La terapia dei disturbi bipolari. EMDR e interventi cognitivi individuali, familiari e psicoeducazionali di gruppo

Journal title PSICOBIETTIVO
Author/s Antonio Onofri, Ludovica Bedeschi, Lucio D'Alessandris, Giuseppe Luci
Publishing Year 2014 Issue 2013/3 Language Italian
Pages 20 P. 35-54 File size 176 KB
DOI 10.3280/PSOB2013-003003
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The Authors remind the importance of the evidence based interventions able to significantly reduce the rate of relapses and hospitalizations in Bipolar Disorders. They remember the role of the psychoeducational therapy and of the information given to the patients and their relatives. The cognitive therapy can be used to reduce the stress, to help the patients to better adhere the pharmacotherapy, to keep on working, studying and social activities, to be more able to start and maintain a romantic relationship and affectionate bonds with the relatives, acting on the pathogenic beliefs that the patients have about their illness and the drug therapy. The main goals of the cognitive-behavioural therapy are: use cognitive abilities to reduce the emotional instability and the impulsive behaviors; increase optimistic attitudes and reduce the risk of committing suicide; think about the pros and the contras of the important life decisions; modify the perception of the marriage and family interactions; reduce the stigma and the shame. Then, the Authors remind the importance of some recent clinical research that used the EMDR and showed significant results in reducing the impact of the traumas (so frequent in the autobiographical history of the bipolar patients) and also in improving and stabilizing the mood in a sample of bipolar patients. This effect could be explained by the regulating action of the EMDR on the Default Mode Network. After this, the Authors present the Family Focused Cognitive Treatment proposed by Miklowitz and, at last, an interesting model of a new Integrative Group Therapy.

Keywords: Bipolar Disorders; Cognitive-Behavioral Therapy; EMDR; Psychoeducational Groups; Family-Focused Cognitive Treatment; Therapeutic Groups

  1. Amman B. (2013) “EMDR Workshop per pazienti con disturbo bipolare”, Congresso Nazionale della Associazione Italiana per l’EMDR, Milano
  2. Bisson J.I., Andrew M. (2007) “Psychological treatments for chronic post-traumatic stress disorder. Systematic review and meta-analysis”, The British Journal of Psychiatry, 190: 97-104
  3. Camardese G., Janiri L. (a cura di) (2012) Manuale di riabilitazione per i disturbi dell’umore, Edizioni Alpes, Roma
  4. Colom F., Vieta E. (2006) Manuale di psicoeducazione per il disturbo bipolare, Giovanni Fioriti, Roma
  5. D’Alessandris L., Franza R., Luci G., Camardese G., Janiri L., Vasale M. (2012) “Un modello di psicoeducazione integrata di gruppo per i pazienti bipolari”, in Camardese G., Janiri L. (a cura di), Manuale di riabilitazione per i disturbi dell’umore, Edizioni Alpes, Roma Di Simplicio M. (2013) “Treating Trauma Symptoms in the Context of Bipolar Disorder”, EABCT Congress, Marrakesh.
