Abstract
| Original language | English |
|---|---|
| Article number | 873 |
| Journal | Front. Psychiatry |
| Volume | 10 |
| DOIs | |
| Publication status | Published - 2019 |
Keywords
- bipolar disorder
- effectiveness
- follow-up
- hospitalizations
- integrated treatment
- psychoeducation
- adult
- aged
- Article
- clinical effectiveness
- controlled study
- demography
- female
- follow up
- hospitalization
- human
- major clinical study
- male
- mental health service
- outcome assessment
- patient care
- prediction
- social status
- standardization
- survival analysis
- treatment outcome
- trend study
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The Long-Term Effectiveness of Psychoeducation for Bipolar Disorders in Mental Health Services. A 4-Year Follow-Up Study : Frontiers in Psychiatry. / Buizza, C.; Candini, V.; Ferrari, C.; Ghilardi, A.; Saviotti, F.M.; Turrina, C.; Nobili, G.; Sabaudo, M.; de Girolamo, G.
In: Front. Psychiatry, Vol. 10, 873, 2019.Research output: Contribution to journal › Article › peer-review
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TY - JOUR
T1 - The Long-Term Effectiveness of Psychoeducation for Bipolar Disorders in Mental Health Services. A 4-Year Follow-Up Study
T2 - Frontiers in Psychiatry
AU - Buizza, C.
AU - Candini, V.
AU - Ferrari, C.
AU - Ghilardi, A.
AU - Saviotti, F.M.
AU - Turrina, C.
AU - Nobili, G.
AU - Sabaudo, M.
AU - de Girolamo, G.
N1 - Export Date: 10 February 2020 Correspondence Address: Buizza, C.; Department of Clinical and Experimental Sciences, University of BresciaItaly; email: chiara.buizza@unibs.it References: Connolly, K.R., Thase, M.E., The clinical management of bipolar disorder: a review of evidence-based guidelines (2011) Prim Care Companion CNS Disord, 13, p. 4; Podawiltz, A., A review of current bipolar disorder treatment guidelines (2012) J Clin Psychiatry, 73 (3); Swartz, H.A., Swanson, J., Psychotherapy for bipolar disorder in adults: a review of the evidence (2014) Focus (Am Psychiatr Publ), 12 (3); Bond, K., Anderson, I.M., Psychoeducation for relapse prevention in bipolar disorder: a systematic review of efficacy in randomized controlled trials (2015) Bipolar Disord, 17; Miziou, S., Tsitsipa, E., Moysidou, S., Karavelas, V., Dimelis, D., Polyzoidou, V., Psychosocial treatment and interventions for bipolar disorder: a systematic review (2015) Ann Gen Psychiatry, 14, p. 19; Salcedo, S., Gold, A.K., Sheikh, S., Marcus, P.H., Nierenberg, A.A., Deckersbach, T., Empirically supported psychosocial interventions for bipolar disorder: current state of the research (2016) J Affect Disord, 201; Oud, M., Mayo-Wilson, E., Braidwood, R., Schulte, P., Jones, S.H., Morriss, R., Psychological interventions for adults with bipolar disorder: systematic review and meta-analysis (2016) Br J Psychiatry, 208; Chatterton, M.L., Stockings, E., Berk, M., Barendregt, J.J., Carter, R., Mihalopoulos, C., Psychosocial therapies for the adjunctive treatment of bipolar disorder in adults: network meta-analysis (2017) Br J Psychiatry, 210 (5); Soo, S.A., Zhang, Z.W., Khong, S.J., Low, J.E.W., Thambyrajah, V.S., Alhabsyi, S.H.B.T., Randomized controlled trials of psychoeducation modalities in the management of bipolar disorder: a systematic review (2018) J Clin Psychiatry, 79 (3). , 17r11750, (,):pii; Meyer, T.D., Hautzinger, M., Cognitive behaviour therapy and supportive therapy for bipolar disorders: relapse rates for treatment period and 2-year follow-up (2012) Psychol Med, 42; Candini, V., Buizza, C., Ferrari, C., Caldera, M.T., Ermentini, R., Ghilardi, A., Is structured group psychoeducation for bipolar patients effective in ordinary mental health services? A controlled trial in Italy (2013) J Affect Disord, 151 (1); Colom, F., Vieta, E., (2006) Manuale di psicoeducazione per il disturbo bipolare (2006), , Giovanni