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Psychosocial interventions for bipolar disorder

Published online by Cambridge University Press:  24 June 2014

David J. Castle ,
Lesley Berk ,
Sue Lauder ,
Michael Berk  and
Greg Murray
David J. Castle*
Affiliation:
St Vincent's Hospital, Victoria 3065, Australia The University of Melbourne, Melbourne, Australia
Lesley Berk
Affiliation:
St Vincent's Hospital, Victoria 3065, Australia
Sue Lauder
Affiliation:
St Vincent's Hospital, Victoria 3065, Australia
Michael Berk
Affiliation:
St Vincent's Hospital, Victoria 3065, Australia
Greg Murray
Affiliation:
Swinburne University, Melbourne, Australia
*
Professor David J. Castle, Chair of Psychiatry, St Vincent's Hospital, Level 2-46 Nicholson Street, Fitzroy, Victoria 3065, Australia. Tel: +61 3 92884751; Fax: +61 3 92884802; E-mail: [email protected]
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Abstract

Aim:

To provide a selected overview of the literature on psychosocial treatments for bipolar disorder

Method:

Selective literature review

Results:

Randomised controlled trials of psychosocial interventions in bipolar disorder fall largely into five categories, namely: psychoeducation, integrated treatments, family based therapy, cognitive behavioural therapy and interpersonal social rhythm therapy. Most studies have shown some benefit in terms of relapse prevention, but have tended to be effective for either the depressed or the manic pole, and not both. Broader outcome parameters such as quality of life have not been reported consistently. The mechanisms whereby treatments might exert their effects have not been clearly delineated. Many studies have excluded patients with bipolar II and other variants, and those with psychiatric and substance use comorbidities, reducing their generalisability.

Discussion:

Whilst psychosocial treatments show promise in the area of bipolar disorder, more work is required to delineate the effective elements of such interventions, and to ensure generalisability to individuals with bipolar II and other forms of bipolar disorder, as well as those with psychiatric and substance use comorbidities. Other forms of delivery, such as via the internet, deserve further exploration.

Type
Review article
Information
Acta Neuropsychiatrica , Volume 21 , Issue 6 , December 2009 , pp. 275 - 284
Copyright
Copyright © 2009 John Wiley & Sons A/S