  6. Ellicott A., Hammen C, Gitlin M., Brown G., Jamison K. (1990) “Life events and the course of bipolar disorder”, The American Journal of Psychiatry, 147: 194-198
  7. Farina B., Imperatori C., Quintiliani I., Castelli Gattinara P., Onofri A., Lepore M., Brunetti R., Losurdo A., Testani E., Della Marca G. (2013) “Neurophysiological modifications after EMDR sessions: evidence for traumatic memories integration”, proposto per la pubblicazione
  8. Fiedorowicz J.G., Endicott M.S.J., Leon A.C., Solomon D.A., Keller M.B., Coryell W.H. (2011) “Development of Mania or Hypomania in the Course of Unipolar Major Depression”, in Keller M.B. et al. (eds.), Clinical Guide to Depression and Bipolar Disorder, American Psychiatric Pub, Washington DC
  9. Geddes J.R., Miklowitz D.J. (2013) “Treatment of bipolar disorder”, Lancet, 11, 381 (9878): 1672-82
  10. Green J.G., McLaughlin K.A., Berglund P.A., Gruber M.J., Sampson N.A., Zaslavsky A.M., Kessler R.C. (2010) “Childhood adversities and adult psychiatric disorders in the national comorbidity survey replication I: associations with first onset of DSM-IV disorders”, Archives of General Psychiatry, 67 (2): 113-123
  11. Greicius M.D., Krasnow B., Reiss A.L., Menon V. (2003) “Functional connectivity in the resting brain:a network analysis of the default mode hypothesis”, Proceedings of the National Academy of Sciences of the United States of America, 100 (7): 253-258
  12. Gusnard D.A., Akbudak E., Shulman G.L., Raichle M.E. (2001) “Medial prefrontal cortex and self-referential mental activity: relation to a default mode of brain function”, Proceedings of the National Academy of Sciences of the United States of America, 98 (7): 4259-4264
  13. Hernandez J.M., Cordova M.J., Ruzek J., Reiser R., Gwizdowski I.S., Suppes T., Ostacher M., Hide J. (2013) “Presentation and prevalence of PTSD in a bipolar disorder population: a step-BD examination”, Journal of Affective Disorders, 150 (2): 450-455
  14. Holmes E.A., Deeprose C., Fairburn C.G., Wallace-Hadrill S.M.A., Bonsall M.B., Geddes J.R., Goodwin G.M. (2011) “Mood stability versus mood instability in bipolar disorder: A possible role for emotional mental imagery”, Behaviour Research Therapy, 49 (10): 707-713
  15. Landin-Romero R., Novo P., Vicens V., McKenna P.J., Santed A., Pomarol-Clotet E., Salgado-Pineda P., Shapiro F., Amann B.L. (2013) “EMDR Therapy Modulates the Default Mode Network in a Subsyndromal, Traumatized Bipolar Patient”, Neuropsychobiology, 67: 181-184
  16. Lanius R.A., Vermetten E., Pain C. (2010) The Impact of Early Life Trauma on Health and Disease: The Hidden Epidemy, Cambridge University Press, Cambridge (trad. it. L’impatto del trauma infantile sulla salute e sulla malattia. L’epidemia nascosta, Giovanni Fioriti, Roma 2012) Longo S., Tronci A., Saccomandi F., Carrozzo D. (2011) Lo “spettro” bipolare. Manuale di auto aiuto sul disturbo bipolare per pazienti, familiari e gruppi di auto mutuo aiuto, Giovanni Fioriti, Roma
  17. Maser J.D., Akiskal H.S. (2002) “Spectrum concepts in major mental disorders”, Psychiatric Clinics of North America, 25: XI-XIII
  18. McLaughlin K.A., Green J.G., Gruber M.J., Sampson N.A., Zaslavsky A.M., Kessler R.C. (2012) “Childhood Adversities and First Onset of Psychiatric Disorders in a National Sample of US Adolescents”, Archives of General Psychiatry, 69 (11): 1151-1160
  19. Miklowitz D.J. (1998) “Bipolar disorder”, in Blechman E.A., Brownell K.D. (eds.), Behavioral Medicine for Women, Guilford Press, New York
  20. Miklowitz D.J. (2005) Il disturbo bipolare. Una guida per la sopravvivenza, Giovanni Fioriti, Roma