Fioriti Editore, Roma; Colom, F., Vieta, E., Sánchez-Moreno, J., Palomino-Otiniano, R., Reinares, M., Goikolea, J.M., Group psychoeducation for stabilised bipolar disorders: 5-year outcome of a randomised clinical trial (2009) Br J Psychiatry, 194; Laine, T., Reyes, E.M., Tutorial: survival estimation for Cox Regression Models with time-varying coefficients using SAS, and R (2014) J Stat Software, 61, pp. 1-23; González Isasi, A., Echeburúa, E., Limiñana, J.M., González-Pinto, A., Psychoeducation and cognitive-behavioral therapy for patients with refractory bipolar disorder: a 5-year controlled clinical trial (2014) Eur Psychiat, 29 (3); Lam, D., Donaldson, C., Brown, Y., Malliaris, Y., Burden and marital and sexual satisfaction in the partners of bipolar patients (2005) Bipolar Disord, 7 (5); Ball, J.R., Mitchell, P.B., Corry, J.C., Skillecorn, A., Smith, M., Malhi, G.S., A randomized controlled trial of cognitive therapy for bipolar disorder: focus on long-term change (2006) J Clin Psychiatry, 67 (2); Gex-Fabry, M., Cuénoud, S., Stauffer-Corminboeuf, M.J., Aillon, N., Perroud, N., Aubry, J.M., Group psychoeducation for relatives of persons with bipolar disorder: perceived benefits for participants and patients (2015) J Nerv Ment Dis, 203 (9); Poole, R., Smith, D., Simpson, S., Patients' perspectives of the feasibility, acceptability and impact of a group-based psychoeducation programme for bipolar disorder: a qualitative analysis (2015) BMC Psychiatry, 15, p. 184; Perry, A., Tarrier, N., Morriss, R., McCarthy, E., Limb, K., Randomised controlled trial of efficacy of teaching patients with bipolar disorder to identify early symptoms of relapse and obtain treatment (1999) BMJ, 318 (7177); Colom, F., Vieta, E., Sánchez-Moreno, J., Martínez-Arán, A., Reinares, M., Goikolea, J.M., Stabilizing the stabilizer: group psychoeducation enhances the stability of serum lithium levels (2005) Bipolar Disord, 7. , do; Frank, E., Kupfer, D.J., Thase, M.E., Mallinger, A.G., Swartz, H.A., Fagiolini, A.M., Two-year outcomes for interpersonal and social rhythm therapy in individuals with bipolar I disorder (2005) Arch Gen Psychiatry, 62 (9), pp. 996-1004; Passos, I.C., Mwangi, B., Vieta, E., Berk, M., Kapczinski, F., Areas of controversy in neuroprogression in bipolar disorder (2016) Acta Psychiatr Scand, 134 (2), pp. 91-103; Miller, I.W., Solomon, D.A., Ryan, C.E., Keitner, G.I., Does adjunctive family therapy enhance recovery from bipolar I mood episodes (2004) J Affect Disord, 82 (3). , ?; Scott, J., Colom, F., Vieta, E., A meta-analysis of relapse rates with adjunctive psychological therapies compared to usual psychiatric treatment for bipolar disorders (2007) Int J Neuropsychopharmacol, 10 (1); de Barros Pellegrinelli, K., de O Costa, L., Silval, K.I., Dias, V.V., Roso, M.C., Bandeira, M., Efficacy of psychoeducation on symptomatic and functional recovery in bipolar disorder (2013) Acta Psychiatr Scand, 127 (2); Morriss, R., Lobban, F., Riste, L., Davies, L., Holland, F., Long, R., Clinical effectiveness and acceptability of structured group psychoeducation versus optimised unstructured peer support for patients with remitted bipolar disorder (PARADES): a pragmatic, multicentre, observer-blind, randomised controlled superiority trial (2016) Lancet Psychiatry, 3 (11); Faridhosseini, F., Baniasadi, M., Fayyazi Bordbar, M.R., Pourgholami, M., Ahrari, S., Asgharipour, N., Effectiveness of psychoeducational group training on quality of life and recurrence of patients with bipolar disorder (2017) Iran J Psychiatry, 12 (1); Abraham, K., Miller, C.J., Birgenheir, D.G., Lai, Z., Kilbourne, A., Self-Efficacy and Quality of Life Among People With Bipolar Disorder (2014) J Nerv Ment Dis, 202 (8); Goodwin, G.M., Haddad, P.M., Ferrier, I.N., Aronson, J.K., Barnes, T.R.H., Cipriani, A., Evidence-based guidelines for treating bipolar disorder: Revised third edition recommendations from the British Association for Psychopharmacology (2016) J Psychopharmacol, 30 (6), pp. 495-553; Simhandl, C., Radua, J., König, B., Amann, B.L., The prevalence and effect of life events in 222 bipolar I and II patients: a prospective, naturalistic 4 year follow-up study (2015) J Affect Disord, 170
