Family focused treatment versus individual treatment for Bipolar disorder : Results of a randomised clinical trial

Department of Psychology, Boston University, Boston, Massachusetts, United States
Journal of Consulting and Clinical Psychology (Impact Factor: 4.85). 07/2003; 71(3):482-92. DOI: 10.1037/0022-006X.71.3.482
Source: PubMed


Recently hospitalized bipolar, manic patients (N = 53) were randomly assigned to a 9-month, manual-based, family-focused psychoeducational therapy (n = 28) or to an individually focused patient treatment (n = 25). All patients received concurrent treatment with mood-stabilizing medications. Structured follow-up assessments were conducted at 3-month intervals for a 1-year period ofactive treatment and a 1-year period of posttreatment follow-up. Compared with patients in individual therapy, those in family-focused treatment were less likely to be rehospitalized during the 2-year study period. Patients in family treatment also experienced fewer mood disorder relapses over the 2 years, although they did not differ from patients in individual treatment in their likelihood of a first relapse. Results suggest that family psychoeducational treatment is a useful adjunct to pharmacotherapy in decreasing the risk of relapse and hospitalization frequently associated with bipolar disorder.

Download full-text


Available from: Jim Mintz, Aug 05, 2014
  • Source
    • "It is critical to understand the characteristics, role and impact of spousal involvement in CPAP adherence before any successful interventions involving spouses can be developed to improve CPAP use. Family-oriented and couple-based interventions have demonstrated effectiveness in weight control [94], drug addiction [95], and medication-taking behavior [96], and they have improved health outcomes in diseases such as diabetes mellitus [97], cancer [83], and chronic mental illness [98]. Understanding the similarities and differences between how couples respond to OSA and CPAP versus other disorders and treatment may be useful in designing dyadic interventions for this population. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Poor adherence to continuous positive airway pressure (CPAP) treatment is associated with substantial health care costs, morbidity and mortality, and has been a leading obstacle in the effective management of obstructive sleep apnea (OSA). Successful interventions to improve CPAP adherence may ultimately include a variety of components. For patients living with spouses (refers to all domestic partners), the spouse will likely be an integral component to any successful intervention. Developing understanding of the role of spouses in adherence to CPAP has been identified to be a critical research need. This review expands the investigation of CPAP adherence to a broader context, from an exclusive focus on individual patients to a dyadic perspective encompassing both patients and their spouses. A conceptual framework based on social support and social control theories is proposed to understand spousal involvement in CPAP adherence. Methodologies for future investigations are discussed, along with implications for developing interventions that engage both patients and their spouses to improve CPAP use.
    Full-text · Article · May 2014 · Sleep Medicine Reviews
  • Source
    • "Given the age of onset of most eating disorders [1,2], it is interesting that family-based relapse prevention strategies have not yet been developed. Such strategies are noted in other high severity disorders affecting young people, for example first episode psychosis [106] and bipolar disorder [107]. Once a young person leaves primary treatment, they return to an environment that is potentially unchanged, where significant risk factors remain [108]. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Eating disorders often develop during adolescence and young adulthood, and are associated with significant psychological and physical burden. Identifying evidence-based interventions is critical and there is need to take stock of the extant literature, to inform clinical practice regarding well-researched interventions and to direct future research agendas by identifying gaps in the evidence base.
    Full-text · Article · Feb 2014 · International Journal of Eating Disorders
  • Source
    • "For the present study we used only the total score, which can range from 7 to 35, with higher scores representing better functioning. The SAS has been used previously in BD samples [20, 50–52]. "
    [Show abstract] [Hide abstract]
    ABSTRACT: We conducted a secondary analysis of data from a clinical trial to explore the relationship between degree of personality disorder (PD) pathology (i.e., number of subthreshold and threshold PD symptoms) and mood and functioning outcomes in Bipolar I Disorder (BD-I). Ninety-two participants completed baseline mood and functioning assessments and then underwent 4 months of treatment for an index manic, mixed, or depressed phase acute episode. Additional assessments occurred over a 28-month follow-up period. PD pathology did not predict psychosocial functioning or manic symptoms at 4 or 28 months. However, it did predict depressive symptoms at both timepoints, as well as percent time symptomatic. Clusters A and C pathology were most strongly associated with depression. Our findings fit with the literature highlighting the negative repercussions of PD pathology on a range of outcomes in mood disorders. This study builds upon previous research, which has largely focused on major depression and which has primarily taken a categorical approach to examining PD pathology in BD.
    Full-text · Article · Jan 2014 · Depression research and treatment
Show more