Adjunctive psychological interventions for bipolar disorder have demonstrated better efficacy in preventing or delaying relapse and improving outcomes compared with pharmacotherapy psychology research articles on bipolar disorder. To evaluate the efficacy of psychological interventions for bipolar disorder in low- and middle-income countries.
Methodological heterogeneity psychology research articles on bipolar disorder studies precluded meta-analysis. A total of 18 adjunctive studies were identified: In total, 16 of the 18 studies were psychology research articles on bipolar disorder upper-middle-income countries and none from low-income countries.
All used click the following article health go here or experienced therapists to deliver the intervention. Most of the studies have moderately high risk of bias.
Psychoeducation improved treatment adherence, knowledge of and attitudes towards bipolar disorder and quality of life, and led to decreased relapse rates and hospital admissions. Family psychoeducation prevented relapse, decreased hospital admissions and improved medication adherence.
CBT reduced both depressive and manic symptoms.
MBCT reduced emotional dysregulation. Adjunctive psychological interventions alongside pharmacotherapy appear to psychology research articles on bipolar disorder the clinical outcome and quality of life of people with bipolar disorder in psychology research articles on bipolar disorder countries.
Further studies are required to investigate contextual adaptation and the role of psychology research articles on bipolar disorder in the provision of psychological interventions to ensure scalability and the efficacy of these interventions in low-income country settings.
Bipolar disorder is a severe mental illness characterised by recurrent depressive and manic episodes and associated with high levels of disability and premature mortality.
Mood stabilisers, such as lithium and sodium valproate, and atypical antipsychotics such as olanzapine, quetiapine and risperidone are the recommended evidence-based treatments for bipolar disorder. Psychological treatments may play a crucial role in improving the outcome of bipolar disorder in LMICs where first-line treatments are not available for bipolar disorder majority of psychology research articles population.
There is evidence psychology research articles on bipolar disorder high-income countries that complementing pharmacotherapy with psychoeducation, family therapy or cognitive—behavioural therapy CBT for people with bipolar disorder is more effective at preventing relapse, improving medication adherence and overall disease outcome than pharmacotherapy alone.
In this systematic review we aimed to synthesise the evidence base for the efficacy of adjunctive psychological interventions in improving clinical and functional outcomes in people with bipolar disorder in LMICs. We reviewed psychology research articles that aimed to examine the efficacy of any psychological intervention in improving clinical and functional outcomes, including prevention of relapse or recurrence and hospital admissions; treatment adherence, biological rhythms, quality of life QoL and knowledge and attitude about bipolar disorder among people with bipolar disorder.
The following terms were used to identify psychological interventions: The search terms used for bipolar disorder were: The main measures of efficacy of psychological interventions included: Eligible articles were assessed against click following inclusion psychology research articles on bipolar disorder. Studies were first screened psychology research articles on bipolar disorder on of their titles and abstracts, with the full texts obtained for those psychology research articles on bipolar bipolar the inclusion criteria.
Any discrepancies were reconciled through discussions.
Excluded articles and reasons for exclusion were documented. The consolidated standards of reporting psychology research articles on bipolar disorder CONSORT 18 and the Cochrane assessment of psychology research articles on bipolar disorder of bias 19 were used to assess the quality of the studies. The Cochrane assessment of risk of bias measures selection bias, performance bias, detection bias, attrition bias and reporting bias.
The quality of studies was psychology research articles on bipolar disorder independently by two researchers M. Assessment of the quality of the included studies was not used to exclude studies, but, to inform interpretation of the findings. Key findings were summarised in the form of figures, tables and text.
Although the original plan was to conduct a meta-analysis and generate summary effect sizes of interventions, psychology research articles on bipolar disorder was not possible because of the heterogeneity of psychology research articles on bipolar disorder included studies in terms of: A total of articles were identified from the primary search.
Of these, were duplicates and were excluded. An additional were excluded because they were not related to bipolar disorder or to psychological interventions during the title screen and a further during the abstract screen.
Of the 80 studies included in full-text review, 62 were excluded because they were not from LMICs or were here related to bipolar disorder. This resulted in a total of 18 intervention /college-admission-essay-service-uf.html for final analysis Fig.
Four types of psychological intervention were identified: All studies were conducted in upper-middle-income countries except two, psychology psychology research articles on bipolar disorder articles on bipolar disorder was conducted in middle-income countries.
There was only one study from Africa South Africa. All of the 18 studies were published between and and were conducted in six countries.
Submit manuscript at https: Bipolar disorder is a mental disorder characterized by periods of elevated moods and periods of depression. The symptoms of bipolar disorder are spoken in rapid depression, uninterruptible racing thoughts, hypersexuality and insomnia.
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