Features of Psychosocial Functioning of Patients with Bipolar Affective Disorder: Modern Methods of Patients’ Rehabilitation
https://doi.org/10.30629/2618-6667-2022-20-3-124-133
Abstract
Introduction: bipolar affective disorder frequently presents residual symptoms even in interictal period, what in its turn causes problems in psychosocial functioning, cognitive impairment and poor quality of life. Nowadays, the treatment targets are focused not only on clinical remission, but also on functional recovery and in personal recovery, patients’ quality of life. Scientific review contains results of researches, aimed on therapy modalities, that can be effective in decreasing maladjustment, integration into society, prevention of social and labour deadaptation.
Purpose: to present an analysis of scientific data on currently existing approaches to the restoration of the psychosocial functioning of patients suffering from bipolar disorder and evaluate their effectiveness.
Materials and methods: the keywords “bipolar affective disorder”, “psychosocial intervention”, “cognitive-behavioral therapy”, “psychoeducation” were used to search scientific articles in the databases PubMed, еLibrary.
Conclusion: with a view to rehabilitation were used such modalities as psychoeducation, cognitive-behavioral therapy, family focused therapy. The question remains whether of these interventions are effective and should be integrated into treatment regimen of bipolar affective disorder.
About the Authors
J. I. Tarkhova
“Lahta Clinic”
Russian Federation
Russian Federation
Julia I. Tarkhova, Psychiatrist, Psychotherapist
Saint Petersburg
V. K. Shamrey
S.M. Kirov Military Medical Academy
Russian Federation
Russian Federation
Vladislav K. Shamrey, Professor, Dr. of Sci. (Med.), Head of the Department, Department of Psychiatry
Saint Petersburg
E. S. Kurasov
S.M. Kirov Military Medical Academy
Russian Federation
Russian Federation
Evgeniy S. Kurasov, Professor, Dr. of Sci. (Med.), Head of the Department of Neuroses
Saint Petersburg
A. P. Otmakhov
St. Petersburg State Healthcare Institution “Psychiatric Hospital of St. Nicholas”
Russian Federation
Russian Federation
Andrey P. Otmakhov, Chief Doctor
Saint Petersburg
A. S. Kalimov
Saint Petersburg State University
Russian Federation
Russian Federation
Alexey S. Kalimov, Psychologist, Postgraduate Student, Faculty of Psychology
Saint Petersburg
S. G. Bykova
St. Petersburg State Budgetary Healthcare Institution “Psychoneurological Dispensary #9”
Russian Federation
Russian Federation
Serafima G. Bykova, Medical Psychologist
Saint Petersburg
References
1. Samalin L, Reinares M, de Chazeron I, Torrent C, Bonnin CM, Hidalgo-Mazzei D, Murru A, Pacchiarotti I, Geoffroy PA, Bellivier F, Llorca PM, Vieta E. Course of residual symptoms according to the duration of euthymia in remitted bipolar patients. Acta Psychiatr Scand. 2016;134(1):57–64. doi: 10.1111/acps.12568
2. Petrova NN, Ashenbrenner YuV. Bipolyarnoe affektivnoe rasstrojstvo pervogo tipa i psixosocialnoe funkcionirovanie bolnyh. Social and Clinical Psychiatry. 2018;28(1):10–14. (In Russ.).
3. Boland EM, Stange JP, Adams AM, LaBelle DR, Ong M, Hamilton JL, Connolly SL, Black CL, Cedeño AB, Alloy LB. Associations between sleep disturbance, cognitive functioning and work disability in Bipolar Disorder. Psychiatry Res. 2015;230(2):567–574. doi: 10.1016/j.psychres.2015.09.051
4. Harvey AG, Schmidt DA, Scarna A, Semler CN, Goodwin GM. Sleep-related functioning in euthymic patients with bipolar disorder, patients with insomnia, and subjects without sleep problems. Am J Psychiatry. 2005;162(1):50–57. doi: 10.1176/appi.ajp.162.1.50
5. Miklowitz DJ, Goldstein MJ, Nuechterlein KH, Snyder KS, Mintz J. Family factors and the course of bipolar affective disorder. Arch Gen Psychiatry. 1988;45(3):225–231. doi: 10.1001/archpsyc.1988.01800270033004
6. Petrov DS. Rol’ psixoobrazovaniya licz s affektivnymi rasstrojstvami v ramkax reabilitacionnoj pomoshhi. Rossijskij mediko-biologicheskij vestnik imeni akademika I.P. Pavlova. 2012:1;103–106. (In Russ.). doi: doi: 10.17816/PAVLOVJ20121104-107
7. Chatter ton ML, Stockings E, Berk M, Barendregt JJ, Carter R, Mihalopoulos C. Psychosocial therapies for the adjunctive treatment of bipolar disorder in adults: network meta-analysis. Br J Psychiatry. 2017;210(5):333–341. doi: 10.1192/bjp.bp.116.195321
8. Javadpour A, Hedayati A, Dehbozorgi G, Azizi A. The impact of a simple individual psycho-education program on quality of life, rate of relapse and medication adherence in bipolar disorder patients. Asian J Psychiatr. 2013;6(3):208–213. doi: 10.1016/j.ajp.2012.12.005
9. Kallestad H, Wullum E, Scott J, Stiles TC, Morken J. The long-term outcomes of an effectiveness trial of group versus individual psychoeducation for bipolar disorders. J Affect Disord. 2016;202:32–38. doi: 10.1016/j.jad.2016.05.043
