Psychological interventions for adults with bipolar disorder: Systematic review and meta-analysis

British Journal of Psychiatry

Volumn 208, Issue 3, 2016, Pages 213-222

  Oud, Matthijs ^a   Mayo Wilson, Evan ^b   Braidwood, Ruth ^c   Schulte, Peter ^d   Jones, Steven H ^e   Morriss, Richard ^f   Kupka, Ralph ^g   Cuijpers, Pim ^h   Kendall, Tim ⁱ  

^a NETHERLANDS INSTITUTE OF MENTAL HEALTH AND ADDICTION   (Netherlands)

^b JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

^c UNIVERSITY COLLEGE LONDON   (United Kingdom)

^d Treatment Centre for Bipolar Disorders   (Netherlands)

^e LANCASTER UNIVERSITY   (United Kingdom)

^f UNIVERSITY OF NOTTINGHAM   (United Kingdom)

^g VU UNIVERSITY MEDICAL CENTER   (Netherlands)

^h VU UNIVERSITY AMSTERDAM   (Netherlands)

ⁱ National Collaborating Centre for Mental Health   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; BIPOLAR DISORDER; CLINICAL EFFECTIVENESS; COGNITIVE THERAPY; DEPRESSION; FAMILY THERAPY; FOLLOW UP; GROUP THERAPY; HOSPITAL ADMISSION; HUMAN; INTERPERSONAL COMMUNICATION; MANIA; META ANALYSIS; MIXED MANIA AND DEPRESSION; OUTCOME ASSESSMENT; PERSONALIZED MEDICINE; PSYCHOEDUCATION; PSYCHOTHERAPY; RANDOMIZED CONTROLLED TRIAL (TOPIC); RELAPSE; REVIEW; SYSTEMATIC REVIEW; COUNSELING; FAMILY; MENTAL HEALTH; PROCEDURES; PSYCHOLOGY; RECURRENT DISEASE; STANDARDS; TREATMENT OUTCOME;

BIPOLAR DISORDER; COGNITIVE THERAPY; COUNSELING; DEPRESSION; FAMILY; FAMILY THERAPY; HUMANS; MENTAL HEALTH; RANDOMIZED CONTROLLED TRIALS AS TOPIC; RECURRENCE; TREATMENT OUTCOME;

EID: 84960323723     PISSN: 00071250     EISSN: 14721465     Source Type: Journal    
DOI: 10.1192/bjp.bp.114.157123     Document Type: Review

References (92)

