<i>Beating Bipolar</i>: exploratory trial of a novel internet‐based psychoeducational treatment for bipolar disorder

Smith, Daniel J.; Griffiths, Emily; Poole, Ria; Florio, Arianna Di; Barnes, Emma; Kelly, Mark; Craddock, Nicholas John; Hood, Kerenza; Simpson, Sharon Anne

doi:10.1111/j.1399-5618.2011.00949.x

Cited by 86 publications

(80 citation statements)

References 21 publications

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“…Although self-P r e P u b l i c a t i o n C o p y help has proved effective for other mental health problems (e.g., Cuijpers et al, 2010;Gellatly et al, 2007;Haug et al, 2012;Van't Hof, et al, 2009) and studies have started to investigate the efficacy of self-help for psychosis (e.g., Alvarez-Jimenez et al, 2013;Casstevens, Cohen, Newman, & Dumaine, 2006;Gottlieb, Romeo, Penn, Meuser, & Chiko, 2013;Smith et al, 2011), to date, there has been no systematic review of such studies and thus little information as to whether a self-help approach to psychosis is beneficial and what factors influence the efficacy of such interventions. We therefore sought to identify relevant studies and compute the sample-weighted average effect of self-help interventions on various outcomes.…”

Section: The Present Reviewmentioning

confidence: 99%

Self-help interventions for psychosis: A meta-analysis

Webb

Rowse

2015

Clinical Psychology Review

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Self-help has been shown to be an effective intervention for a wide range of mental health problems. However, there is less evidence on the efficacy of self-help for psychosis and, to date, there has been no systematic review. A search of bibliographic databases identified 24 relevant studies with a total sample size of N = 1816. Ten studies adopted a repeated measures design and 14 an independent group design (including RCTs and quasiexperimental studies). Self-help interventions had, on average, a small-to-medium-sized effect on overall symptoms (d + = 0.33, 95% CI: 0.17 to 0.48). Sub-analyses revealed that selfhelp interventions had a small-to-medium-sized effect on positive symptoms (d + = 0.42, 95% CI: 0.13 to 0.72), a small-to-medium-sized effect on negative symptoms (d + = 0.37, 95% CI: 0.07 to 0.66), and a small-sized effect on outcomes associated with the symptoms of psychosis such as quality of life (d + = 0.13, 95% CI: 0.02 to 0.24). Moderation analysis identified a number of factors that influenced treatment effects including the complexity of the intervention and amount of contact time. Self-help interventions for psychosis have a lot of potential and recommendations for further research are discussed. Word count: 190Key words: Self-help, psychosis, meta-analysis P r e P u b l i c a t i o n C o p y Self-help interventions for psychosis 3 Self-help interventions for psychosis: A meta-analysis "A massive, systematic, and yet largely silent revolution is occurring in mental health today and is gathering steam for tomorrow" (Norcross, 2000, p. 370) In the quote above, Norcross (2000) refers to the proliferation of self-help approaches for mental health conditions, an approach that has gathered momentum with practitioners, researchers, and policy makers placing an increasing emphasis on self-help for treating mental health problems (Lewis et al., 2003). Self-help interventions are defined as those that are "designed to be conducted predominantly independently of professional contact" (Bower, Richards, & Lovell, 2001, p. 839). Self-help interventions can be administered through a variety of mediums such as face-to-face or group meetings, through computers, mobile, and online platforms. Self-help typically involves working independently through a guide that describes the steps to be taken in order to apply a psychological treatment. A slight variation is guided self-help, which is distinguished "by the support that is given by a professional therapist or coach to the patient when working through the standardized treatment" (Cuijpers, Donker, van Straten, & Andersson, 2010, p. 1934. The support offered can range from assisting the person to work through the self-help program to emotional support and can be provided in a range of ways (e.g., face-to-face, telephone, or email). Most self-help interventions are based on standardized psychological treatments, with the most common interventions being those based on cognitive behavioral therapy (CBT: Cuijpers & Schuurmans, 2007). Self-help inter...

