Psychological interventions for adults with bipolar disorder: a systematic review and meta-analysis

Background Psychological interventions may be beneficial for bipolar disorder. Aims Efficacy evaluation of psychological interventions for adults with bipolar disorder. Methods A systematic review of randomised controlled trials.. Outcomes were meta-analysed using RevMan and confidence assessed us...

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Main Authors: Oud, Matthijs, Mayo-Wilson, Evan, Braidwood, Ruth, Schulte, Peter, Jones, Steven H., Morriss, Richard K., Kupka, Ralph, Cuijpers, Pim, Kendall, Tim
Format: Article
Published: Royal College of Psychiatrists 2016
Online Access:https://eprints.nottingham.ac.uk/32515/
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author Oud, Matthijs
Mayo-Wilson, Evan
Braidwood, Ruth
Schulte, Peter
Jones, Steven H.
Morriss, Richard K.
Kupka, Ralph
Cuijpers, Pim
Kendall, Tim
author_facet Oud, Matthijs
Mayo-Wilson, Evan
Braidwood, Ruth
Schulte, Peter
Jones, Steven H.
Morriss, Richard K.
Kupka, Ralph
Cuijpers, Pim
Kendall, Tim
author_sort Oud, Matthijs
building Nottingham Research Data Repository
collection Online Access
description Background Psychological interventions may be beneficial for bipolar disorder. Aims Efficacy evaluation of psychological interventions for adults with bipolar disorder. Methods A systematic review of randomised controlled trials.. 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 and follow-up, and collaborative care with a reduction in hospitalisations. . Low quality evidence associated group interventions with fewer depression relapses at post-treatment and follow-up, and family psycho-education with reduced symptoms of depression and mania at post-treatment. Conclusions There is evidence that psychological interventions are effective for people with bipolar disorder. Limits were the very low quality of much of the evidence and therefore inconclusive. Further research should identify the most (cost)-effective interventions for each phase of this disorder.
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spelling nottingham-325152020-05-04T20:03:41Z https://eprints.nottingham.ac.uk/32515/ Psychological interventions for adults with bipolar disorder: a systematic review and meta-analysis Oud, Matthijs Mayo-Wilson, Evan Braidwood, Ruth Schulte, Peter Jones, Steven H. Morriss, Richard K. Kupka, Ralph Cuijpers, Pim Kendall, Tim Background Psychological interventions may be beneficial for bipolar disorder. Aims Efficacy evaluation of psychological interventions for adults with bipolar disorder. Methods A systematic review of randomised controlled trials.. 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 and follow-up, and collaborative care with a reduction in hospitalisations. . Low quality evidence associated group interventions with fewer depression relapses at post-treatment and follow-up, and family psycho-education with reduced symptoms of depression and mania at post-treatment. Conclusions There is evidence that psychological interventions are effective for people with bipolar disorder. Limits were the very low quality of much of the evidence and therefore inconclusive. Further research should identify the most (cost)-effective interventions for each phase of this disorder. Royal College of Psychiatrists 2016-03 Article PeerReviewed Oud, Matthijs, Mayo-Wilson, Evan, Braidwood, Ruth, Schulte, Peter, Jones, Steven H., Morriss, Richard K., Kupka, Ralph, Cuijpers, Pim and Kendall, Tim (2016) Psychological interventions for adults with bipolar disorder: a systematic review and meta-analysis. British Journal of Psychiatry, 208 (3). pp. 213-222. ISSN 1472-1465 http://dx.doi.org/10.1192/bjp.bp.114.157123 doi:10.1192/bjp.bp.114.157123 doi:10.1192/bjp.bp.114.157123
spellingShingle Oud, Matthijs
Mayo-Wilson, Evan
Braidwood, Ruth
Schulte, Peter
Jones, Steven H.
Morriss, Richard K.
Kupka, Ralph
Cuijpers, Pim
Kendall, Tim
Psychological interventions for adults with bipolar disorder: a systematic review and meta-analysis
title Psychological interventions for adults with bipolar disorder: a systematic review and meta-analysis
title_full Psychological interventions for adults with bipolar disorder: a systematic review and meta-analysis
title_fullStr Psychological interventions for adults with bipolar disorder: a systematic review and meta-analysis
title_full_unstemmed Psychological interventions for adults with bipolar disorder: a systematic review and meta-analysis
title_short Psychological interventions for adults with bipolar disorder: a systematic review and meta-analysis
title_sort psychological interventions for adults with bipolar disorder: a systematic review and meta-analysis
url https://eprints.nottingham.ac.uk/32515/
https://eprints.nottingham.ac.uk/32515/
https://eprints.nottingham.ac.uk/32515/