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References

Murray, CJL, Lopez, AD.The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020. Boston: Harvard University Press, 1996. Google Scholar
Jones, S, Tarrier, N.New developments in bipolar disorder. Clin Psychol Rev 2005;25:1003–1007. CrossRefGoogle ScholarPubMed
Maj, M.Lithium prophylaxis of bipolar disorder in ordinary clinical conditions. Patterns of long-term outcome. In: Goldberg, JF, Harrow, M, eds. Bipolar disorders clinical course and outcome. Washington, DC: American Psychiatric Press 1999, 21–37. Google Scholar
Keck, PE Jr, Mcelroy, SL, Strakowski, SMet al. Twelve-month outcome of patients with bipolar disorder following hospitalisation for a manic or mixed episode. Am J Psychiatry 1998;155:646–652. CrossRefGoogle ScholarPubMed
Gitlin, MJ, Swendsen, J, Heller, TL, Hammen, C.Relapse and impairment in bipolar disorder. Am J Psychiatry 1995;152:1635–1640. Google ScholarPubMed
Johnson, SL.Life events in bipolar disorder: towards more specific models. Clin Psychol Rev 2005;25:1008–1027. CrossRefGoogle ScholarPubMed
Maj, M.The prognostic significance of “switching” in patients with bipolar disorder: a 10-year prospective follow-up study. Am J Psychiatry 2002;159:1711–1717. CrossRefGoogle ScholarPubMed
Scott, J, Colom, F, Vieta, E.A meta-analysis of relapse rates with adjunctive psychosocial therapies compared to usual psychiatric treatment for bipolar disorders. Int J Neuropsychopharmacol 2007;10:123–129. CrossRefGoogle Scholar
Benyon, S, Soares-Weiser, K, Woolacott, N, Duffy, S, Geddes, JR.Psychosocial interventions for the prevention of relapse in bipolar disorder: a systematic review of controlled trials. Br J Psychiatry 2008;192:5–11. CrossRefGoogle Scholar
Miklowitz, DJ.Adjunctive psychotherapy for bipolar disorders: state of the evidence. Am J Psychiatry 2008;165: 1408–1419. CrossRefGoogle ScholarPubMed
Perry, A, Tarrier, N, Morriss, R, Mccarthy, E, Limb, K.Randomised controlled trial of efficacy of teaching patients to identify early symptoms of relapse and obtain treatment. Br Med J 1999;318:149–153. CrossRefGoogle ScholarPubMed
Colom, F, Vieta, E, Martinez-Aran, Aet al. A randomised trial on the efficacy of group psychoeducation in the prophylaxis of recurrences in bipolar patients whose disease is in remission. Arch Gen Psychiatry 2003;60:402–407. CrossRefGoogle ScholarPubMed
Weiss, RD, Griffin, ML, Kolodziej, MEet al. A randomised trial of integrated group therapy versus group drug counselling for patients with bipolar disorder and substance dependence. Am J Psychiatry 2007;164:100–107. CrossRefGoogle ScholarPubMed
Bauer, MS, Mcbride, L, Williford, WOet al. Cooperative Studies program 430 Study Team: collaborative care for bipolar disorders, II: impact on clinical outcome, function, and costs. Psychiatr Serv 2006;57:937–945. CrossRefGoogle Scholar
Simon, GE, Ludman, EJ, Bauer, MS, Unutzer, J, Operskalski, B.Long-term effectiveness and cost of a systematic care program for bipolar disorder. Arch Gen Psychiatry 2006;63:500–508. CrossRefGoogle ScholarPubMed
Miklowitz, DL, George, EL, Richards, JA, Simoneau, TL, Suddath, RL.A randomised study of family-focused psychoeducation and pharmacotherapy in the outpatients management of bipolar disorder. Arch Gen Psychiatry 2003;60:904–912. CrossRefGoogle ScholarPubMed
Rae, MM, Tompson, M, Miklowitz, DJ, Goldstein, MJ, Hwang, S, Mintz, J.Family focused treatment vs individual treatment for bipolar disorder: results of a randomised clinical trial. J Consult Clin Psychol 2003;71:482–492. Google Scholar
Miklowitz, DL, Axelson, DA, Birmaher, Bet al. Family focused treatment for adolescents with bipolar disorder: results of a 2-year randomised trial. Arch Gen Psychiatry 2008;65:1053–1061. CrossRefGoogle Scholar
Miller, IW, Solomon, DA, Ryan, CE, Keitner, GI.Does adjunctive family therapy enhance recovery from bipolar I mood episodes? J Affect Disord 2004;82:431–436. Google ScholarPubMed
Miller, IW, Gabor, I, Keitner, GIet al. Family treatment for bipolar disorder: family impairment by treatment interactions. J Clin Psychiatry 2008;69:732–740. CrossRefGoogle ScholarPubMed
Reinares, M, Colom, F, Sanchez-Moreno, Jet al. Impact of caregiver group psychoeducation on the course and outcome of bipolar patients in remission: a randomized controlled trail. Bipolar Disord 2008;10:511–519. CrossRefGoogle Scholar
Lam, DH, Watkins, ER, Hayward, Pet al. A randomised controlled study of cognitive therapy of relapse prevention for bipolar affective disorder: outcome of the first year. Arch Gen Psychiatry 2003;60:145–152. CrossRefGoogle ScholarPubMed
Lam, DH, Hayward, P, Watkins, ER, Wright, K, Sham, P.Relapse prevention in patients with bipolar disorder: cognitive therapy outcome after 2 years. Am J Psychiatry 2005;162:324–329. CrossRefGoogle ScholarPubMed
Ball, JR, Mitchell, PB, Corry, JC, Skillecorn, A, Smith, M, Mahli, GS.A randomised controlled trial of cognitive therapy for bipolar disorder: focus on long-term change. J Clin Psychiatry 2006;67:277–286. CrossRefGoogle ScholarPubMed
