Efficacy of psychoeducational family intervention for bipolar I disorder: A controlled, multicentric, real-world study
| Autor: | Mario Luciano, D. Lampis, Giuseppe Carrà, Cristina Crocamo, Giuseppina Ciampini, Sonia Iapichino, Mario Maj, Umberto Volpe, Andrea Fiorillo, Francesco Bardicchia, Claudio Malangone, Valeria Del Vecchio, Corrado De Rosa, Enrico Pompili, Anna Maria Moroni, Franco Veltro, E. Orlandi, Massimiliano Piselli, Gaia Sampogna |
|---|---|
| Přispěvatelé: | Fiorillo, A, Del Vecchio, V, Luciano, M, Sampogna, G, De Rosa, C, Malangone, C, Volpe, U, Bardicchia, F, Ciampini, G, Crocamo, C, Iapichino, S, Lampis, D, Moroni, A, Orlandi, E, Piselli, M, Pompili, E, Veltro, F, Carra', G, Maj, M |
| Rok vydání: | 2015 |
| Předmět: |
Family therapy
Bipolar Disorder Bipolar I disorder medicine.medical_treatment law.invention Randomized controlled trial law mental health center Social functioning Medicine Health Education comparative study Outcome adult Middle Aged Cognitive behavioral therapy aged Psychiatry and Mental health Clinical Psychology female Italy Research Design family therapy medicine.medical_specialty Article male Intervention (counseling) Psychoeducation Humans Family controlled study human Psychiatry Cognitive Behavioral Therapy controlled clinical trial business.industry social interaction Mental illness medicine.disease major clinical study Clinical trial clinical effectivene hospital admission multicenter study psychoeducation Schizophrenia Family burden treatment outcome business |
| Zdroj: | Journal of Affective Disorders. 172:291-299 |
| ISSN: | 0165-0327 |
| DOI: | 10.1016/j.jad.2014.10.021 |
| Popis: | Background This study assessed the efficacy of the Falloon model of psychoeducational family intervention (PFI), originally developed for schizophrenia management and adapted to bipolar I disorder. The efficacy of the intervention was evaluated in terms of improvement of patients׳ social functioning and reduction of family burden. Methods This was a multicentre, real-world, controlled, outpatient trial carried out in 11 randomly recruited Italian mental health centres. Enroled patients and key-relatives were consecutively allocated either to receive PFI and Treatment As Usual (TAU) or to a waiting list receiving TAU alone. The efficacy of the intervention was evaluated in terms of improvement in patients׳ social functioning (primary outcome) and reduction of family burden (secondary outcome). Results Of the 137 recruited families, 70 were allocated to the experimental group and 67 to the control group. At the end of the intervention, significant improvements in patients׳ social functioning and in relatives׳ burden were found in the treated group compared to TAU. This effect of the intervention remained also after controlling for several confounding patient׳s socio-demographic and clinical factors. The experimental intervention had an impact also on other outcome measures, such as patients׳ clinical status and personal burden. Limitations Lack of an active control group. Conclusions The results of this study clearly show that the psychoeducational family intervention according to the Falloon model is effective in improving the social outcome of patients with bipolar I disorder. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect