Group-based psychosocial intervention for bipolar disorder: randomised controlled trial

被引：80

作者：

Castle, David ^{[2
,3
]}

White, Carolynne ^{[1
]}

Chamberlain, James ^{[1
]}

Berk, Michael ^{[4
,5
]}

Berk, Lesley ^{[4
,5
]}

Lauder, Sue ^{[4
]}

Murray, Greg ^{[6
]}

Schweitzer, Isaac ^{[7
,8
]}

Piterman, Leon ^{[9
]}

Gilbert, Monica ^{[1
]}

机构：

[1] St Vincents Hlth Melbourne, Frameworks Hlth, Fitzroy, Vic 3065, Australia

[2] Univ Melbourne, Dept Psychiat, Fitzroy, Vic 3065, Australia

[3] St Vincents Hlth, Fitzroy, Vic, Australia

[4] Univ Melbourne, Dept Clin & Biomed Sci, Geelong, Vic, Australia

[5] Mental Hlth Res Inst, Orygen Res Ctr, Geelong, Vic, Australia

[6] Swinburne Univ Technol, Fac Life & Social Sci, Hawthorn, Vic 3122, Australia

[7] Univ Melbourne, Richmond, Vic, Australia

[8] Melbourne Clin, Richmond, Vic, Australia

[9] Monash Univ, Fac Med Nursing & Hlth Sci, Clayton, Vic, Australia

来源：

BRITISH JOURNAL OF PSYCHIATRY | 2010年 / 196卷 / 05期

关键词：

GROUP PSYCHOEDUCATION; THERAPY; FRAMEWORK; EFFICACY; SCALE;

D O I：

10.1192/bjp.bp.108.058263

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Background Psychosocial interventions have the potential to enhance relapse prevention in bipolar disorder. Aims To evaluate a manualised group-based intervention for people with bipolar disorder in a naturalistic setting. Method Eighty-four participants were randomised to receive the group-based intervention (a 12-week programme plus three booster sessions) or treatment as usual, and followed up with monthly telephone interviews (for 9 months post-intervention) and face-to-face interviews (at baseline, 3 months and 12 months). Results Participants who received the group-based intervention were significantly less likely to have a relapse of any type and spent less time unwell. There was a reduced rate of relapse in the treatment group for pooled relapses of any type (hazard ratio 0.43, 95% CI 0.20-0.95; t(343)= -2.09, P=0.04). Conclusions This study suggests that the group-based intervention reduces relapse risk in bipolar disorder.

引用

页码：383 / 388

页数：6

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