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Effectiveness of Psychoeducational Group Training on Quality of Life and Recurrence of Patients with Bipolar Disorder

机译:心理教育小组训练对双相情感障碍患者生活质量和复发的有效性

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Objective: Bipolar disorder (BD) is a disabling psychiatric disorder with frequent recurrences. Besides pharmacotherapy, psychoeducation could be helpful in reducing symptoms as well as recurrence of this disorder, leading to improvement of patients’ quality of life. This study aimed at investigating the effectiveness of a culturally adjusted structured program for training Iranian BD patients.Method: In a 6-month course (spring and summer 2014), 24 BD patients, visiting the outpatient clinic of Ibn-Sina Hospital in Mashhad and experiencing euthymic phase, were allocated in to 2 groups of intervention and control. The intervention group received 8 sessions of psychoeducation in four weeks. Patients in the control group received the usual treatment. The patients were evaluated with Hamilton Depression Rating Scale, Young Mania Rating Scale, and Short Form 36 before the intervention and 4 weeks later, and the results were compared using independent t test. The patients were reexamined after 6 months for recurrence, hospitalization, treatment adherence, and visiting a psychiatrist, and were compared with patients in the control groups.Results: There was a significant difference in the intervention group in improvement in quality of life before and after treatment (p<0.003). In addition, the difference was significant between the 2 groups in the number of recurrence (p<0.001) and hospitalization (p<0.000) in 6 months.Conclusion: In addition to pharmacotherapy, psychoeducation of patients with BD can improve their quality of life and decrease the risk of disorder recurrence.
机译:目的:双相情感障碍(BD)是一种经常复发的致残性精神病。除药物治疗外,心理教育还可有助于减轻症状以及这种疾病的复发,从而改善患者的生活质量。这项研究旨在调查文化适应性结构化计划对伊朗BD患者的培训的有效性。方法:在为期6个月的课程(2014年春季和夏季)中,有24名BD患者前往Mashhad的Ibn-Sina医院的门诊就诊。经历了正常的快感期,被分为两组干预和控制。干预组在四个星期内接受了8次心理教育。对照组患者接受常规治疗。在干预之前和4周后,用汉密尔顿抑郁量表,年轻躁狂量表和简短表格36对患者进行评估,并使用独立t检验比较结果。 6个月后对患者的复发,住院,治疗依从性和就诊精神病医生进行了重新检查,并与对照组进行了比较。结果:干预组在改善前后生活质量方面存在显着差异治疗(p <0.003)。此外,两组之间在6个月内的复发次数(p <0.001)和住院治疗(p <0.000)方面存在显着差异。结论:除了药物治疗外,对BD患者的心理教育可以改善他们的生活质量并降低疾病复发的风险。

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