  21. Miklowitz D.J. (2008) Bipolar Disorder. A Family-Focused Treatment Approach, 2nd edition, Guilford Press, New York (trad. it.: Il disturbo bipolare. L’approccio del trattamento centrato sulla famiglia, edizione italiana a cura di Antonio Onofri, Giovanni Fioriti, Roma 2013)
  22. Mosquera D., Gonzalez-Vasquez A. (2012) “Disturbo borderline di personalità, trauma e EMDR”, Rivista di Psichiatria, Supplemento EMDR in Psichiatria (a cura di Antonio Onofri), 47, 2: 26-32
  23. Newman C.F., Leahy R.L., Beck A.T., Reilly-Harrington N.A., Gyulai L. (2005) Bipolar Disorder. A Cognitive Therapy Approach, American Psychological Association, Washington DC (trad. it.: Il disturbo bipolare. Un approccio terapeutico cognitivo, Giovanni Fioriti, Roma 2012)
  24. Nicolò G., Pompili E. (a cura di) (2012) Manuale di Psichiatria Territoriale, Pacini, Pisa
  25. Novo P., Landin-Romero R., Victor Vicens MSc., McKenna P.J., Fernandez I., Garcia F., Pomarol-Clotet P., Shapiro F., Amann B.L., (2013) “Eye Movement Desensitization Reprocessing therapy in subsyndromal, traumatized bipolar patients: a randomized, single-blind, controlled pilot-study (BETstudy)”, Behavior Therapy (submitted)
  26. Onofri A. (2012) “EMDR in Psichiatria. Introduzione al Supplemento”, Rivista di Psichiatria, Supplemento EMDR in Psichiatria (a cura di Antonio Onofri), 47, 2: 1-3
  27. Onofri A., Tombolini L. (1990) “La prospettiva cognitivo-evolutiva nella comprensione dei disturbi depressivi”, Psicobiettivo, 2
  28. Onofri A., Tombolini L. (2003) “La prospettiva cognitivo-evoluzionista, i sistemi motivazionali interpersonali e la psicoterapia cognitiva dei disturbi dell’umore”, Psicobiettivo, 1
  29. Pagani M., Di Lorenzo G., Verardo A.R., Nicolais G., Monaco L., Lauretti G., Russo R., Niolu C., Ammaniti M., Fernandez I., Siracusano A. (2012) “Neurobiological Correlates of EMDR Monitoring. An EEG Study”, PlosOne, 7 (9): 1-12
  30. Phelps J., Angst J., Katzow J., Sadler J. (2008) “Validity and utility of the spectrum bipolar models”, Bipolar Disorder, 10: 179-193
  31. Quarantini L.C., Miranda-Scippa A., Nery-Fernandes F., Andrade-Nascimento M., Galvão-de-Almeida A., Guimarães J.L., Teles C.A., Netto L.R., Lira S.B., de Oliveira I.R., Post R.M., Kapczinski F., Koenen K.C.J. (2010) “The impact of comorbid posttraumatic stress disorder on bipolar disorder patients”, Journal of Affective Disorders,123 (1-3): 71-76
  32. Raichle M.E., MacLeod A.M., Snyder A.Z., Powers W.J., Gusnard D.A., Shulman G.L. (2001) “A default mode of brain function”, Proceedings of the National Academy of Sciences of the United States of America, 98 (2): 676-682
  33. Rush A.J. (1988) “Cognitive approach to adherence”, in Francis A.J., Hales R.J. (eds.), American Psychiatric Press Review of Psychiatry, American Psychiatric Association Press, Wahington DC, 8: 627-642
  34. Shapiro F. (1995) Eye Movement Desensitization and Reprocessing: Basic Principles, Protocols, and Procedure, Guilford Press, New York. Tr. it.: EMDR. Una terapia innovativa per il superamento dell’ansia, dello stress e dei disturbi di origine traumatica, Astrolabio, Roma
  35. Shapiro F. (ed.) (2002) EMDR as an Integrative Psychotherapy Approach: Experts of Diverse Orientations Explore the Paradigm Prism, APA, Washington
  36. Van der Vleugel B.M., van der Berg D.P.G., Staring A.B.P. (2012) “Trauma, Psychosis, Post-Traumatic Stress Disorder and the Application of EMDR”, Rivista di Psichiatria, Supplemento EMDR in Psichiatria (a cura di Antonio Onofri), 47, 2: 1-3

Antonio Onofri, Ludovica Bedeschi, Lucio D'Alessandris, Giuseppe Luci, La terapia dei disturbi bipolari. EMDR e interventi cognitivi individuali, familiari e psicoeducazionali di gruppo in "PSICOBIETTIVO" 3/2013, pp 35-54, DOI: 10.3280/PSOB2013-003003