Scott, J, Paykel, E, Morriss, Ret al. Cognitive behaviour therapy for severe and recurrent bipolar disorders: a randomised controlled trial. Br J Psychiatry 2006;188:313–320. CrossRefGoogle ScholarPubMed
Zaretsky, A, Lancee, W, Miller, C, Harris, A, Parikh, SV.Is cognitive-behavioural therapy more effective than psychoeducation 2007 in bipolar disorder? Can J Psychiatry 2008;53:441–448. CrossRefGoogle Scholar
Castle, D, Berk, M, Berk, L, Lauder, S, Chamberlain, J, Gilbert, M.Pilot of group intervention for bipolar disorder. Int J Psychiatry Clin Pract 2007;11:279–284. CrossRefGoogle ScholarPubMed
Frank, E, Kupfer, DJ, Thase, Met al. Two-year outcomes for interpersonal and social rhythm therapy in individuals with bipolar I disorder. Arch Gen Psychiatry 2005;62:996–1004. CrossRefGoogle ScholarPubMed
Castle, D.Managing bipolar disorder with comorbid substance use. Mod Manag Bipolar Disord 2007;3:1–3. Google Scholar
Solomon, DA, Keitner, GI, Ryan, CE, Kelley, J, Miller, IW.Preventing recurrence of bipolar I mood episodes and hospitalizations: family psychotherapy plus pharmacotherapy versus pharmacotherapy alone. Bipolar Disord 2008;10:798–805. CrossRefGoogle ScholarPubMed
Murray, G, Michalak, E.Quality of life in patients with bipolar disorder: defining and measuring goals. Psychiatr Times 2007;XXIV:24–26. Google Scholar
Michalak, EE, Murray, G.Psychosocial functioning and quality of life in bipolar disorder. In: Young, A, Ferrier, N, Michalak, EE, eds. Practical management of bipolar disorder. Cambridge: Cambridge University Press, in press.Google Scholar
Vieta, E, Colom, F.Psychological interventions in bipolar disorder: from wishful thinking to and evidence-based approach. Acta Psychiatr Scand 2004;110 (Suppl. 422):34–38. CrossRefGoogle Scholar
Yalom, ID.The theory and practice of group psychotherapy. New York: Basic Books, 1995. Google Scholar
Miklowitz, D, Otto, MW, Frank, Eet al. Psychosocial treatments for bipolar depression. A 1-year randomized trial from the Systematic Treatment Enhancement Program. Arch Gen Psychiatry, 2007;64:419–427. CrossRefGoogle ScholarPubMed
Morriss, RK, Faizal, MA, Jones, AP, Williamson, PR, Bolton, C, Mccarthy, JP.Interventions for helping people recognise early signs of recurrence in bipolar disorder. Cochrane Database Syst Rev 2007;24:1. Google Scholar
Lambert, MJ, Ogles, BM.The efficacy and effectiveness of psychotherapy. In: Lambert, M, ed. Bergin and Garfield's handbook of psychotherapy and behavior change. New York, NY: Wiley, 2004:139–193. Google Scholar
Berk, M, Berk, L, Castle, D.A collaborative approach to the treatment alliance in bipolar disorder. Bipolar Disord 2004;6:504–518. CrossRefGoogle Scholar
Colom, F, Vieta, E, Sanchez-Moreno, Jet al. Psychoeducation for bipolar II disorder: an exploratory 5-year outcome analysis. J Affect Disord 2009;112:30–35. CrossRefGoogle Scholar
Berk, M, Dodd, S, Mahli, GS.Bipolar missed states: the diagnosis and clinical salience of bipolar mixed states. Aust N Z J Psychiatry 2005;39:215–221. Google ScholarPubMed
Vieta, E.Bipolar mixed states and their treatment. Expert Rev Neurother 2005;5:63–68. CrossRefGoogle ScholarPubMed
Lam, D.What can we conclude from studies on psychotherapy in bipolar disorder? Br J Psychiatry 2006;188: 321–322. CrossRefGoogle ScholarPubMed
Franchini, L, Zanardi, R, Smeraldi, E, Gasperinin, M.Early onset of lithium prophylaxis as a predictor of good long-term outcome. Eur Arch Psychiatry Clin Neurosci 1999;249:227–230. CrossRefGoogle ScholarPubMed
Berk, M, Hallam, K, Lucas, Net al. Early interventions in bipolar disorders; opportunities and pitfalls. Med J Aust 2007;187(Suppl. 7):S11–S14. CrossRefGoogle ScholarPubMed
Berk, M, Hallam, KT, Mcgorry, PD.The potential utility of a staging model as a course specifier: a bipolar disorder perspective. J Affect Disord 2007;100: 279–280. CrossRefGoogle ScholarPubMed
Berk, L, Berk, M, Castle, D, Lauder, S.Living with bipolar. Crows Nest, NSW: Allen & Unwin, 2008. Google Scholar
Robertson, L, Smith, M, Castle, D, Tannenbaum, D.Using the internet to enhance the treatment of depression. Australas Psychiatry 2006;14:413–417. CrossRefGoogle ScholarPubMed
Lauder, S, Chester, A, Berk, M.Net-effect? Online psychological interventions. Acta Neuropsychiatr 2007;19: 386–388. CrossRefGoogle Scholar
Barnes, C, Harvey, R, Mitchell, R, Smith, M, Wilhelm, K.Evaluation of an online relapse prevention program for bipolar disorder: an overview of the aims and methodology of a randomised controlled trial. Dis Manag Health Outcomes 2007;15:215–224. CrossRefGoogle Scholar
Chong, TWH, Holdsworth, C, Gilbert, Met al. A web-based psychological intervention for bipolar disorder. Aust N Z J Psychiatry 2005;39(Suppl. 2):A31. Google Scholar
Lauder, S, Berk, M, Castle, Det al. www.moodswings: the highs and lows of an online intervention for bipolar disorder: preliminary findings. Aust N Z J Psychiatry 2008;42(Suppl. 3):A83–A84. Google Scholar
Proudfoot, J, Parker, G, Manicavasagar, V, Smith, M.Helping patients to take control of bipolar disorder: the role of an online psychoeducation program. Aust NZ J Psychiatry 2008;42(suppl.1):A106. Google Scholar