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首页> 外文期刊>The journal of clinical psychiatry >The package of care for patients with bipolar depression.
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The package of care for patients with bipolar depression.

机译：一揽子双相抑郁症患者的护理包。

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Although pharmacotherapy is the mainstay of the comprehensive program of medical care for the management of patients with bipolar disorder, the additional benefits of psychosocial interventions for the patient, family, and caregivers are now being recognized and increasingly adopted. Several facets of bipolar disorder can be addressed more effectively by instituting adjunctive psychosocial interventions. Recent clinical evidence indicates that combining pharmacotherapy with psychosocial interventions, which are tailored to patients' individual needs, may decrease the risk of relapse, improve patient adherence, and decrease the number and length of hospitalizations. A multidisciplinary approach may also enhance long-term patient outcomes such as mood stability, enhanced occupational and/or social functioning, and overall quality of life. Psychoeducation helps individuals become active and informed participants in the management of their illness, promoting a collaborative relationship between patients and their caregivers. However, psychosocial interventions are not useful for all patients with bipolar illness and may be more useful in addressing some problems than others. Evidence would suggest that psychosocial interventions, with continuing pharmacotherapy, are best used as prophylaxis and during periods of remission to prevent further episodes. Further randomized, clinical trials will help to define which components of psychosocial intervention are most effective in patients with bipolar disorder.
机译：尽管药物疗法是治疗双相情感障碍患者的综合医疗计划的主要内容，但现在已经认识到并越来越多地采用心理社会干预措施为患者，家庭和护理人员带来的额外好处。通过采取辅助性的社会心理干预措施，可以更有效地解决躁郁症的几个方面。最新的临床证据表明，针对患者个人需求量身定制的药物治疗与社会心理干预相结合，可降低复发风险，改善患者依从性并减少住院次数和时间。多学科方法还可增强患者的长期结局，例如情绪稳定，增强的职业和/或社会功能以及整体生活质量。心理教育可帮助个人成为疾病管理中的积极而有见地的参与者，从而促进患者与其护理人员之间的协作关系。但是，社会心理干预措施并非对所有躁郁症患者都有用，并且在解决某些问题上可能比其他问题更有用。有证据表明，在进行持续药物治疗的同时，最好采取心理社会干预措施，以预防和在缓解期间预防进一步发作。进一步的随机临床试验将有助于确定在双相情感障碍患者中，社会心理干预的哪些成分最有效。

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