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 .
Predicting relapse in schizophrenia: the development and implementation of an early signs monitoring system using patients and families as observers, a preliminary investigation.
Recognition of prodromal symptoms of schizophrenia offers the potential of early intervention to avert relapse and re-hospitalization ( Carpenter & Heinrichs , 1983 ) . The present study investigated how a strategy to detect prodromal signs might be effectively applied in the clinical setting . A st and ard monitoring system was developed involving completion of a new early signs scale ( ESS ) measuring changes in key symptoms phenomenologically ( self-report ) and behaviourally ( observer report ) . The ESS was subject to rigorous psychometric evaluation and tested in a prospect i ve pilot investigation . The ESS reliably identified early signs and predicted relapse with an overall accuracy of 79 % . Several different patterns of relapse were identified . Observer reports compensated for loss of insight in some patients . In two cases where early signs indices were detected , prompt increases in medication appeared to arrest relapse and avert readmission . The ESS offers itself as a reliable , valid and administratively feasible measure and demonstrates considerable potential as a cost-effective procedure for secondary prevention
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 .