Psychosocial treatment and interventions for bipolar disorder: a systematic review

摘要: Bipolar disorder (BD) is a chronic with high relapse rate, significant general disability and burden psychosocial impairment that often persists despite pharmacotherapy. This indicates the need for effective affordable adjunctive interventions, tailored to individual patient. Several psychotherapeutic techniques have tried fill this gap, but which intervention suitable each patient remains unknown it depends on phase of illness. The papers were located searches in PubMed/MEDLINE through May 1st 2015 combination key words. review followed recommendations Preferred Items Reporting Systematic Reviews Meta-Analyses statement. search returned 7,332 papers; after deletion duplicates, 6,124 remained eventually 78 included analysis. literature supports usefulness only psychoeducation prevention mood episodes selected subgroup patients at an early stage disease who very good, if not complete remission, acute episode. Cognitive-behavioural therapy interpersonal social rhythms could some beneficial effect during phase, more data are needed. Mindfulness interventions decrease anxiety, while improve neurocognition seem be rather ineffective. Family seems benefits mainly caregivers, uncertain whether they outcomes. current suggests specific targeting aspects BD subgroups patients.