This review shows a beneficial effect of EWS in time to recurrence , percentage of people hospitalised and functioning in people with bipolar disorder .
BACKGROUND Recurrence rates for bipolar disorder are high despite effective treatments with mood stabiliser drugs .
Self-help treatments and psychological treatments that teach patients to recognise and manage early warning symptoms and signs ( EWS ) of impending manic or depressive episodes are popular with patients .
The main aim of such interventions is to intervene early and prevent bipolar episodes , thereby increasing the time to the next recurrence and preventing hospitalisation .
OBJECTIVES To compare the effectiveness of an EWS intervention plus treatment as usual ( TAU ) versus TAU ( involving and not involving a psychological therapy ) on time to manic , depressive and all bipolar episodes ( the primary outcome ) , hospitalisation , functioning , depressive and manic symptoms .
Clinical significance of inpatient family intervention: conclusions from a clinical trial.
OBJECTIVE To test whether the statistically significant results of a r and omized clinical trial of an inpatient family intervention were clinical ly significant for hospital practice , the authors reanalyzed outcome data using a measure of clinical significance based on the extent to which patients had recovered during the course of the intervention . METHODS A total of 169 hospitalized subjects and their families were r and omly assigned to a psychoeducational inpatient family intervention or to a comparison group . Patient and family outcome measures were assessed at admission , discharge , and six and 18 months after admission . Analyses of statistically significant differences in outcome suggested that inpatient family intervention was effective for certain patient subgroups identified by gender and diagnosis . Global Assessment Scale scores two or more st and ard deviations above the pretreatment ( admission ) mean were used as indicators for clinical ly significant improvement . RESULTS The re analysis confirmed that inpatient family intervention was associated with clinical ly significant improvement at discharge , especially for female patients and patients with chronic schizophrenia and bipolar disorder . These effects were maintained six months after admission before attenuating at 18 months . CONCLUSIONS Inpatient family intervention results in clinical ly meaningful outcomes for certain subgroups of patients and their families
This review shows a beneficial effect of EWS in time to recurrence , percentage of people hospitalised and functioning in people with bipolar disorder .
BACKGROUND Recurrence rates for bipolar disorder are high despite effective treatments with mood stabiliser drugs .
Self-help treatments and psychological treatments that teach patients to recognise and manage early warning symptoms and signs ( EWS ) of impending manic or depressive episodes are popular with patients .
The main aim of such interventions is to intervene early and prevent bipolar episodes , thereby increasing the time to the next recurrence and preventing hospitalisation .
OBJECTIVES To compare the effectiveness of an EWS intervention plus treatment as usual ( TAU ) versus TAU ( involving and not involving a psychological therapy ) on time to manic , depressive and all bipolar episodes ( the primary outcome ) , hospitalisation , functioning , depressive and manic symptoms .