Role of CBT and guidelines for the treatment of Bipolar Disorders

Journal title QUADERNI DI PSICOTERAPIA COGNITIVA
Author/s Giovanni Fassone, Giuseppe Nicolò
Publishing Year 2024 Issue 2024/54
Language Italian Pages 12 P. 11-22 File size 0 KB
DOI 10.3280/qpc54-2024oa18653
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This paper outlines the indications of good clinical practice for treating bipolar disorder based on the latest National Institute for Health and Care Excellence (NICE) guidelinesupdate. In light of the interventions considered, studies suggest that structured psychological interventions produce promising efficacy data, not only in acute episodes but can have medium and long-term benefits for patients with bipolar disorders, with a reduction in hospitalizationrates and related management costs. The evidence is more solid about individual psychological interventions and collaborative care, while group interventions, integrated and interpersonal cognitive therapy, and psychoeducation for families have shown promising results.

Keywords: ; Good clinical practice; Bipolar Disorder; Cognitive psychotherapy

  1. Cardoso T.deA., Campos Mondin T., Reyes A.N., Zeni C.P., Souza L.D., da Silva R.A. & Jansen K. (2015). Biological Rhythm and Bipolar Disorder: Twelve-Month Follow-Up of a Randomized Clinical Trial. The Journal of Nervous and Mental Disease, 203(10): 792-797. DOI: 10.1097/NMD.0000000000000369
  2. Cochran S.D. (1984). Preventing medical noncompliance in the outpatient treatment of bipolar affective disorders. Journal of Consulting and Clinical Psychology, 52(5): 873-878. DOI: 10.1037//0022-006x.52.5.873
  3. Costa R.T., Cheniaux E., Rosaes P.A., Carvalho M.R., Freire R.C., Versiani M., Rangé B.P. & Nardi A.E. (2011). The effectiveness of cognitive behavioral group therapy in treating bipolar disorder: a randomized controlled study. Revista Brasileira de Psiquiatria, 33(2): 144-149. DOI: 10.1590/s1516-44462011000200009
  4. D’Souza R., Piskulic D. & Sundram S. (2010). A brief dyadic group based psychoeducation program improves relapse rates in recently remitted bipolar disorder: a pilot randomised controlled trial. Journal of Affective Disorders, 120(1-3): 272-276. DOI: 10.1016/j.jad.2009.03.018
  5. Jones S.H., Smith G., Mulligan L.D., Lobban F., Law H., Dunn G., Welford M., Kelly J., Mulligan J. & Morrison A.P. (2015). Recovery-focused cognitive-behavioural therapy for recent-onset bipolar disorder: randomised controlled pilot trial. The British Journal of Psychiatry, 206(1): 58-66. DOI: 10.1192/bjp.bp.113.141259
  6. Lam D.H., Bright J., Jones S., Hayward P., Schuck N., Chisholm D. & Sham P. (2000). Cognitive therapy for bipolar illness. A pilot study of relapse prevention. Cognitive Therapy and Research, 24(5): 503-520. DOI: 10.1023/A:1005557911051
  7. Lam D.H., Hayward P., Watkins E.R., Wright K. & Sham P. (2005). Relapse prevention in patients with bipolar disorder: cognitive therapy outcome after 2 years. The American Journal of Psychiatry, 162(2): 324-329. DOI: 10.1176/appi.ajp.162.2.324
  8. Miklowitz D.J., Efthimiou O., Furukawa T.A., Scott J., McLaren R., Geddes J.R. & Cipriani A. (2021). Adjunctive Psychotherapy for Bipolar Disorder: A Systematic Review and Component Network Meta-analysis. JAMA Psychiatry, 78(2): 141-150. DOI: 10.1001/jamapsychiatry.2020.2993
  9. Nagy N., Sabry W., Khalifa D., Hashem R., Zahran N. & Khalil A.H. (2015). Relapse rate and outcome correlates in egyptian patients with bipolar disorder treated with behavioural family psychoeducation. Middle East Current Psychiatry, 22(3): 121-31. 161. DOI: 10.1097/01.XME.0000466278.16335.8f
  10. National Collaborating Centre for Mental Health (UK) (2014). 8: Psychological and Psychosocial Interventions for Acute Episodes and Long-Term Management in Adults. In: Bipolar Disorder: The NICE Guideline on the Assessment and Management of Bipolar Disorder in Adults, Children and Young People in Primary and Secondary Care. London: The British Psychological Society and The Royal College of Psychiatrists (NICE Clinical Guidelines, n. 185). www.ncbi.nlm.nih.gov/books/NBK545958/.
  11. National Institute for Health and Care Excellence (2014). Bipolar disorder: assessment and management (Clinical Guideline 185). www.nice.org.uk/guidance/CG185.
  12. Perlick D.A., Jackson C., Grier S., Huntington B., Aronson A., Luo X. & Miklowitz D.J. (2018). Randomized trial comparing caregiver-only family-focused treatment to standard health education on the 6-month outcome of bipolar disorder. Bipolar Disorders, 20(7): 622-633. DOI: 10.1111/bdi.12621
  13. Scott J., Garland A. & Moorhead S. (2001). A pilot study of cognitive therapy in bipolar disorders. Psychological Medicine, 31(3): 459-467. DOI: 10.1017/s0033291701003373
  14. Scott J., Colom F., Popova E., Benabarre A., Cruz N., Valenti M., Goikolea J.M., Sánchez-Moreno J., Asenjo M.A. & Vieta E. (2009). Long-term mental health resource utilization and cost of care following group psychoeducation or unstructured group support for bipolar
  15. disorders: a cost-benefit analysis. The Journal of Clinical Psychiatry, 70(3): 378-386. DOI: 10.4088/jcp.08m04333
  16. VA/DoD Clinical Practice Guideline (2023). Management of Bipolar Disorder Work Group, version 2.0. Washington, DC: U.S. Government Printing Office. www.healthquality.va.gov/guidelines/MH/bd/VA-DoD-CPG-BD-Full-CPGFinal508.pdf.
  17. Yatham L.N., Kennedy S.H., Parikh S.V., Schaffer A., Bond D.J., Frey B.N., Sharma V., Goldstein B.I., Rej S., Beaulieu S., Alda M., MacQueen G., Milev R.V., Ravindran A., O’Donovan C., McIntosh D., Lam R.W., Vazquez G., Kapczinski F., McIntyre R.S., … Berk M. (2018). Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) 2018 guidelines for the management of patients with bipolar disorder. Bipolar Disorders, 20(2): 97-170. DOI: 10.1111/bdi.12609

Giovanni Fassone, Giuseppe Nicolò, Ruolo della TCC e linee guida per il trattamento del Disturbo Bipolare in "QUADERNI DI PSICOTERAPIA COGNITIVA" 54/2024, pp 11-22, DOI: 10.3280/qpc54-2024oa18653