Short group psychoeducation followed by daily electronic self-monitoring in the long-term treatment of bipolar disorders: a multicenter, rater-blind, randomized controlled trial.

Petzold, Johannes; Mayer-Pelinski, René; Pilhatsch, Maximilian; Luthe, Susan; Barth, Thomas; Bauer, Michael; Severus, Emanuel

Petzold, Johannes; Mayer-Pelinski, René; Pilhatsch, Maximilian; Luthe, Susan; Barth, Thomas; Bauer, Michael; Severus, Emanuel.

Afiliación

Petzold J; Department of Psychiatry and Psychotherapy, Carl Gustav Carus University Hospital, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Germany. johannes.petzold@uniklinikum-dresden.de.
Mayer-Pelinski R; Department of Psychiatry and Psychotherapy, Carl Gustav Carus University Hospital, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Germany.
Pilhatsch M; Department of Psychiatry and Psychotherapy, Carl Gustav Carus University Hospital, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Germany.
Luthe S; Department of Psychiatry, Behavioral and Psychosomatic Medicine, Chemnitz Hospital, Flemmingstr. 2, 09116, Chemnitz, Germany.
Barth T; Department of Psychiatry, Behavioral and Psychosomatic Medicine, Chemnitz Hospital, Flemmingstr. 2, 09116, Chemnitz, Germany.
Bauer M; Department of Psychiatry and Psychotherapy, Carl Gustav Carus University Hospital, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Germany.
Severus E; Department of Psychiatry and Psychotherapy, Carl Gustav Carus University Hospital, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Germany.

Int J Bipolar Disord ; 7(1): 23, 2019 Nov 04.

Article en En | MEDLINE | ID: mdl-31680193

RESUMEN

BACKGROUND: Despite various pharmacological and psychological treatment interventions, bipolar disorders rank among the leading causes of global disease burden. Group psychoeducation has been demonstrated an effective add-on to pharmacotherapy, but it may be difficult to implement in practice depending on the clinical setting and available human resources. METHODS: Multicenter, rater-blind, randomized controlled trial to investigate the efficacy of a new intervention program consisting of an initial 6-week psychoeducation protocol plus a subsequent structured daily computer-based self-charting program (ChronoRecord) over 54 weeks in remitted patients with bipolar disorders. The control condition included non-structured group sessions followed by daily computer-based self-reports (unstructured like a diary). Both groups received treatment-as-usual. RESULTS: Over 2 years, 41 mood episodes occurred in the experimental group (n = 39) compared to 27 in the control group (n = 34), without reaching statistical significance. Time to recurrence did not significantly differ between the experimental and control group (25% relapsed after 112 and 273 days, respectively). There were no significant group-by-time interactions in mood symptoms, quality of life, self-efficacy expectations or perceived involvement in care. CONCLUSIONS: Six weekly psychoeducational group sessions followed by daily self-monitoring via ChronoRecord for 54 weeks may not be superior to non-structured group meetings followed by unstructured self-reporting. Other psychotherapeutic interventions may be needed to optimize the treatment of patients with bipolar disorders, especially for those at later disease stages. Trial registration Retrospectively registered at German Clinical Trials Register on May 24, 2019; DRKS00017319.

Palabras clave

Bipolar disorder; Psychotherapy; Quality of life; Recurrence; Self efficacy; Self report; Self-management

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials / Guideline Aspecto: Patient_preference Idioma: En Revista: Int J Bipolar Disord Año: 2019 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Alemania

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