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Efficacy of functional remediation in bipolar disorder: a multicenter randomized controlled study
Carla Torrent1, Caterina del Mar Bonnin, Anabel Martínez-Arán
1Centers for Biomedical Research Network on Mental Health(CIBERSAM), Barcelona, Madrid, Vitoria, Oviedo, and Valencia, Spain.
The American Journal of Psychiatry
|March 21, 2013
Summary
Functional remediation significantly improved psychosocial functioning in euthymic bipolar disorder patients compared to standard care. This novel intervention offers a promising approach for enhancing daily life for individuals with bipolar disorder.
Area of Science:
- Psychiatry
- Clinical Psychology
- Neuroscience
Background:
- Bipolar disorder significantly impacts psychosocial functioning.
- Euthymic phase management is crucial for long-term outcomes.
- Novel interventions are needed to improve functional recovery.
Purpose of the Study:
- To evaluate the efficacy of functional remediation for improving psychosocial functioning in euthymic bipolar disorder patients.
- To compare functional remediation with psychoeducation and treatment as usual.
Main Methods:
- A multicenter, randomized, rater-blind clinical trial with 239 outpatients.
- Intervention groups: functional remediation (N=77), psychoeducation (N=82), and treatment as usual (N=80).
- Primary outcome: change in Functioning Assessment Short Test score over 21 weeks.
Main Results:
- Significant functional improvement observed from baseline to endpoint.
- Functional remediation showed significant improvement compared to treatment as usual.
- No significant difference was found between functional remediation and psychoeducation.
Conclusions:
- Functional remediation is an effective group intervention for enhancing functional outcomes in euthymic bipolar disorder patients.
- It offers a valuable alternative to treatment as usual for functional recovery.
- Further research may explore its combination with other therapeutic modalities.
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