TITLE

Group psychoeducation for stabilised bipolar disorders: 5-year outcome of a randomised clinical trial

AUTHOR(S)
Colom, F.; Vieta, E.; Sánchez-Moreno, J.; Palomino-Otiniano, R.; Reinares, M.; Goikolea, J. M.; Benabarre, A.; Martínez-Arán, A.; Sánchez-Moreno, J; Martínez-Arán, A
PUB. DATE
March 2009
SOURCE
British Journal of Psychiatry;Mar2009, Vol. 194 Issue 3, p260
SOURCE TYPE
Academic Journal
DOC. TYPE
journal article
ABSTRACT
Background: The long-term efficacy of psychological interventions for bipolar disorders has not been tested.Aims: This study assessed the efficacy of group psychoeducation to prevent recurrences and to reduce time spent ill for people with bipolar disorders.Method: A randomised controlled trial with masked outcome assessment comparing group psychoeducation and non-structured group intervention during 5-year follow-up. One hundred and twenty people with bipolar disorders were included in the study and 99 completed 5-year follow-up. Time to any recurrence, number of recurrences, total number of days spent ill, frequency and length of hospitalisations were the main outcome measures.Results: At the 5-year follow-up, time to any recurrence was longer for the psychoeducation group (log rank=9.953, P<0.002). The psychoeducation group had fewer recurrences (3.86 v. 8.37, F=23.6, P<0.0001) of any type and they spent less time acutely ill (154 v. 586 days, F=31.66, P=0.0001). The median number of days of hospitalisation per hospitalised participant was also lower for the psychoeducation group (45 v. 30, F=4.26, P=0.047).Conclusions: Six-month group psychoeducation has long-lasting prophylactic effects in individuals with bipolar disorders. Group psychoeducation is the first psychological intervention showing such a long-term maintained efficacy in people with bipolar disorders.
ACCESSION #
38507313

 

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