Feasibility and Acceptability of a Lifestyle Intervention For Individuals With Bipolar Disorder
| Autor: | Weilynn C. Chang, Jessica Janos, Louisa G. Sylvia, Steven Dufour, Kristen K. Ellard, Emily E. Bernstein, Andrew A. Nierenberg, Thilo Deckersbach, Samantha Pegg, Brett J Davis |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Bipolar Disorder Adolescent medicine.medical_treatment Population Disease Article Young Adult 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Intervention (counseling) medicine Humans Bipolar disorder Young adult education Exercise Life Style Aged Expectancy theory education.field_of_study Cognitive Behavioral Therapy business.industry Middle Aged Patient Acceptance of Health Care medicine.disease 030227 psychiatry Cognitive behavioral therapy Treatment Outcome Patient Satisfaction Physical therapy Feasibility Studies Marital status Female business 030217 neurology & neurosurgery |
| Zdroj: | J Psychiatr Pract |
| ISSN: | 1538-1145 |
| DOI: | 10.1097/pra.0000000000000426 |
| Popis: | Individuals with bipolar disorder are at greater risk for cardiovascular disease and are less likely to adhere to lifestyle interventions than the general population. To decrease cardiovascular risk and improve adherence to lifestyle interventions, we developed the Nutrition Exercise and Wellness Treatment (NEW Tx). NEW Tx is an 18 session, 20-week cognitive behavioral therapy (CBT)-based treatment comprising 3 modules: Nutrition, Exercise, and Wellness. To evaluate the feasibility and acceptability of this intervention as well as predictors of treatment satisfaction and expectations, 38 adult outpatients with bipolar disorder were randomized to either NEW Tx or a waitlist control condition. There was no statistically significant difference in drop-out rates between the groups (26.3% in NEW Tx, 31.6% in the control condition). In the NEW Tx condition, participants attended a mean of 66.7% of sessions and reported moderate to high satisfaction. There were no study-related adverse events. We also found that expectations, but not perceived credibility (or believability), of NEW Tx (as measured by the Credibility/ Expectancy Questionnaire) at baseline predicted treatment satisfaction (as measured by the Care Satisfaction Questionnaire) post-treatment. Manic symptoms at baseline predicted treatment satisfaction, and marital status predicted one’s expectations of lifestyle interventions. Data suggest that NEW Tx is a feasible and acceptable intervention for individuals with bipolar disorder and that further research is warranted to explore potential moderators of treatment expectations and credibility in this clinical population. |
| Databáze: | OpenAIRE |
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