Title of article :
Is structured group psychoeducation for bipolar patients effective in ordinary mental health services? A controlled trial in Italy
Author/Authors :
Candini، نويسنده , , Valentina and Buizza، نويسنده , , Chiara and Ferrari، نويسنده , , Clarissa and Caldera، نويسنده , , Maria Teresa and Ermentini، نويسنده , , Roberta and Ghilardi، نويسنده , , Alberto and Nobili، نويسنده , , Gianluigi and Pioli، نويسنده , , Rosaria and Sabaudo، نويسنده , , Margherita and Sacchetti، نويسنده , , Emilio and Saviotti، نويسنده , , Francesco Maria and Seg، نويسنده ,
Issue Information :
روزنامه با شماره پیاپی سال 2013
Abstract :
AbstractBackground
reviews of evidence-based guidelines for the clinical management of Bipolar Disorders (BD) have recommended that “all patients with BD be offered group or individual psychoeducation” to prevent relapse, improve treatment adherence, quality of life, and functioning. The present study evaluated the effectiveness of psychoeducation in routine mental health services in reducing number of hospitalisations and number of days spent in hospital, at a 1-year follow-up.
s
l of 102 outpatients were recruited from two Italian Departments of Mental Health. Inclusion criteria were a lifetime BD type I or II diagnosis, assessed with SCID, and ≥3 months of euthymia. Exclusion criteria were DSM-IV Axis I comorbidity, mental retardation (IQ<70), organic brain damage, or deafness. All participants received standard psychiatric care, including standard pharmacological treatment; the experimental group also received 21 group psychoeducation sessions, weekly held and conducted according to Colom and Vietaʹs model.
s
mber of patients hospitalised during the 1-year follow-up, the mean number of hospitalisations per patient, and the mean number of hospitalisation days were significantly lower for psychoeducated patients.
sion
ndings support the view that group psychoeducation is an effective way to prevent hospitalisation and decrease hospital days in pharmacologically treated patients with bipolar disorder also in routine clinical settings. The results confirm that psychoeducation promotes improvement in illness course by preventing acute phases and enhancing mood stability, and consequently, improvement in the quality of life for people with BD.
Keywords :
bipolar disorder , psychoeducation , Hospitalization , Rehabilitation , Integrated treatment , Relapse prevention
Journal title :
Journal of Affective Disorders
Journal title :
Journal of Affective Disorders