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 .
Group therapy for patients with bipolar disorder and substance dependence: results of a pilot study.
BACKGROUND The authors ' goal was to pilot test a newly developed manual-based group psychotherapy , called Integrated Group Therapy ( IGT ) , for patients with bipolar disorder and substance dependence . METHOD In this open trial , patients with DSM-IV bipolar disorder and substance dependence ( N = 45 ) were recruited in sequential blocks to receive either group therapy ( N = 21 ) or 6 monthly assessment s , but no experimental treatment ( N = 24 ) . RESULTS When compared with patients who did not receive group therapy , patients who received IGT had significantly better outcomes on the Addiction Severity Index drug composite score ( p < .03 ) , percentage of months abstinent ( p < .01 ) , and likelihood of achieving 2 ( p < .002 ) or 3 ( p < .004 ) consecutive abstinent months . CONCLUSION IGT is a promising treatment for patients with bipolar disorder and substance dependence , who have traditionally had poor outcomes . It is unclear , however , how much of the improvement among the group therapy patients is attributable to the specific content of the treatment . A study comparing this treatment with another active psychotherapy treatment is warranted
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 .