1. Judd LL, Akiskal HS. The prevalence and disability of bipolar spectrum disorders in the US population: re-analysis of the ECA database taking into account subthreshold cases. J Affect Disord 2003; 73: 123-31.
2. Ten Have M, Vollebergh W, Bijl R, Nolen WA. Bipolar disorder in the general population in The Netherlands (prevalence, consequences and care utilisation): results from The Netherlands Mental Health Survey and Incidence Study (NEMESIS). J Affect Disord 2002; 68: 203-13.
3. Grant BF, Stinson FS, Hasin DS, Dawson DA, Chou SP, Ruan WJ, et al. Prevalence, correlates, and comorbidity of bipolar I disorder and axis I and II disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry 2005; 66: 1205-15.
4. Merikangas KR, Jin R, He JP, Kessler RC, Lee S, Sampson NA, et al. Prevalence and correlates of bipolar spectrum disorder in the world mental health survey initiative. Arch Gen Psychiatry 2011; 68: 241-51.
5. Merikangas KR, Akiskal HS, Angst J, Greenberg PE, Hirschfeld RM, Petukhova M, et al. Lifetime and 12-month prevalence of bipolar spectrum disorder in the National Comorbidity Survey replication. Arch Gen Psychiatry 2007; 64: 543-52.
6. American Psychiatric Association. Practice guideline for the treatment of patients with bipolar disorder (revision). Am J Psychiatry 2002; 159 (suppl 4): 1-50.
7. Goetzel RZ, Hawkins K, Ozminkowski RJ, Wang S. The health and productivity cost burden of the 'top 10' physical and mental health conditions affecting six large U.S. employers in 1999. J Occup Environ Med 2003; 45: 5-14.
8. Arts B, Jabben N, Krabbendam L, van Os J. Meta-analyses of cognitive functioning in euthymic bipolar patients and their first-degree relatives. Psychol Med 2008; 38: 771-85.
9. Dilsaver SC. An estimate of the minimum economic burden of bipolar I and II disorders in the United States: 2009. J Affect Disord 2011; 129: 79-83.
10. McCrone P, Dhanasiri S, Patel A, Knapp M, Lawton-Smith S. Paying the Price: the Cost of Mental Health Care in England to 2026. King's Fund, 2008.
11. Angst F, Stassen HH, Clayton PJ, Angst J. Mortality of patients with mood disorders: follow-up over 34-38 years. J Affect Disord 2002; 68: 167-81.
12. Judd LL, Akiskal HS, Schettler PJ, Endicott J, Maser J, Solomon DA, et al. The long-term natural history of the weekly symptomatic status of bipolar I disorder. Arch Gen Psychiatry 2002; 59: 530-7.
13. Gitlin MJ, Swendsen J, Heller TL, Hammen C. Relapse and impairment in bipolar disorder. Am J Psychiatry 1995; 152: 1635-40.
14. Gregory VL. Cognitive-behavioral therapy for depression in bipolar disorder: a meta-analysis. J Evid Based Soc Work 2010; 7: 269-79.
15. Gregory VL. Cognitive-behavioral therapy for mania: a meta-analysis of randomized controlled trials. Soc Work Ment Health 2010; 8: 483-94.
16. Szentagotai A, David D. The efficacy of cognitive-behavioral therapy in bipolar disorder: a quantitative meta-analysis. J Clin Psychiatry 2010; 71: 66-72.
17. Lam DH, Burbeck R, Wright K, Pilling S. Psychological therapies in bipolar disorder: the effect of illness history on relapse prevention-a systematic review. Bipolar Disord 2009; 11: 474-82.
18. Morriss RK, Faizal MA, Jones AP, Williamson PR, Bolton C, McCarthy JP. Interventions for helping people recognise early signs of recurrence in bipolar disorder. Cochrane Database Syst Rev 2007; 1: CD004854.
19. Justo LP, Soares BG, Calil HM. Family interventions for bipolar disorder. Cochrane Database Syst Rev 2007; 4: CD005167.
20. National Institute for Health and Care Excellence. Bipolar Disorder: The Management of Bipolar Disorder in Adults, Children and Adolescents, in Primary and Secondary Care. Clinical Guideline CG185. NICE, 2014.
21. Kupka A, Goossens P, van Bendegem M, Daemen P, Daggenvoorde T, Daniels M, et al. Multidisciplinaire Richtlijn Bipolaire Stoornissen [Multidisciplinary Guidelines for Bipolar Disorders]. Trimbos Institute, 2015.
22. Moher D, Liberati A, Tetzlaff J, Altman DG. Reprint-preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Phys Ther 2009; 89: 873-80.
23. Higgins JPT, Green S. Cochrane Handbook for Systematic Reviews of Interventions. Wiley Blackwell, 2008.
24. Tohen M, Frank E, Bowden CL, Colom F, Ghaemi SN, Yatham LN, et al. The International Society for Bipolar Disorders (ISBD) Task Force report on the nomenclature of course and outcome in bipolar disorders. Bipolar Disord 2009; 11: 453-73.
25. Miklowitz DJ, Goodwin GM, Bauer MS, Geddes JR. Common and specific elements of psychosocial treatments for bipolar disorder: a survey of clinicians participating in randomized trials. J Psychiatr Pract 2008; 14: 77-85.
26. Nordic Cochrane Centre. Review Manager (RevMan) Version 5.2. Cochrane Collaboration, 2012.
27. Guyatt GH, Oxman AD, Schunemann HJ, Tugwell P, Knottnerus A. GRADE guidelines: a new series of articles in the Journal of Clinical Epidemiology. J Clin Epidemiol 2011; 64: 380-2.
