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Psicoterapia del disturbo bipolare
Journal Title: PSICOBIETTIVO 
Author/s: Marco Zanasi 
Year:  2013 Issue: Language: Italian 
Pages:  19 Pg. 55-73 FullText PDF:  147 KB
DOI:  10.3280/PSOB2013-003004
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The author, after a thorough inquiry on the latest research referring to cognitive impairment associated to bipolar disorder - completely undervalued until recently - sets out a review of the various psychotherapeutic approaches for the treatment of this widespread condition. Theoretical foundations, methods of intervention, strengths and exclusion criteria of each technique are presented in a comprehensive, albeit synthetic, mode. Extensive bibliography allows further laboration into the presented topics. The author, based on the data shown, concludes for the indisputable usefulness of various forms of psychotherapy in addition to pharmacotherapy in the treatment of all bipolar spectrum conditions, in any phase of the illness.
Keywords: Bipolar Disorder; Psychotherapy; Cognitive Impairment; Therapeutic Approach.

  1. Bauer M.S. (2001) “An evidence-based review of psychosocial treatments for bipolar disorder”, Psychopharmacology Bulletin Summer, 35 (3): 109-134
  2. Albus M., Hubmann W., Wahlheim C., Sobizack N., Franz U., Mohr F. (1996) “Contrasts in neuropsychological test profile between patients with first-episode schizophrenia and first episode affective disorders”, Acta Psychiatr. Scand., 94: 87-93
  3. Ali S.O., Denicoff K.D., Altshuler L.L. (2000) “A preliminary study of the relation of neuropsychological performance to neuroanatomic structures in bipolar disorder”, Neuropsychiatry, Neuropsychology and Behavioral Neurology, 13: 20-28
  4. Basco M., Rush A. (1995) Cognitive-Behavioural Treatment of Manic-Depressive Disorder, Guilford Press, New York
  5. Bebbington P.E., Ramana R. (1995) “Epidemiology of bipolar affective disorder: a review”, Social Psychiatry and Psychiatric Epidemiology, 30: 279-292
  6. Beck A.T. (1996) “Beyond belief: a theory of modes, personality and psychopathology”, in Salkovskis P. (ed.), Frontiers of Cognitive Therapy, Guilford Press, New York
  7. Burgess S., Geddes J., Townsend E. et al. (2001) Lithium for maintenance treatment of mood disorders (protocol), Cochrane Database of Systematic Reviews
  8. Butzlaff R.L., Hooley J.M. (1998) “Expressed emotion and psychiatric relapse: A meta-analysis”, Archives of General Psychiatry, 55: 547-552
  9. Cerbone M., Mayo J.A., Cuthbertson B.A., O’Connell R.A. (1992) “Group therapy as an adjunct to medications in the management of bipolar affective disorder”, Int. J. Group Psychother., 16: 174-187
  10. Clarkin J.F., Carpenter D., Hull J., Wilner P., Glick I. (1998) “Effects of psychoeducational intervention for married patients with bipolar disorder and their spouses”, Psychiatric Services, 49: 531-533
  11. Coffman J.A., Bornstein R.A., Olson S.C., Schwarzkopf S.B., Nasrallah
  12. H.A. (1990) “Cognitive impairment and cerebral structure by MRI in bipolar disorder”, Biol. Psychiatry, 27: 1188-1196
  13. Colom F., Vieta E., Martinez-Aran A., Reinares M., Goikolea J.M., Benabarre A., Torrent C., Comes M., Corbella B., Parramon G., Corominas (2003) “A randomized trial on the efficacy of group psychoeducation in the prophylaxis of recurrences in bipolar patients whose disease is in remission”, J. Arch. Gen. Psychiatry, Apr: 60 (4): 402-7
  14. Deitz J. (1993) The Self-Psychological Approach to the Bipolar Spectrum Disorders, Paper given at the Eighteenth Annual Conference of the Psychology of the Self, San Francisco, CA, October 1995
  15. Elkin I., Parloff M.B., Hadley S.W. (1985) “NIMH Treatment of Depression Collaborative Research Program. Background and research plan”, Archives of General Psychiatry, 42: 305-316
  16. Elkin I., Shea M.T., Watkins J.T. (1989) “NIMH Treatment of Depression Collaborative Research Program: general effectiveness of treatments”, Archives of General Psychiatry, 46: 971-982
  17. Falloon I. (1988) “Behavioural family therapy: systems, structures and strategies”, in Street E., Dryden W. (eds.), Family Therapy in Britain, Open University Press, Milton Keynes & Philadelphia
  18. Frank E. (1991) “Interpersonal psychotherapy as a maintenance treatment for patients with recurrent depression”, Psychotherapy, 28: 259-266
  19. Frank E., Kupfer D.J. (2003) “Progress in the therapy of mood disorders: Scientific support”, American Journal of Psychiatry, 160: 1207-1208
