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Information Journal Paper

Title

INTEGRATING PSYCHOLOGICAL INTERVENTIONS AND PHARMACOTHERAPY IN THE TREATMENT OF BIPOLAR DISORDER

Author(s)

BAGHBANIAN A. | BAGHERIAN R.

Pages

  279-279

Abstract

 Objectives: Finding out which psychological intervention can be effective for which domain and over what intervals, in this study, researches on psychological interventions as adjunctive to PHARMACOTHERAPY for bipolar disorder was reviewed. Method: Several original and review articles of psychoeducation, FAMILY THERAPY, interpersonal therapy, and cognitive-behavioral therapy (CBT) were reviewed. Results: Evidences showed that systematic interventions, FAMILY THERAPY and interpersonal therapy are most effective in preventing recurrences after an acute episode, whereas CBT and group psychoeducation are most effective during a period of recovery. Individual psychoeducational intervention is more effective for manic than depressive symptoms, whereas FAMILY THERAPY and CBT are more effective for depressive than manic symptoms. Some studies show that CBT has effects on quality of life through reducing frequency and duration of mood episodes, and promoting compliance. Conclusions: Integrating psychological interventions with PHARMACOTHERAPY can enhance the symptomatic and functional outcomes of patients with bipolar disorder. Treatments considering medication adherence and early recognition of mood symptoms are more effective on manic symptoms, whereas treatments considering cognitive and interpersonal coping methods have more effects on depression. Also psychological interventions can improve their quality of life with lower frequency and duration of mood episodes, and higher degrees of compliance.

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