three key themes emerged: transition, information, and impact of stroke. A number of subthemes highlighted the distinct roles of health care providers and carers. Specifi c elements of the OHP were identifi ed as having the potential to advance support for carers across the stroke care trajectory. Discussion: Findings support the integration of an OHP for carers within existing stroke care services in Australian public hospital and community settings. Conclusion: This study suggests how health care provider experiences could inform a self-management OHP to assist carers in navigating stroke services and to address their health-related concerns.

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“…Cognitivebehavioral therapy (CBT) is associated with fewer hospitalizations (2), longer time to depressive relapse (3), and fewer and shorter manic and depressive episodes (4). Interpersonal and Social Rhythm Therapy (IPSRT) is effective in improving occupational functioning (5), family therapy has been associated with longer time to relapse (6), while group-based psycho-education programs have also shown reduced rates of relapse over a 12-month follow-up period (7). Chronic care model programs, combining a range of psychological techniques along with structured follow-up, have also noted reduced mania symptoms at 2-year follow-up (8).…”

Section: Introductionmentioning

confidence: 99%

A randomized controlled trial of mindfulness‐based cognitive therapy for bipolar disorder

Perich

Manicavasagar

Mitchell

et al. 2012

Acta Psychiatr Scand

116

118

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A randomized controlled trial of mindfulness-based cognitive therapy for bipolar disorder.Objective: To compare the efficacy of mindfulness-based cognitive therapy (MBCT) plus treatment as usual (TAU) to TAU alone for patients with bipolar disorder over a 12-month follow-up period. Method: Participants with a DSM-IV diagnosis of bipolar disorder were randomly allocated to either MBCT plus TAU or TAU alone. Primary outcome measures were time to recurrence of a DSM-IV major depressive, hypomanic or manic episode; the Montgomery-Å sberg Depression Rating Scale (MADRS); and Young Mania Rating Scale (YMRS). Secondary outcome measures were number of recurrences, the Depression Anxiety Stress Scales (DASS), and the State Trait Anxiety Inventory (STAI). Results: Ninety-five participants with bipolar disorder were recruited to the study (MBCT = 48; TAU = 47). Intention-to-treat (ITT) analysis found no significant differences between the groups on either time to first recurrence of a mood episode or total number of recurrences over the 12-month period. Furthermore, there were no significant betweengroup differences on the MADRS or YMRS scales. A significant between-group difference was found in STAI -state anxiety scores. There was a significant treatment by time interaction for the DASachievement subscale. Conclusion: While MBCT did not lead to significant reductions in time to depressive or hypo/manic relapse, total number of episodes, or mood symptom severity at 12-month follow-up, there was some evidence for an effect on anxiety symptoms. This finding suggests a potential role of MBCT in reducing anxiety comorbid with bipolar disorder. Significant outcomes T. Perich• Mindfulness-based cognitive therapy (MBCT) significantly improved state anxiety for those diagnosed with bipolar disorder over a 12-month follow-up period.• Improvements were found in reducing dysfunctional attitudes surrounding ideas of achievement for those allocated to MBCT. Limitations• The small sample size and high drop-out rate over the 12-month follow-up period.• A shorter follow-up period than other published trials of MBCT. 333

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Group-based psychosocial intervention for bipolar disorder: randomised controlled trial

Abstract: This study suggests that the group-based intervention reduces relapse risk in bipolar disorder.

Cited by 114 publications

References 20 publications

Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) collaborative update of CANMAT guidelines for the management of patients with bipolar disorder: update 2013

Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) collaborative update of CANMAT guidelines for the management of patients with bipolar disorder: update 2013

Exploring Health Care Providers’ Perceptions of the Needs of Stroke Carers: Informing Development of an Optimal Health Program

A randomized controlled trial of mindfulness‐based cognitive therapy for bipolar disorder

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