The Long-Term Effectiveness of Psychoeducation for Bipolar Disorders in Mental Health Services. A 4-Year Follow-Up Study: Frontiers in Psychiatry

C. Buizza, V. Candini, C. Ferrari, A. Ghilardi, F.M. Saviotti, C. Turrina, G. Nobili, M. Sabaudo, G. de Girolamo

Research output: Contribution to journalArticlepeer-review

Abstract

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.
Original languageEnglish
Article number873
JournalFront. Psychiatry
Volume10
DOIs
Publication statusPublished - 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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