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首页> 外文期刊>The British journal of psychiatry : >Group psychoeducation for stabilised bipolar disorders: 5-year outcome of a randomised clinical trial.
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Group psychoeducation for stabilised bipolar disorders: 5-year outcome of a randomised clinical trial.

机译：稳定型双相情感障碍的团体心理教育：一项随机临床试验的5年结果。

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BACKGROUND: The long-term efficacy of psychological interventions for bipolar disorders has not been tested. AIMS: This study assessed the efficacy of group psychoeducation to prevent recurrences and to reduce time spent ill for people with bipolar disorders. METHOD: A randomised controlled trial with masked outcome assessment comparing group psychoeducation and non-structured group intervention during 5-year follow-up. One hundred and twenty people with bipolar disorders were included in the study and 99 completed 5-year follow-up. Time to any recurrence, number of recurrences, total number of days spent ill, frequency and length of hospitalisations were the main outcome measures. RESULTS: At the 5-year follow-up, time to any recurrence was longer for the psychoeducation group (log rank=9.953, P<0.002). The psychoeducation group had fewer recurrences (3.86 v. 8.37, F=23.6, P<0.0001) of any type and they spent less time acutely ill (154 v. 586 days, F=31.66, P=0.0001). The median number of days of hospitalisation per hospitalised participant was also lower for the psychoeducation group (45 v. 30, F=4.26, P=0.047). CONCLUSIONS: Six-month group psychoeducation has long-lasting prophylactic effects in individuals with bipolar disorders. Group psychoeducation is the first psychological intervention showing such a long-term maintained efficacy in people with bipolar disorders.
机译：背景：心理干预对双相情感障碍的长期疗效尚未得到验证。目的：本研究评估了团体心理教育对预防双相情感障碍患者复发和减少病假时间的功效。方法：一项随机对照试验，采用掩盖结果评估，对5年随访期间的小组心理教育和非结构化小组干预进行了比较。这项研究包括了120名躁郁症患者，并完成了99名5年随访。主要的结局指标是任何复发时间，复发次数，患病天数，住院频率和住院时间。结果：在5年的随访中，心理教育组任何复发的时间都更长（对数等级= 9.953，P <0.002）。心理教育组的任何类型的复发率均较低（3.86 vs. 8.37，F = 23.6，P <0.0001），并且他们花在急性病上的时间更少（154 vs. 586天，F = 31.66，P = 0.0001）。心理教育组每名住院参与者的住院天数中位数也较低（45 v。30，F = 4.26，P = 0.047）。结论：六个月的小组心理教育对双相情感障碍患者具有长期的预防作用。团体心理教育是第一个对双相情感障碍患者表现出如此长期保持疗效的心理干预。

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