Psychoeducation for psychiatric inpatients following remission of a manic episode in bipolar I disorder: A randomized controlled trial

Chen, Runsen; Zhu, Xuequan; Capitão, Liliana P; Zhang, Huijun; Luo, Jiong; Wang, Xue; Xi, Yingjun; Song, Xiaodong; Feng, Yancun; Cao, Liuzhong; Malhi, Gin S

doi:10.1111/bdi.12642

Cited by 41 publications

(43 citation statements)

References 36 publications

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“…PE delayed time to next bipolar episode only in patients with up to 7 previous episodes (Morriss et al 2016); however, PE was superior to peer support in the overall sample on time to next manic episode, acceptability (defined by number of attended sessions) and interpersonal function as assessed with the interpersonal domain of the Social Adjustment Scale (Morriss et al 2016). Along those lines, a short group PE (2 weeks, 8 × 40–60 min) showed improved recurrence prevention and clinical global functioning at 1 year in inpatients with remitted mania and few previous bipolar episodes (Chen et al 2018). Of note, limitations of this study are a sample of 90% females and the delivery of unstructured group meetings by nurses (PE by psychiatrists or clinical psychologists).…”

Section: Discussionmentioning

confidence: 98%

Short group psychoeducation followed by daily electronic self-monitoring in the long-term treatment of bipolar disorders: a multicenter, rater-blind, randomized controlled trial

Petzold

Mayer-Pelinski

Pilhatsch

et al. 2019

Int J Bipolar Disord

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BackgroundDespite various pharmacological and psychological treatment interventions, bipolar disorders rank among the leading causes of global disease burden. Group psychoeducation has been demonstrated an effective add-on to pharmacotherapy, but it may be difficult to implement in practice depending on the clinical setting and available human resources.MethodsMulticenter, rater-blind, randomized controlled trial to investigate the efficacy of a new intervention program consisting of an initial 6-week psychoeducation protocol plus a subsequent structured daily computer-based self-charting program (ChronoRecord) over 54 weeks in remitted patients with bipolar disorders. The control condition included non-structured group sessions followed by daily computer-based self-reports (unstructured like a diary). Both groups received treatment-as-usual.ResultsOver 2 years, 41 mood episodes occurred in the experimental group (n = 39) compared to 27 in the control group (n = 34), without reaching statistical significance. Time to recurrence did not significantly differ between the experimental and control group (25% relapsed after 112 and 273 days, respectively). There were no significant group-by-time interactions in mood symptoms, quality of life, self-efficacy expectations or perceived involvement in care.ConclusionsSix weekly psychoeducational group sessions followed by daily self-monitoring via ChronoRecord for 54 weeks may not be superior to non-structured group meetings followed by unstructured self-reporting. Other psychotherapeutic interventions may be needed to optimize the treatment of patients with bipolar disorders, especially for those at later disease stages.Trial registration Retrospectively registered at German Clinical Trials Register on May 24, 2019; DRKS00017319

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Section: Discussionmentioning

confidence: 98%

Short group psychoeducation followed by daily electronic self-monitoring in the long-term treatment of bipolar disorders: a multicenter, rater-blind, randomized controlled trial

Petzold

Mayer-Pelinski

Pilhatsch

et al. 2019

Int J Bipolar Disord

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“…Previous research has criticized the deficiency of China’s mental health services [35]. Psychological intervention is not usually available in general hospitals or psychiatric hospitals [36, 37], let alone in forensic psychiatric hospitals. We suggest that hospitals should provide better psychological interventions.…”

Section: Discussionmentioning

confidence: 99%

The experience of long-stay patients in a forensic psychiatric hospital in China: a qualitative study

Zhong

Guo

Wang

et al. 2019

BMC Health Serv Res

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Background Long stay in forensic psychiatric hospitals is common in patients who are defined as “not criminally responsible on account of mental disorder”. However, little is known about how these patients experience and perceive the long stay within these settings. The aim of this study is to explore the perception and needs of long-stay patients in forensic psychiatric hospitals in China. Methods In-depth semi-structured interviews were conducted with 21 participants who had lived in the forensic psychiatry hospital for more than 8 years. We used thematic analysis strategies to analyse the qualitative data. Results Participants’ perceptions clustered seven themes: hopelessness, loneliness, worthlessness, low mood, sleep disturbances, lack of freedom, and lack of mental health intervention. Conclusions The views and opinions expressed by long-stay patients showed that psychological distress is prevailing in forensic psychiatric hospitals. Adequate and effective care and mental health interventions are recommended to be tailored for their special needs. Electronic supplementary material The online version of this article (10.1186/s12913-019-4458-6) contains supplementary material, which is available to authorized users.

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“…A subsequent RCT showed fewer depressive and manic recurrences in the treatment group (Castle et al 2010 ). Eight sessions of group PE delivered during 2 weeks were superior to the same number of free individual discussions with a nurse with regard to recurrence and hospitalization (Chen et al 2019 ). Two trials reported no significant difference in recurrences between a control group and group PE of 16 biweekly sessions (de Barros Pellegrinelli et al 2013 ) or 21 weekly sessions (Morriss et al 2016 ), possibly due to a preponderance of participants with a high number of previous mood episodes.…”

Section: Introductionmentioning

confidence: 99%

A multi-center naturalistic study of a newly designed 12-sessions group psychoeducation program for patients with bipolar disorder and their caregivers

Zyto

Jabben

Schulte³

et al. 2020

Int J Bipolar Disord

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Background: Psychoeducation (PE) for bipolar disorder (BD) has a first-line recommendation for the maintenance treatment phase of BD. Formats vary greatly in the number of sessions, whether offered individually or in a group, and with or without caregivers attending. Due to a large variation in formats in the Netherlands, a new program was developed and implemented in 17 outpatient clinics throughout the country. The current study investigated the feasibility of a newly developed 12-sessions PE group program for patients with BD and their caregivers in routine outpatient practice and additionally explored its effectiveness. Methods: Participants in the study were 108 patients diagnosed with BD, 88 caregivers and 35 course leaders. Feasibility and acceptance of the program were investigated by measures of attendance, and evaluative questionnaires after session 12. Preliminary treatment effects were investigated by pre-and post-measures on mood symptoms, attitudes towards BD and its treatment, levels of self-management, and levels of expressed emotion. Results: There was a high degree of satisfaction with the current program as reported by patients, caregivers, and course leaders. The average attendance was high and 83% of the patients and 75% of the caregivers completed the program. Analyses of treatment effects suggest positive effects on depressive symptoms and self-management in patients, and lower EE as experienced by caregivers. Conclusions: This compact 12-sessions psychoeducation group program showed good feasibility and was well accepted by patients, caregivers, and course leaders. Preliminary effects on measures of self-management, expressed emotions, and depressive symptoms were promising. After its introduction it has been widely implemented in mental health institutions throughout the Netherlands.

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Psychoeducation for psychiatric inpatients following remission of a manic episode in bipolar I disorder: A randomized controlled trial

Cited by 41 publications

References 36 publications

Short group psychoeducation followed by daily electronic self-monitoring in the long-term treatment of bipolar disorders: a multicenter, rater-blind, randomized controlled trial

Short group psychoeducation followed by daily electronic self-monitoring in the long-term treatment of bipolar disorders: a multicenter, rater-blind, randomized controlled trial

The experience of long-stay patients in a forensic psychiatric hospital in China: a qualitative study

A multi-center naturalistic study of a newly designed 12-sessions group psychoeducation program for patients with bipolar disorder and their caregivers

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