796Is Mindfulness a more effective intervention than Psychoeducation for reducing Bipolar Disorder-related symptoms of depression?
| Autor: | Kathryn Fletcher, Lesley Berk, Fiona Foley, Michael Berk, Sara Lapsley, Michael Kyrios, Tania Perich, Cathrine Mihalopoulos, Steven Jones, Greg Murray, Lidia Engel, Erin E. Michalak, Sue M. Cotton, Steven J. Bowe, Neil Thomas, Sheri L. Johnson |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Mindfulness Self-management Epidemiology business.industry medicine.medical_treatment General Medicine medicine.disease Bipolar II disorder Quality of life (healthcare) Intervention (counseling) Psychoeducation medicine Bipolar disorder Psychiatry business Depression (differential diagnoses) |
| Zdroj: | International Journal of Epidemiology. 50 |
| ISSN: | 1464-3685 0300-5771 |
| Popis: | Background The primary objective is to test the effectiveness of a novel online quality of life (QoL) intervention tailored for people with late stage (≥ 10 episodes) bipolar disorder (BD) compared with psychoeducation. Relative to early stage individuals, this late stage group may not benefit as much from existing psychosocial treatments. Methods An NH&MRC funded international RCT to compare the effectiveness of two 5-week adjunctive online self-management interventions: Mindfulness for Bipolar 2.0 and an active control (Psychoeducation for Bipolar). A total of 300 participants were recruited primarily via social media channels. Evaluations occurred at pre- and post- treatment, and at 3- and 6- months follow-up. A secondary outcome measure was BD-related symptoms (depression). A longitudinal analysis was conducted using random effects mixed models. Results Preliminary results suggest no change in mean QIDS_total over time (p = 0.891). Nor does there appear to be a difference in groups (B coeff= 0.47, 95%CI (-0.60, 1.55), p = 0.613) and no difference in intervention groups over time (p = 0.828). Conclusions The effectiveness of a novel QoL focused, mindfulness based, online guided self-help intervention for late stage BD does not appear to have been any more effective than a psychoeducation intervention for reducing depression. Key messages There may be no significant benefit from using a mindfulness based, online guided self-help intervention over a psychoeducation intervention to reduce the BD symptoms of depression in late stage Bipolar disorder. |
| Databáze: | OpenAIRE |
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