10. Colom F, Vieta E. Psychoeducation Manual for Bipolar Disorder. Cambridge University Press. 2006.
11. Colom F, Reinares M, Pacchiarotti I, Popovic D, Mazzarini L, Martínez-Arán A, Torrent C, Rosa A, Palomino-Otiniano R, Franco C, Bonnin CM, Vieta E. Has number of previous episodes any effect on response to group psychoeducation in bipolar patients? A 5-year follow-up post-hocanalysis. Acta Neuropsychiatr. 2010;22(2):50–53. doi: 10.1111/j.1601-5215.2010.00450.x
12. Bond K, Anderson IM. Psychoeducation for relapse prevention in bipolar disorder: a systematic review of efflcacy in randomized controlled trials. Bipolar Disord. 2015;17(4):349–362. doi: 10.1111/bdi.12287
13. González Isasi A, Echeburúa E, Limiñana JM, González-Pinto A. Psychoeducation and cognitive-behavioral therapy for patients with refractory bipolar disorder: A 5-year controlled clinical trial. Eur Psychiatry. 2014;29(3):134–141. doi: 10.1016/j.eurpsy.2012.11.002
14. Parikh SV, Hawke LD, Velyvis V, Zaretsky A, Beaulieu S, Patelis-Siotis I, MacQueen G, Young LT, Yatham LN, Cervantes P. Combined treatment: impact of optimal psychotherapy and medication in bipolar disorder. Bipolar Disord. 2015;17(1):86–96. doi: 10.1111/bdi.12233
15. Bauer MS, McBride L. Structured Group Psychotherapy for Bipolar Disorder: The Life Goals Program, 2nd ed. New York: Springer. 2003.
16. Kozhyna AM, Rezunenko OY. Modern strategies in the rehabilitation of patients with bipolar affective disorder Psychiatry, psychotherapy and clinical psychology. 2017;8(1):78–83. (In Russ.).
17. Chiang K-J, Tsai J-C, Liu D, Lin C, Chiu H, Chou K. Efflcacy of cognitive-behavioral therapy in patients with bipolar disorder: a meta-analysis of randomized controlled trials. PLoS One. 2017;12(5):e0176849. doi: 10.1371/journal.pone.0176849
18. Costa RT, Cheniaux E, Rangé BP, Versiani M, Nardi AE. Group cognitive behavior therapy for bipolar disorder can improve the quality of life. Braz J Med Biol Res. 2012;45(9):862–868. doi: 10.1590/s0100-879x2012007500109
19. Costa RT, Cheniaux E, Rosaes PA, Carvalho MR, Freire RC, Versiani M, Rangé BP, Nardi AE. The effectiveness of cognitive behavioral group therapy in treating bipolar disorder: a randomized controlled study. Braz J Psychiatry. 2011;33(2):144–149. doi: 10.1590/s1516-44462011000200009
20. Gomes BC, Abreu LN, Brietzke E, Caetano SC, Kleinman A, Nery FG, Lafer B. A randomized controlled trial of cognitive behavioral group therapy for bipolar disorder. Psychother Psychosom. 2011;80(3):144–150. doi: 10.1159/000320738
21. Meyer TD, Hautzinger M. Cognitive behaviour therapy and supportive therapy for bipolar disorders: relapse rates for treatment period and 2-year follow-up. Psychol Med. 2012;42(7):1429–1439. doi: 10.1017/S0033291711002522
22. Dovzhenko TV, Tsarenko DM, Yudeeva TYu. Risk Factors and Chronicity of Bipolar Affective Disorder: Biological and Psychosocial Aspects Counseling Psychology and Psychotherapy 2019;27(4):81–97. (In Russ.). doi: 10.17759/cpp.2019270406
23. Mixeeva MG, Moldovanov NA. Osvedomlennost’ obshhestvennosti o bipolyarnom affektivnom rasstrojstve. Smolenskij medicinskij al’manax 2019;4:140–142. (In Russ.).