  20. Frank E., Kupfer D.J., Buysse D.J., Swartz H.A., Pilkonis P.A., Houck P.R., Rucci P., Novick D.M., Grochocinski V.J., Stapf D.M. (2007) “Randomized trial of weekly, twice-monthly, and monthly interpersonal Psychotherapy as maintenance treatment for women with recurrent depression”, American Journal of Psychiatry, 164: 761-767
  21. Frank E., Swartz H.A., Kupfer D.J. (2000) “Interpersonal and social rhythm therapy: managing the chaos of bipolar disorder”, Biological Psychiatry, 48, 6: 593-604
  22. Gershon S., Soares J.C. (1997) “Current therapeutic profile of lithium (commentary)”, Archives of General Psychiatry, 54: 16-20
  23. Gitlin M.J., Swendsen J., Heller T.L., Hammen C. (1995) “Relapse and impairment in bipolar disorder”, American Journal of Psychiatry, 152: 1635-1640
  24. Loeb F.F., Loeb L.R. (1987) “Psychoanalytic observations on the effect of Lithium on manic attacks”, Journal of American Psychoanalytic Association, 35:877-902
  25. Goldstein M.J., Rea M.M., Miklowitz D.J. (1996) “Family factors related to the course and outcome of bipolar disorder”, in Mundt C. et al. (eds.), Interpersonal Factors in the Origin and Course of Affective Disorders, Gaskell Books, London, pp. 193-203
  26. Goodwin F.K., Jamison K.R. (1990) Manic-Depressive Illness. Textbook in Psychiatric Epidemiology, second edition, Oxford University Press, Oxford
  27. Goodwin F.K., Jamison K.R. (1990) Manic Depressive Illness, New York, Oxford
  28. Hallensleben A. (1994) “Group psychotherapy with manic depressive patients on lithium: ten years experience”, Group Analysis, 27: 475-482
  29. Hoff A.L., Shukla S., Aronson T., Cook B., Olto C., Baruch S., Jandorf L., Schwartz J. (1990) “Failure to differentrate bipolar disorder from schizophrenia on measures of neuropsychological function”, Schizophrenia Research, 3: 253-26
  30. Honig A., Hofman A., Rozendaal N., Dingemans P. (1997) “Psycho-education in bipolar disorder: effect on expressed emotion”, Psychiatry Research, 72: 17-22
  31. Jackson M. (1993) “Integration of psychodynamics in Scandinavian psychiatry”, Br. J. Psychiatry, Jul; 163: 125-6
  32. Jamison K.R., Goodwin F.K. (1983) “Psychological issues in manic-depressive illness”, in Grinspoon L. (ed.), Psychiatry: The American Psychiatric Association Annual Review, 2: 319-337 Johnson S.L., Roberts J.E. (1995) “Life events and bipolar disorder, implications from biological theories”, Psychol. Bull., 117: 434-449
  33. Judd L.L., Akiskal H.S., Schettler P.J., Coryell W., Endicott J., Maser J.D., Solomon D.A., Leon A.C., Keller M.B. (2003) “A prospective investigation of the natural history of the long-term weekly symptomatic status of bipolar II disorder”, Archives of General Psychiatry, 60: 261-269
  34. Kahn D.A. (1993) “The use of psychodynamic psychotherapy in manic-depressive illness”, American Journal of American Academy of Psychoanalysis, 21: 441-445
  35. Kanas N., Cox P. (1998) “Process and content in a therapy group for bipolar outpatients”, Group, 22, 1: 39-44.
  36. Kay J.H., Altshuler L.L., Ventura J., Mintz J. (1999) “Prevalence of Axis II comorbidity in bipolar patients with and without alcohol use disorders”, Ann. Clin. Psychiatry, 11 (4): 187-195
  37. Keller M.B., Lavori P.W., Coryell W., Endicott J., Mueller T.I. (1993) “Bipolar I: A five year prospective follow up”, Journal of nervous and mental disease, 181: 238-245
  38. Kestenbaum C.J., Kron L. (1987) “Psychoanalytic intervention with children and adolescents with affective disorders: a combined treatment approach”, Journal of American Academy of Psychoanalysis, 15 (2): 153-174
  39. Kim E.Y., Miklowitz D.J., Biuckians A., Mullen M.A. (2007) “Life Stress and the Course Of Early-Onset Bipolar Disorder”, J. Affect Disord., 99, (1-3): 37-44
  40. Klerman G.L., Weissman M.M., Rounsaville B.J., Chevron E.S. (1984)
  41. Interpersonal Psychotherapy of Depression, Basic Books, New York Kraepelin E. (1913) General paresis, The Journal of nervous and mental disease publishing company, New York
  42. Lam D., Jones S., Bright J. (1999) Cognitive Therapy for Bipolar Disorder: A Therapist’s Guide to Concepts, Methods and Practise, Wiley, Chichester
  43. Lam D., Jones S., Bright J., Jones S. (2000) “Cognitive therapy for bipolar illness: a pilot study of relapse prevention”, Cognitive Therapy and Research, 24: 503-520
