Brief psychoeducation for bipolar disorder: Impact on quality of life in young adults in a 6-month follow-up of a randomized controlled trial

被引:22
作者
Cardoso, Taiane De Azevedo [1 ]
Farias, Clarisse De Azambuja [1 ]
Mondin, Thaise Campos [1 ]
Da Silva, Giovanna Del Grande [1 ]
de Mattos Souza, Luciano Dias [1 ]
da Silva, Ricardo Azevedo [1 ]
Pinheiro, Karen Tavares [1 ]
do Amaral, Rogerio Goncalves [1 ]
Jansen, Karen [1 ]
机构
[1] Univ Catolica Pelotas, Programa Posgrad Saude & Comportamento, Centro, RS, Brazil
关键词
Randomized clinical trial; Bipolar disorder; Follow-up; Quality of Life; MEDICATION ADHERENCE; PREVALENCE; HEALTH; NONADHERENCE; PROGRAM; ONSET;
D O I
10.1016/j.psychres.2014.09.013
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
There are scarce follow-up studies evaluating the role of psychoeducation in the treatment of bipolar disorder, especially in a young sample, with a recent diagnosis and that probably received a few previous interventions. This was a randomized clinical trial with young adults aged 18-29 years, who had been diagnosed with bipolar disorder through the Structured Clinical Interview for DSM (SCID). The evaluation of quality of life was carried out using the Medical Outcomes Survey 36-Item Short-Form Health Survey (MOS SF-36). All participants were randomized into two groups: combined intervention (psychoeducation plus medication) and treatment-as-usual (medication). The sample consisted of 61 patients divided in two groups (29 usual treatment; 32 combined intervention). The quality of life domains did not reveal statistically significant differences when comparing baseline, post-intervention and 6-month follow-up evaluations, which indicates that there is no difference between combined intervention and usual intervention regarding quality of life improvement. Both groups presented improvements in quality of life domains, except General Health and Bodily Pain, at post-intervention. Moreover, this improvement persisted at 6-month follow-up, except for the Role Physical Health domain, which remained reduced. Combined Psychoeducation plus pharmacological intervention is so effective in improving quality of life perception as it is pharmacological only intervention. (C) 2014 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:896 / 902
页数:7
相关论文
共 32 条
[1]   Prevalence of ICD-10 mental disorders in a catchment area in the city of Sao Paulo, Brazil [J].
Andrade, L ;
Walters, EE ;
Gentil, V ;
Laurenti, R .
SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, 2002, 37 (07) :316-325
[2]   Mortality of patients with mood disorders: follow-up over 34-38 years [J].
Angst, F ;
Stassen, HH ;
Clayton, PJ ;
Angst, J .
JOURNAL OF AFFECTIVE DISORDERS, 2002, 68 (2-3) :167-181
[3]   Characteristics and profiles of bipolar I patients according to age-at-onset: Findings from an admixture analysis [J].
Azorin, Jean-Michel ;
Bellivier, Frank ;
Kaladjian, Arthur ;
Adida, Marc ;
Belzeaux, Raoul ;
Fakra, Eric ;
Hantouche, Elie ;
Lancrenon, Sylvie ;
Golmard, Jean-Louis .
JOURNAL OF AFFECTIVE DISORDERS, 2013, 150 (03) :993-1000
[4]   A nationwide wealth score based on the 2000 Brazilian demographic census [J].
Barros, AJD ;
Victora, CG .
REVISTA DE SAUDE PUBLICA, 2005, 39 (04) :523-529
[5]   Is structured group psychoeducation for bipolar patients effective in ordinary mental health services? A controlled trial in Italy [J].
Candini, Valentina ;
Buizza, Chiara ;
Ferrari, Clarissa ;
Caldera, Maria Teresa ;
Ermentini, Roberta ;
Ghilardi, Alberto ;
Nobili, Gianluigi ;
Pioli, Rosaria ;
Sabaudo, Margherita ;
Sacchetti, Emilio ;
Saviotti, Francesco Maria ;
Seggioli, Giuseppe ;
Zanini, Amneris ;
de Girolamo, Giovanni .
JOURNAL OF AFFECTIVE DISORDERS, 2013, 151 (01) :149-155
[6]  
Ciconelli R., 1999, Rev Bras Reumatol, V39, P143
[7]   Identifying and improving non-adherence in bipolar disorders [J].
Colom, F ;
Vieta, E ;
Tacchi, MJ ;
Sánchez-Morena, J ;
Scott, J .
BIPOLAR DISORDERS, 2005, 7 :24-31
[8]   Psychoeducation for bipolar II disorder: An exploratory, 5-year outcome subanalysis [J].
Colom, F. ;
Vieta, E. ;
Sanchez-Moreno, J. ;
Goikolea, J. M. ;
Popova, E. ;
Bonnin, C. M. ;
Scott, J. .
JOURNAL OF AFFECTIVE DISORDERS, 2009, 112 (1-3) :30-35
[9]  
Colom Francesc, 2004, Rev. Bras. Psiquiatr., V26, P47, DOI 10.1590/S1516-44462004000700011
[10]   Age of onset and the prospectively observed course of illness in bipolar disorder [J].
Coryell, William ;
Fiedorowicz, Jess ;
Leon, Andrew C. ;
Endicott, Jean ;
Keller, Martin B. .
JOURNAL OF AFFECTIVE DISORDERS, 2013, 146 (01) :34-38