Psychoéducation et traitements cognitifs et comportementaux du trouble bipolaire

Details

Serval ID
serval:BIB_75226F8E59BF
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Psychoéducation et traitements cognitifs et comportementaux du trouble bipolaire
Journal
Santé mentale au Québec
Author(s)
Khazaal Yasser, Preisig Martin, Zullino Daniele Fabio
ISSN
0383-6320
Publication state
Published
Issued date
2006
Peer-reviewed
Oui
Volume
31
Number
1
Pages
125-143
Language
french
Notes
Notes sur le titre : Psychoeducational and cognitive behavioral treatments of bipolar disorder SAPHIRID:61537
Abstract
Bipolar disorder is a severe mood disorder characterized by recurrence of mania and depression. Despite the use of mood stabilizers, a significant proportion of bipolar patients experience relapse, psychosocial impairment and persistent symptoms. A significant part of patients show poor adhesion to the pharmacological treatment. This article aims to provide an overview of research focusing on psychoeducational and cognitive-behavioral treatment (CBT) of bipolar patients. METHOD: Studies were identified through Medline searches between 1971 and 2005. RESULTS: Studies on bipolar patients suggest that psychoeducational interventions may improve treatment adherence, illness knowledge, ability to cope with early manic symptoms and tend to reduce the risk of manic relapses. CBT tends to diminish depressive symptoms, improve treatment adherence and reduce the risk of depressive and manic relapses. Most psychoeducational and CBT studies share a common medical model of the illness, thereby making clear distinctions of impact of each intervention difficult. Few studies focused on patients with problems with mood stabilizers adherence. It is now important to develop specific interventions for those patients. CONCLUSION: According to these studies, bipolar patients are likely to benefit from psychoeducational or CBT interventions added to usual pharmacotherapy. In order to overcome limitations of existing research, future studies should adjust for the effect of pharmacological treatment, the type and severity of psychopathology at baseline, the acceptance of and the adaptability to the illness and it's awareness. [References: 60]
Pubmed
Create date
13/03/2008 9:39
Last modification date
20/08/2019 15:32
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