  44. Lam D., Jones S., Watkins E.R., Hayward P. (2003) “A randomised controlled study of cognitive therapy of relapse prevention for bipolar affective disorder –outcome of the first year”, Archives of General Psychiatry, 60, 2: 145-152
  45. Miklowitz D.J., Simoneau T.L., George E.L., Richards J.A., Kalbag A., Sachs-Ericsson N., Suddath R. (2000) “Family-focused treatment of bipolar disorder: One-year effects of a psychoeducational program in conjunction with pharmacotherapy”, Biological Psychiatry, 48: 582-592
  46. Morice R. (1990) “Cognitive inflexibility and pre-frontal dysfunction in schizophrenia and mania”, British Journal of Psychiatry, 157: 50-54 Murphy F.C., Sahakian B.J. (2001) “Neuropsychology of bipolar disorder”, British Journal of Psychiatry, 178: 120-127
  47. O’Connell R.A., Mayo J.A., Sciutto M.S. (1991) “PDQ-R personality disorders in bipolar patients”, J. Affect. Disord., 23 (4): 217-221
  48. Ornstein P.H. (1981) “The bipolar self in the psychoanalytic treatment process: clinical-theoretical considerations”, Journal of American Psychoanalytic Association, 29 (2): 353-375
  49. Palmer A., Williams H., Adams M. (1995) “Cognitive behaviour therapy in a group format for bipolar affective disorder”, Behavioural and Cognitive Psychotherapy, 23: 153-168
  50. Patelis-Siotis I. (2001) “Cognitive-behavioral therapy: applications for the management of bipolar disorder”, Bipolar Disord., 3 (1): 1-10
  51. Peet M., Harvey N. (1991) “Lithium maintenance, 1: a standard education programme for patients”, British Journal of Psychiatry, 159: 197-200
  52. Perry A., Tarrier N., Morriss R. (1999) “Randomized controlled trial of efficacy of teaching patients with bipolar disorder to identify early symptoms of relapse and obtain treatment”, British Medical Journal, 318: 149-153
  53. Retzer A., Simon F.B., Weber G., Stierlin H., Schmidt G. (1991) “A follow up study of manic-depressive and schizoaffective psychoses after systemic family therapy”, Fam. Process, 30: 139-153
  54. Rosenfeld H. (1963) “Notes on the psychopathology and psychoanalytic treatment of depressive and manic-depressive patients”, in Azima H., Glueck B.C. (eds.), Psychiatry Research Report 17, American Psychiatric Association, Washington, DC, pp. 73-83
  55. Salzman C. (1998) “Integrating pharmacotherapy and psychotherapy in the treatment of a bipolar patient”, Am. J. Psychiatry, 155 (5): 686-8
  56. Sapin L.R., Berrittini W.H., Nurnberger J.I. Jr, Rothblat L.A. (1987) “Mediational factors underlying cognitive changes and laterality in affective illness”, Biol. Psychiatry, 22: 979-86
  57. Satterfield J.M. (1999) “Adjunctive cognitive-behavioural therapy for rapidcycling bipolar disorder: an empirical case study”, Psychiatry, 62 (4): 357-369
  58. Scott J., Garland A., Moorhead S. (2001) “A pilot study of cognitive therapy in bipolar disorders”, Psychological Medicine, 31: 459-467
  59. Simon G.E., Ludman E.J., Unutzer J., Bauer M.S., Operskalski B., Rutter C. (2005) “Randomized trial of a population-based care program for people with bipolar disorder”, Journal of Psychological Medicine, 35: 13-24
  60. Simoneau T.L., Miklowitz D.J., Richards J.A., Saleem R., George E.L. (1999) “Bipolar disorder and family communication: Effects of a psychoeducational treatment program”, Journal of Abnormal Psychology, 108: 588-597
  61. Solomon D.A., Shea M.T., Leon A.C. (1996) “Personality traits in subjects with bipolar I disorder in remission” J. Affect Disord., 40: 41-48
  62. Sweeney F., Kmiec J., Kupfer D. (2000) “Neuropsychologic impairments in bipolar and unipolar mood disorders on the CANTAB neurocognitive battery”, Biological Psychology, 48: 674-685
  63. Tarrier N., Barrowclough C., Vaughn C. (1988) “The community management of schizophrenia: a controlled trial of behavioral intervention with families to reduce relapse”, British Journal of Psychiatry, 153: 532-542
  64. Tohen M., Angst J. (2003) Epidemiology of Bipolar Disorder, Published Online: 22 APR 2003
  65. Weissman M.M., Leaf P.J., Tischler G.L. (1988) “Affective disorders in five US communities”, Psychol Med., 18: 141-153
  66. Yalom I.D. (1975) The Theory and Practice of Group Psychotherapy, second edition, Basic Books, New York
  67. Zanasi M., Ciani N. (1995) Manuale di Gruppoanalisi, FrancoAngeli, Milano Zaretsky A.E., Segal Z.V., Gemar M. (1999) “Cognitive therapy for bipolar depression: a pilot study”, Canadian Journal of Psychiatry, 44: 491-494.

Marco Zanasi, in "PSICOBIETTIVO" 3/2013, pp. 55-73, DOI:10.3280/PSOB2013-003004

   

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