Article

Psychoeducational treatment for school-aged children with bipolar disorder

Ohio State University, Coumbus, OH 32101-1250, USA.
Development and Psychopathology (Impact Factor: 4.89). 02/2006; 18(4):1289-306. DOI: 10.1017/S0954579406060627
Source: PubMed

ABSTRACT Bipolar disorder (BPD) has received increasing attention from public and professional sources. Although pharmacologic treatments are considered the sine qua non in the treatment of youth with BPD, psychosocial interventions are critical to assist the child and family cope with symptoms that carry with them significant morbidity and mortality. Treatments developed to date are few in number; all are psychoeducationally based, using cognitive-behavioral and family systems interventions within a biopsychosocial framework. This paper reviews possible mediators of outcome, including caregiver concordance, children's social skills, hopelessness, and family stress. The author has developed two family-based psychoeducational interventions for the treatment of youth with BPD: multifamily psychoeducation groups (MFPG) and individual family psychoeducation (IFP). These treatments are both described and the results from a previously published randomized clinical trial (RCT) of MFPG are summarized. Then, new findings from an RCT of IFP are presented, along with preliminary pilot data from an expanded version of IFP. The paper concludes with recommendations for future research.

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    • "Moreover, family psychoeducation targeted to caregivers and youth conjointly is especially helpful for youth receiving psychiatric medication (Fristad, 2006). Several researchbased protocols exist for childhood disorders in addition to ADHD— including depression (Sanford et al., 2006), bipolar disorder (Fristad, 2006), and eating disorders (Geist, Heinmaa, Stephens, Davis, & Katzman, 2000). Family-Based Medication Decision-Making Family-based medication decision-making interventions, in which family history and attitudes about psychiatric medication are systematically processed in the context of current options and benefit-cost decisions about adolescent ADHD medication, appear to be prerequisite for safe and consistent medication use in teenagers with ADHD. "
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    • "Counselors read the items aloud to the children as a group to facilitate comprehension. Both scales were derived from satisfaction measures developed for the MFPG (Fristad, 2006). "
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    • "One review supports FPE as helpful in reducing family tensions and dysfunction and fostering more effective use of professional services (Diamond and Josephson, 2005), although there have been null findings as well (Ruffolo, Kuhn, & Evans, 2005). Most prominently, Mary Fristad and various colleagues have created both individual and multi-family FPE interventions for children with mood disorders and their parents, as adjuncts to clinical treatment (Fristad, 2006; Fristad, Gavazzi, & Mackinaw-Koons, 2003; Klaus & Fristad, 2005). Their initial evaluation research has been promising. "
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