A real-world study of the association between a brief group psychoeducation and the course of bipolar disorder
Casellas-Pujol, Elisabet (Institut d'Investigació Biomèdica Sant Pau)
Raventós, B. (Associació Centre Higiene Mental Les Corts (Barcelona, Catalunya))
Piñeiro-Ríos, M. (Hospital Universitari MútuaTerrassa (Terrassa, Catalunya))
Navarro-Martínez, Helena (Institut de Neuropsiquiatria I Addiccions (INAD))
Castillón-Espezel, M. (Department of Psychiatry. Consorci Sanitari de Mataró)
Portella, Maria J.. (Institut d'Investigació Biomèdica Sant Pau)
Martin Blanco, Ana (Institut d'Investigació Biomèdica Sant Pau)

Data:	2021
Resum:	Although pharmacotherapy is considered the first-line treatment for bipolar disorders (BD), adjunctive psychoeducation has proven its effectiveness in improving self-management of the disease and reducing relapse rates. Few studies have evaluated the effect of brief group psychoeducation on pragmatic variables, such as the number of hospitalizations. The aim of the present study was to assess the mid-term effect of a four-session group psychoeducation on course-related variables in BD. Thirty-two individuals with BD were included in the study. Sixteen were exposed to psychoeducation and were matched to sixteen nonexposed individuals who received their usual treatment. Both groups were compared on insight, treatment adherence, change in the number of hospitalizations and visits to the emergency services, occurrence rate after intervention, and time to the first psychiatric hospitalization and the first urgent attendance. There was a significant reduction in the mean number of hospitalizations and urgent attendances in the exposed group in comparison to the nonexposed group. The first urgent attendance was significantly sooner in the nonexposed cohort. There were no differences between groups in any of the other variables. This intervention has shown benefits for pragmatic variables of the disease course and may be a feasible and cost-effective intervention to routinely implement in the management of BD.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Bipolar disorder ; Group psychoeducation ; Disease progression ; Recurrence ; Treatment adherence ; Insight
Publicat a:	International journal of environmental research and public health, Vol. 18 Núm. 9 (january 2021) , p. 5019, ISSN 1660-4601

DOI: 10.3390/ijerph18095019
PMID: 34068535

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