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Section: The Present Reviewmentioning

confidence: 99%

Self-help interventions for psychosis: A meta-analysis

Webb

Rowse

2015

Clinical Psychology Review

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“…The availability of internet-based strategies has grown substantially, with demonstrated efficacy in reducing depressive symptoms and improving psychological quality of life (24)(25)(26)(27). The acutely manic bipolar patient may present in an agitated state that acts as a barrier to therapy, interrupts the physician-patient alliance, and creates a disruptive, even hazardous, environment.…”

Section: Psychosocial Interventionsmentioning

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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“…Ha demostrado su buena aceptación por los pacientes, con una mayor utilidad especialmente en aquellos recientemente diagnosticados (Poole, Simpson y Smith, 2012). En un ensayo aleatorizado se encontró un modesto efecto en la mejora de la calidad de vida de los pacientes (Smith et al, 2011).…”

Section: Programa Iabd (Improving Adherence In Bipolarunclassified

“…Programa PRISM (Personalized Real-Time Intervention for Stabilizing Mood) (Depp et al, 2010) Programa FIMM (Facilitated Integrated Mood Management (Miklowitz et al, 2012) Proyecto MONARCA (MONitoring, treAtment and pRediCtion of bipolar disorder episodes) Programa IABD (Improving Adherence in Bipolar Disorder) (Wenze et al, 2014) Programa DERROTA (Beating Bipolar) (Smith et al, 2011) SistemaChronoRecord (Bauer et al, 2004) App eMoods Bipolar Mood Tracker …”

Section: Tabla 3 Intervenciones Con Tecnología Electrónica En El Tramentioning

confidence: 99%

¿Que pueden aportar actualmente las nuevas tecnologías al trastorno bipolar?

Sierra¹,

Gallach²,

Echevarría³

et al. 2016

RPPC

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Resumen: La aplicación de las nuevas tecnologías de la información y la comunicación (TIC) a la salud ha experimentado un gran auge a lo largo de la última década. Por sus características clínicas y evolutivas, el trastorno bipolar es una de las enfermedades mentales en las que su introducción es factible y aspectos claves como la psicoeducación o la adherencia terapéutica, se pueden ver benefi ciados a través de estas técnicas. La posibilidad del uso de sensores abre una nueva perspectiva en la identificación de marcadores biológicos en la detección de síntomas tempranos de recaída. En el presente trabajo realizamos una revisión de las intervenciones previas en el trastorno bipolar utilizando las TIC, analizamos las ventajas y desventajas inherentes a su uso y planteamos futuras líneas de investigación que incluyan ensayos aleatorizados, que avalen su efi cacia y efi ciencia, junto con una mejor defi nición de la población diana.Palabras clave: Trastorno bipolar; mSalud; e-salud aplicaciones; teléfonos móviles; tecnología. What can new technologies offer to bipolar disorder at present?Abstract: Over the last decade, the application of new information and communication technologies (ICT) to health has greatly increased. Because of its clinical and developmental characteristics, bipolar disorder is one of the mental illnesses for which its introduction is feasible and key aspects such as psychoeducation or therapeutical adherence can be enhanced through these techniques. The possibility of using sensors opens a new perspective as to identifying biological markers to detect early symptoms of relapse. In this paper we review previous interventions for bipolar disorder using ITC, we analyze benefi ts and disadvantages attached to their use and propose future research in this fi eld, to include randomized trials for better effi cacy and efficiency, together with a better defi nition of the target population.Keywords: Bipolar disorder; mHealth; E-health applications; mobile phones; technology. IntroducciónA lo largo de la última década hemos asistido a un sorprendente crecimiento y difusión de las nuevas tecnologías de la información y la comunicación (TIC); tradicionalmente países como Australia, Suecia y Países Bajos han sido líderes en su aplicación a la salud mental (Burns, Davenport, Durkin, Luscombe y Hickie, 2010). Los analistas predicen que el teléfono móvil será la primera herramienta para la conexión a Internet en 2020 y la ubicuidad de los dispositivos personales sugiere que será factible incluirlos en la atención a la salud mental (Price et al., 2014). Actualmente gran parte de la población que acude a nuestros servicios, ha crecido utilizando de un modo natural las nuevas tecnologías. Recientemente ha publicado el informe EIU: "El paciente al poder: Cómo la tecnología móvil está transformando la salud", elaborado por The Economist Intelligence Unit. Su elaboración se ha prolongado durante un año, han participado 144 países y han intervenido líderes de la sanidad pública y privada, de farmacéuticas, biotec...

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Beating Bipolar: exploratory trial of a novel internet‐based psychoeducational treatment for bipolar disorder

Cited by 86 publications

References 21 publications

Self-help interventions for psychosis: A meta-analysis

Self-help interventions for psychosis: A meta-analysis

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

¿Que pueden aportar actualmente las nuevas tecnologías al trastorno bipolar?

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