PY - 2019
Y1 - 2019
N2 - Aims: The aims of the present study were to assess: the effectiveness of psychoeducation in mental health service (MHSs) in terms of time to first hospitalization during 4-year follow-up; the number and the days of hospitalizations, and the number of people hospitalized at 4-year follow-up; and variables associated with better outcome in BD patients. Methods: This is a controlled study involving an experimental group (N = 57) and a control group (N = 52). The treatment phase consists of 21 weeks, in which all participants received TAU, while the experimental group received additional psychoeducation. Results: The survival analysis showed significant differences in terms of time to first hospitalization of up to 4-year follow-up: the patients in the psychoeducation group showed a longer time free from hospitalizations than the control group. Concerning the predictors of time to first hospitalization, the only factor that showed a trend to statistical significance was psychoeducation. Conclusions: This is one of few studies assessing the long-term effectiveness of psychoeducation in a naturalistic setting. The data confirm that psychoeducation can impact illness course, in terms of longer time free from hospitalizations. Trial registration: ISRCTN17827459. © Copyright © 2019 Buizza, Candini, Ferrari, Ghilardi, Saviotti, Turrina, Nobili, Sabaudo and de Girolamo.
AB - Aims: The aims of the present study were to assess: the effectiveness of psychoeducation in mental health service (MHSs) in terms of time to first hospitalization during 4-year follow-up; the number and the days of hospitalizations, and the number of people hospitalized at 4-year follow-up; and variables associated with better outcome in BD patients. Methods: This is a controlled study involving an experimental group (N = 57) and a control group (N = 52). The treatment phase consists of 21 weeks, in which all participants received TAU, while the experimental group received additional psychoeducation. Results: The survival analysis showed significant differences in terms of time to first hospitalization of up to 4-year follow-up: the patients in the psychoeducation group showed a longer time free from hospitalizations than the control group. Concerning the predictors of time to first hospitalization, the only factor that showed a trend to statistical significance was psychoeducation. Conclusions: This is one of few studies assessing the long-term effectiveness of psychoeducation in a naturalistic setting. The data confirm that psychoeducation can impact illness course, in terms of longer time free from hospitalizations. Trial registration: ISRCTN17827459. © Copyright © 2019 Buizza, Candini, Ferrari, Ghilardi, Saviotti, Turrina, Nobili, Sabaudo and de Girolamo.
KW - bipolar disorder
KW - effectiveness
KW - follow-up
KW - hospitalizations
KW - integrated treatment
KW - psychoeducation
KW - adult
KW - aged
KW - Article
KW - clinical effectiveness
KW - controlled study
KW - demography
KW - female
KW - follow up
KW - hospitalization
KW - human
KW - major clinical study
KW - male
KW - mental health service
KW - outcome assessment
KW - patient care
KW - prediction
KW - social status
KW - standardization
KW - survival analysis
KW - treatment outcome
KW - trend study
U2 - 10.3389/fpsyt.2019.00873
DO - 10.3389/fpsyt.2019.00873
M3 - Article
VL - 10
JO - Front. Psychiatry
JF - Front. Psychiatry
SN - 1664-0640
M1 - 873
ER -