Towards tailored psychosocial intervention for BD-II: Lived experience perspectives on current and future management options
| Autor: | Greg Murray, Kathryn Fletcher |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Bipolar Disorder Psychological intervention Psychosocial Intervention 03 medical and health sciences Bipolar II disorder 0302 clinical medicine Borderline Personality Disorder medicine Humans Psychiatry Borderline personality disorder Self-management business.industry medicine.disease Mental health 030227 psychiatry Substance abuse Affect Psychiatry and Mental health Clinical Psychology Mental Health Hypomania Female medicine.symptom business Psychosocial 030217 neurology & neurosurgery |
| Zdroj: | Journal of Affective Disorders. 289:110-116 |
| ISSN: | 0165-0327 |
| Popis: | Background : Despite its significant morbidity and mortality, very little is known about how those with lived experience of bipolar II disorder (BD-II) manage their condition. This study sought to understand unmet needs in currently available psychosocial treatments, explore self-management strategies (SMS) that individuals with BD-II currently use, and determine the potential role of digital mental health interventions in this space. Methods : Individuals (aged 18–65) confirming they had received a diagnosis of BD-II from a mental health professional were invited to complete an online survey about treatments trialled, coping strategies used to manage their condition and perspectives on the role of digital mental interventions. Results : Ninety individuals commencing the survey confirmed a diagnosis of BD-II; of these, n = 35 were screened out based on self-reported hospitalisation for mania and/or experiencing a manic episode. A final sample of n = 55 was subsequently analysed. From the perspective of those with BD-II, current psychosocial treatments fall short in terms of meeting their specific needs. Tailored psychosocial interventions delivered by clinicians with BD-II expertise are sought after, however accessibility and cost are ongoing barriers. Participants were open to digital self-management interventions however uptake was limited. In terms of self-management, actively seeking external help was perceived as most helpful for stopping progression in depression, while self-care strategies were prioritised for hypomania. Limitations : The study had several limitations: (1) BD-II diagnoses were not formally verified via standardised diagnostic interview, (2) Borderline personality disorder and comorbid substance abuse disorders were not assessed; (3) the influence of current mood state on participant responses was not assessed, (4) females were over-represented, limiting generalisation of findings to males with BD-II. Conclusions : Study findings highlight the need for tailored interventions paying specific attention to nuanced features of BD-II, and the potential role of digital mental health interventions for this underserved group. |
| Databáze: | OpenAIRE |
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