24. Miklowitz DJ. Bipolar Disorder: A Family-Focused Treatment Approach, 2nd ed. New York: Guilford Press, 2008.
25. Reinares M, Colom F, Sánchez-Moreno J, Torrent C, Martínez-Arán A, Comes M, Goikolea JM, Benabarre A, Salamero M, Vieta E. Impact of caregiver group psychoeducation on the course and outcome of bipolar patients in remission: a randomized controlled trial. Bipolar Disord. 2008;10(4):511–519. doi: 10.1111/j.1399-5618.2008.00588.x
26. Fiorillo A, Del Vecchio V, Luciano M, Sampogna G, De Rosa C, Malangone C, Volpe U, Bardicchia F, Ciampini G, Crocamo C, Iapichino S, Lampis D, Moroni A, Orlandi E, Piselli M, Pompili E, Veltro F, Carrà G, Maj M. Efflcacy of psychoeducational family intervention for bipolar I disorder: A controlled, multicentric, real-world study. J Affect Disord. 2015;172:291–299. doi: 10.1016/j.jad.2014.10.021
27. Miklowitz DJ, Chung B. Family-Focused Therapy for Bipolar Disorder: Re ections on 30 Years of Research. Fam Process. 2016;55(3):483–499. doi: 10.1111/famp.12237
28. Deckersbach T, Nierenberg AA, Kessler R, Lund HG, Ametrano RM, Sachs G, Rauch SL, Dougherty D. RESEARCH: Cognitive rehabilitation for bipolar disorder: An open trial for employed patients with residual depressive symptoms. CNS Neurosci Ther. 2010;16(5):298–307. doi: 10.1111/j.1755-5949.2009.00110.x
29. Torrent C, Bonnin Cdel M, Martínez-Arán A, Valle J, Amann BL, González-Pinto A, Crespo JM, Ibáñez Á, Garcia-Portilla MP, Tabarés-Seisdedos R, Arango C, Colom F, Solé B, Pacchiarotti I, Rosa AR, Ayuso-Mateos JL, Anaya C, Fernández P, Landín-Romero R, Alonso-Lana S, Ortiz-Gil J, Segura B, Barbeito S, Vega P, Fernández M, Ugarte A, Subirà M, Cerrillo E, Custal N, Menchón JM, Saiz-Ruiz J, Rodao JM, Isella S, Alegría A, Al-Halabi S, Bobes J, Galván G, Saiz PA, Balanzá-Martínez V, Selva G, Fuentes-Durá I, Correa P, Mayoral M, Chiclana G, Merchan-Naranjo J, Rapado-Castro M, Salamero M, Vieta E. Efflcacy of functional remediation in bipolar disorder: a multicenter randomized controlled study. Am J Psychiatry. 2013;170(8):852–859. doi: 10.1176/appi.ajp.2012.12070971
30. Bonnin CM, Torrent C, Arango C, Amann BL, Solé B, González-Pinto A, Crespo JM, Tabarés-Seisdedos R, Reinares M, Ayuso-Mateos JL, García-Portilla MP, Ibañez Á, Salamero M, Vieta E, Martinez-Aran A; CIBERSAM Functional Remediation Group. Functional remediation in bipolar disorder: 1-year follow-up of neurocognitive and functional outcome. Br J Psychiatry. 2016;208(1):87–93. doi: 10.1192/bjp.bp.114.162123
31. Zyto S, Jabben N, Schulte PF, Regeer BJ, Kupka RW. A pilot study of a combined group and individual functional remediation program for patients with bipolar I disorder. J Affect Disord. 2016;194:9–15. doi: 10.1016/j.jad.2016.01.029
32. Demant KM, Vinberg M, Kessing LV, Miskowiak KW. Effects of Short-Term Cognitive Remediation on Cognitive Dysfunction in Partially or Fully Remitted Individuals with Bipolar Disorder: Results of a Randomised Controlled Trial. PLoS One. 2015;10(6):e0127955. doi: 10.1371/journal.pone.0127955
33. Ott CV, Vinberg M, Bowie CR, Christensen EM, Knudsen GM, Kessing LV, Miskowiak KW. Effect of action-based cognitive remediation on cognition and neural activity in bipolar disorder: study protocol for a randomized controlled trial. Trials. 2018;19(1):487. doi: 10.1186/s13063-018-2860-8
34. Bonnín CDM, Reinares M, Martínez-Arán A, Jiménez E, Sánchez-Moreno J, Solé B, Montejo L, Vieta E. Improving Functioning, Quality of Life, and Well-being in Patients with Bipolar Disorder. Int J Neuropsychopharmacol. 2019;22(8):467–477. doi: 10.1093/ijnp/pyz018
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For citations:
Tarkhova J.I., Shamrey V.K., Kurasov E.S., Otmakhov A.P., Kalimov A.S., Bykova S.G. Features of Psychosocial Functioning of Patients with Bipolar Affective Disorder: Modern Methods of Patients’ Rehabilitation. Psychiatry (Moscow) (Psikhiatriya). 2022;20(3):124-133. (In Russ.) https://doi.org/10.30629/2618-6667-2022-20-3-124-133
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