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How well do psychosocial interventions work in bipolar disorder?
Ari E Zaretsky1, Sakina Rizvi, Sagar V Parikh
1Department of Psychiatry, University of Toronto Medical School, Ontario. ari.zaretsky@utoronto.ca
Summary
Adjunctive psychosocial interventions offer consistent benefits for bipolar disorder patients. Cognitive-behavioural therapy, family-focused therapy, and psychoeducation are effective for relapse prevention.
Area of Science:
- Psychiatry
- Psychology
- Clinical Therapeutics
Background:
- Medication is the primary treatment for bipolar disorder.
- Several manualized adjunctive psychosocial interventions have emerged.
- Empirical evaluation of these interventions is needed.
Purpose of the Study:
- To empirically evaluate different psychosocial treatment approaches for bipolar disorder.
- To review recent literature on psychosocial interventions in bipolar disorder.
Main Methods:
- Systematic review of MEDLINE and PsycINFO databases.
- Inclusion of articles from 1999-2006, emphasizing randomized controlled trials.
- Scrutiny of bibliographies for additional relevant references.
Main Results:
- Manualized, short-term psychotherapies show consistent benefits for bipolar disorder patients.
- Cognitive-behavioural therapy, family-focused therapy, and psychoeducation demonstrate robust efficacy in relapse prevention.
- Interpersonal therapy and cognitive-behavioural therapy may help treat residual depressive symptoms.
Conclusions:
- Psychosocial interventions are valuable adjunctive treatments for bipolar disorder.
- Specific therapies like CBT, FFT, and psychoeducation are recommended for relapse prevention.
- Further research may explore the role of these therapies in managing depressive symptoms.
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