Psychoeducation and cognitive-behavioral therapy in bipolar disorder: an update
Version of Record online: 16 JAN 2004
Acta Psychiatrica Scandinavica
Volume 109, Issue 2, pages 83–90, February 2004
How to Cite
Gonzalez-Pinto, A., Gonzalez, C., Enjuto, S., Fernandez de Corres, B., Lopez, P., Palomo, J., Gutierrez, M., Mosquera, F. and Perez de Heredia, J. L. (2004), Psychoeducation and cognitive-behavioral therapy in bipolar disorder: an update. Acta Psychiatrica Scandinavica, 109: 83–90. doi: 10.1046/j.0001-690X.2003.00240.x
- Issue online: 16 JAN 2004
- Version of Record online: 16 JAN 2004
- Accepted for publication September 9, 2003
- bipolar disorder;
- cognitive-behavioral therapy;
- prodromal symptoms;
- medication adherence;
- compliance and outcome
Objective: To review the available literature on psychoeducation and cognitive-behavioral therapy (CBT) in bipolar disorder (BD) and to give an integral view of these therapies.
Method: Studies were identified through Medline searches in English language publications between 1971 and 2003. This was supplemented by a hand search and the inclusion of selected descriptive articles on good clinical practice.
Results: A number of studies demonstrate that psychoeducation enhances adherence to treatment, and one finds that it improves outcome in BD. Other studies find that CBT diminishes depressive symptoms and improves quality of life in BD. Occasionally some adverse effects may occur with psychotherapy and, although they are sporadic, should not be overlooked.
Conclusion: When combined with pharmacological treatment, psychoeducation helps to improve adherence. Training in the identification of early manic symptoms helps to improve outcomes and decreases the number of manic relapses in BD.