Psychological interventions for adults with bipolar disorder: systematic review and meta-analysis.
نویسندگان
چکیده
BACKGROUND Psychological interventions may be beneficial in bipolar disorder. AIMS To evaluate the efficacy of psychological interventions for adults with bipolar disorder. METHOD A systematic review of randomised controlled trials was conducted. Outcomes were meta-analysed using RevMan and confidence assessed using the GRADE method. RESULTS We included 55 trials with 6010 participants. Moderate-quality evidence associated individual psychological interventions with reduced relapses at post-treatment (risk ratio (RR) = 0.66, 95% CI 0.48-0.92) and follow-up (RR = 0.74, 95% CI 0.63-0.87), and collaborative care with a reduction in hospital admissions (RR = 0.68, 95% CI 0.49-0.94). Low-quality evidence associated group interventions with fewer depression relapses at post-treatment and follow-up, and family psychoeducation with reduced symptoms of depression and mania. CONCLUSIONS There is evidence that psychological interventions are effective for people with bipolar disorder. Much of the evidence was of low or very low quality thereby limiting our conclusions. Further research should identify the most effective (and cost-effective) interventions for each phase of this disorder.
منابع مشابه
Psychological interventions for adults with bipolar disorder: A systematic review and meta- analysis
متن کامل
Mindfulness-Based Interventions for parents of slow-paced people: A Systematic review and meta-analysis
Objective: Mindful-based interventions have been the focus of attention among the third wave of cognitive-behavioral followers, in recent years. A variety of interventional techniques such as acceptance, emotional control, cognitive restructuring are increasingly incorporated into the interventional framework directed to help slow-paced population parents and caregivers. Method: The present stu...
متن کاملA systematic review and Qualitative meta-analysis on the Identification patterns in Specific Learning Disorder
An accurate identification serves as the pathway that can guide the therapist towards the ultimate goal of adopting appropriate therapeutic and rehabilitation methods. Therefore, the present study aimed to systematically review and qualitative meta-analysis on the identification patterns in Specific Learning Disorder (SLD). The data in this qualitative meta-analysis was all study related to key...
متن کاملP135: A Systematic Review and Meta-Analysis on Controlled Treatment Trials of Meta-Cognitive Therapy for Anxiety Disorders
To conduct a systematic review and meta-analysis on controlled treatment trials of meta-cognitive therapy (MCT) for anxiety disorders, studies were included if they employed controlled methodology and treated people above 18 years with anxiety disorders. Case studies (with less than 4 cases) and single case designed studies were excluded. A comprehensive literature search identified 15 trials f...
متن کاملاثربخشی مداخلات شناختی-رفتاری در درمان اختلال اضطراب فراگیر: یک مطالعه مروری با رویکرد فراتحلیل
Background and Objectives: Although the effectiveness of cognitive-behavioral therapy (CBT) in the treatment of generalized anxiety disorder (GAD) is supported by researchers, controlled studies show that each of these methods only partially serves to treat this disorder. Therefore, this study aimed at achieving the effect size of cognitive-behavioral interventions on the treatment of G...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- The British journal of psychiatry : the journal of mental science
دوره 208 3 شماره
صفحات -
تاریخ انتشار 2016