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Psychological interventions for adults with bipolar disorder: Systematic review and meta-analysis
Morriss, Richard K.
Morriss, Richard K.
Abstract
Background Psychological interventions may be beneficial in bipolar disorder. Aims To evaluate the efficacy of psychological interventions for adults with bipolar disorder. Method A systematic review of randomised controlled trials was conducted. Outcomes were meta-analysed using RevMan and confidence assessed using the GRADE method. Results We included 55 trials with 6010 participants. Moderate-quality evidence associated individual psychological interventions with reduced relapses at post-treatment (risk ratio (RR) = 0.66, 95% CI 0.48-0.92) and follow-up (RR = 0.74, 95% CI 0.63-0.87), and collaborative care with a reduction in hospital admissions (RR =0.68, 95% CI 0.49-0.94). Low-quality evidence associated group interventions with fewer depression relapses at posttreatment and follow-up, and family psychoeducation with reduced symptoms of depression and mania. Conclusions There is evidence that psychological interventions are effective for people with bipolar disorder. Much of the evidence was of low or very low quality thereby limiting our conclusions. Further research should identify the most effective (and cost-effective) interventions for each phase of this disorder. Copyright © The Royal College of Psychiatrists 2016.
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Date
2016
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Article
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Bipolar disorder, Depression, Cognitive therapy
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Oud, M., Mayo-Wilson, E., Braidwood, R., Schulte, P., Jones, S. H., Morriss, R. K., Kupka, R., Cuijpers, P. & Kendall, T. (2016). Psychological interventions for adults with bipolar disorder: Systematic review and meta-analysis. The British Journal of Psychiatry, 208 (3), pp.213-222.
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This is an author-produced electronic version of an article accepted for publication in the British Journal of Psychiatry. The definitive publisher-authenticated version is available online at https://www.cambridge.org/core/journals/bjpsych-bulletin