Psychological interventions for adults with bipolar disorder: systematic review and meta-analysis
| Autor: | Peter F.J. Schulte, Ralph Kupka, Ruth Braidwood, Steven Jones, Matthijs Oud, Pim Cuijpers, Tim Kendall, Evan Mayo-Wilson, Richard Morriss |
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| Přispěvatelé: | Psychiatry, EMGO - Mental health, Clinical Psychology, EMGO+ - Mental Health |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Counseling
medicine.medical_specialty Bipolar Disorder medicine.medical_treatment Psychological intervention MEDLINE Collaborative Care 03 medical and health sciences 0302 clinical medicine Recurrence medicine Humans Family 030212 general & internal medicine Bipolar disorder Psychiatry Depression (differential diagnoses) Randomized Controlled Trials as Topic Cognitive Behavioral Therapy Depression medicine.disease 030227 psychiatry Psychiatry and Mental health Mental Health Treatment Outcome Meta-analysis Cognitive therapy Family Therapy medicine.symptom Psychology Mania Clinical psychology |
| Zdroj: | British Journal of Psychiatry, 208(3), 213-+. Royal College of Psychiatrists Oud, M, Mayo-Wilson, E, Braidwood, R, Schulte, P, Jones, S H, Morriss, R, Kupka, R, Cuijpers, P & Kendall, T 2016, ' Psychological interventions for adults with bipolar disorder: A systematic review and meta-analysis ', British Journal of Psychiatry, vol. 208, pp. 213-222 . https://doi.org/10.1192/bjp.bp.114.157123 Oud, M, Mayo-Wilson, E, Braidwood, R, Schulte, P, Jones, S H, Morriss, R, Kupka, R, Cuijpers, P & Kendall, T 2016, ' Psychological interventions for adults with bipolar disorder: systematic review and meta-analysis ', British Journal of Psychiatry, vol. 208, no. 3, pp. 213-+ . https://doi.org/10.1192/bjp.bp.114.157123 British Journal of Psychiatry, 208, 213-222. Royal College of Psychiatrists |
| ISSN: | 0007-1250 1472-1465 |
| Popis: | BackgroundPsychological interventions may be beneficial in bipolar disorder.AimsTo evaluate the efficacy of psychological interventions for adults with bipolar disorder.MethodA systematic review of randomised controlled trials was conducted. Outcomes were meta-analysed using RevMan and confidence assessed using the GRADE method.ResultsWe included 55 trials with 6010 participants. Moderate-quality evidence associated individual psychological interventions with reduced relapses at post-treatment (risk ratio (RR) = 0.66, 95% CI 0.48–0.92) and follow-up (RR = 0.74, 95% CI 0.63–0.87), and collaborative care with a reduction in hospital admissions (RR =0.68, 95% CI 0.49–0.94). Low-quality evidence associated group interventions with fewer depression relapses at post-treatment and follow-up, and family psychoeducation with reduced symptoms of depression and mania.ConclusionsThere is evidence that psychological interventions are effective for people with bipolar disorder. Much of the evidence was of low or very low quality thereby limiting our conclusions. Further research should identify the most effective (and cost-effective) interventions for each phase of this disorder. |
| Databáze: | OpenAIRE |
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