Melhorando o desfecho do transtorno bipolar usando estratégias não farmacológicas: o papel da psicoeducação

Abstract

Abstract Abstract AbstractThe present paper addresses the efficacy of psychoeducation and related strategies in bipolar disorders. Recently Do we need non-pharmacological strategies? Do we need non-pharmacological strategies? Do we need non-pharmacological strategies? Do we need non-pharmacological strategies? Do we need non-pharmacological strategies? Bipolar illness is a severe, chronic and recurrent condition that represents a major health problem 1 which includes both a great economic burden 2 and high mortality rates. 3-4The available pharmacological arsenal for treating bipolar disorders has been sensibly enlarged in the last decade with the apparition of newer user-friendly drugs which combine good efficacy with better tolerability. However, even with this unquestionable upgrade of drug treatments, there is still a lot to do to reach good social outcomes, cope with subsyndromal symptoms and improve maintenance management. The recent publication of several welldesigned randomized studies on the efficacy of some psychological treatments in preventing relapses is leading the experts to a new view of bipolar disorders treatment, including both drugs and add-on psychological interventions. [5][6] Psychoeducation is an essential component of the combined treatment of bipolar disorder as shown by the fact that all contain classical psychoeducative elements such as improving illness awareness, coping stigmatization, enhancing treatment adherence, teaching the patient and the family to early identify prodromal signs, promoting healthy habits and life-style regularity, and avoiding substance abuse. ResumoPsychoeducation: a worldwide evidence-based approach Psychoeducation: a worldwide evidence-based approach Psychoeducation: a worldwide evidence-based approach Psychoeducation: a worldwide evidence-based approach Psychoeducation: a worldwide evidence-based approach The amount of psychological treatments for bipolar disorders proposed all along history is quite important and there is a considerable variability of paradigms. Most of them have not even been tested and they should not be considered in the treatment routines for bipolar patients until they do it. 11Fortunately, in the last five years we have moved to a phase of consolidation of well-tested approaches with most studies indicating a high efficacy of psychoeducation-based programs in the prevention of relapses. 7,10,12Therole of psychoeducation / Colom F & Vieta E Rev Bras Psiquiatr 2004;26(Supl III):47-50 SIII 48The pioneering studies in the field were carried out in the US by Peet and Harvey [13][14] and reported some changes in patients' attitudes towards lithium. Unfortunately, little attention was paid to major outcome measures such as relapses. In Europe, the studies of Eduard van Gent should be mentioned as well, as they showed a significant decrease of non-compliant behavior and hospitalizations amongst psychoeducated patients. 15The Richard Morriss group, in the UK, performed what can be easily described as the first well-designed...

Processos Terapêuticos no Tratamento do Transtorno Afetivo Bipolar: Revisão Integrativa

“…A psicoeducação nos dá um potente instrumento não só para melhorar o desfecho de nossos pacientes, mas para auxiliá-los a gerenciar desespero, medos, es gma e baixa autoes ma. A psicoeducação deve ser sempre adicionada aos estabilizadores de humor, já que ela o miza sua efi cácia (Colom & Vieta, 2004).…”

Implicações de um grupo de Psicoeducação no cotidiano de portadores de Transtorno Afetivo Bipolar

“…Also, when saying that patients start to see their disease, this refers to the patient's accountability, i.e. that Psychoeducation helps them to participate actively in treatment and feel responsible for managing the disease, which is fundamental for treatment success (11) .…”

Grupo de psicoeducação no transtorno afetivo bipolar: reflexão sobre o modo asilar e o modo psicossocial

“…In fact, the referred roles should be seen as a duty of healthcare professionals towards patients, as being informed about the disease is among the many patient rights (16)(17) .…”