28. Jackson HJ, McGorry PD, Killackey E, Bendall S, Allott K, Dudgeon P, et al. Acute-phase and 1-year follow-up results of a randomized controlled trial of CBT versus Befriending for first-episode psychosis: the ACE project. Psychol Med 2008; 38: 725-35.
29. Pickett-Schenk SA, Lippincott RC, Bennett C, Steigman PJ. Improving knowledge about mental illness through family-led education: the journey of hope. Psychiatr Serv 2008; 59: 49-56.
30. Staring AB, Van der Gaag M, Koopmans GT, Selten JP, Van Beveren JM, Hengeveld MW, et al. Treatment adherence therapy in people with psychotic disorders: randomised controlled trial. Br J Psychiatry 2010; 197: 448-55.
31. Lieberman DZ, Kelly TF, Douglas L, Goodwin FK. A randomized comparison of online and paper mood charts for people with bipolar disorder. J Affect Disord 2010; 124: 85-9.
32. Bernhard B. Wirksamkeit einer kognitiv-psychoedukativen Gruppenintervention bei bipolaren Patienten [Effectiveness of cognitive psychoeducational group interventions in bipolar patients]. PhD dissertation. Faculty of Medicine, Ludwig Maximillians University, 2009.
33. Schwannauer M. Cognitive, interpersonal and psychosocial factors influencing vulnerability, treatment outcome and relapse in bipolar affective disorders: a clinical randomised controlled treatment trial. PhD thesis, University of Edinburgh, 2007.
34. Jones SH, Smith G, Mulligan LD, Lobban F, Law H, Dunn G, et al. Recoveryfocused cognitive-behavioural therapy for recent-onset bipolar disorder: randomised controlled pilot trial. Br J Psychiatry 2015; 206: 58-66.
35. Todd NJ, Jones SH, Hart A, Lobban FA. A web-based self-management intervention for Bipolar Disorder 'living with bipolar': a feasibility randomised controlled trial. J Affect Disord 2014; 169: 21-9.
36. De Barros Pellegrinelli K, de O Costa LF, Silval KID, Dias VV, Roso MC, Bandeira M, et al. Efficacy of psychoeducation on symptomatic and functional recovery in bipolar disorder. Acta Psychiatr Scand 2013; 127: 153-8.
37. Glick ID, Clarkin JF, Haas GL, Spencer JH. Clinical significance of inpatient family intervention: conclusions from a clinical trial. Hosp Community Psychiatry 1993; 44: 869-73.
38. Clarkin JF, Carpenter D, Hull J, Wilner P, Glick I. Effects of psychoeducational intervention for married patients with bipolar disorder and their spouses. Psychiatr Serv 1998; 49: 531-3.
39. Parikh SV, Zaretsky A, Beaulieu S, Yatham LN, Young LT, Patelis-Siotis I, et al. A randomized controlled trial of psychoeducation or cognitive-behavioral therapy in bipolar disorder: a Canadian Network for Mood and Anxiety treatments (CANMAT) study [CME]. J Clin Psychiatry 2012; 73: 803-10.
40. Fagiolini A, Frank E, Axelson DA, Birmaher B, Cheng Y, Curet DE, et al. Enhancing outcomes in patients with bipolar disorder: results from the Bipolar Disorder Center for Pennsylvanians Study. Bipolar Disord 2009; 11: 382-90.
41. Weiss RD, Griffin ML, Kolodziej ME, Greenfield SF, Najavits LM, Daley DC, et al. A randomized trial of integrated group therapy versus group drug counseling for patients with bipolar disorder and substance dependence. Am J Psychiatry 2007; 164: 100-7.
42. Eker F, Harkin S. Effectiveness of six-week psychoeducation program on adherence of patients with bipolar affective disorder. J Affect Disord 2012; 138: 409-16.
43. Miklowitz DJ, Otto MW, Frank E, Reilly-Harrington NA, Wisniewski SR, Kogan JN, et al. Psychosocial treatments for bipolar depression: a 1-year randomized trial from the Systematic Treatment Enhancement Program. Arch Gen Psychiatry 2007; 64: 419-26.
44. Van Dijk S, Jeffrey J, Katz MR. A randomized, controlled, pilot study of dialectical behavior therapy skills in a psychoeducational group for individuals with bipolar disorder. J Affect Disord 2013; 145: 386-93.
45. Swartz HA, Frank E, Cheng Y. A randomized pilot study of psychotherapy and quetiapine for the acute treatment of bipolar II depression. Bipolar Disord 2012; 14: 211-6.
46. Schmitz JM, Averill P, Sayre SU, McCleary P, Moeller FG, Swann A. Cognitive-behavioral treatment of bipolar disorder and substance abuse: a preliminary randomized study. Addict Disord Their Treat 2002; 1: 17-24.
47. Bauer MS, McBride L, Williford WO, Glick H, Kinosian B, Altshuler L, et al. Collaborative care for bipolar disorder: Part I. Intervention and implementation in a randomized effectiveness trial. Psychiatr Serv 2006; 57: 927-36.
48. Frank E, Swartz HA, Mallinger AG, Thase ME, Weaver EV, Kupfer DJ. Adjunctive psychotherapy for bipolar disorder: effects of changing treatment modality. J Abnorm Psychol 1999; 108: 579-87.
49. Sajatovic M, Davies MA, Ganocy SJ, Bauer MS, Cassidy KA, Hays RW, et al. A comparison of the life goals program and treatment as usual for individuals with bipolar disorder. Psychiatr Serv 2009; 60: 1182-9.
50. Miller IW, Solomon DA, Ryan CE, Keitner GI. Does adjunctive family therapy enhance recovery from bipolar I mood episodes? J Affect Disord 2004; 82: 431-6.
51. Scott J, Garland A, Moorhead S. A pilot study of cognitive therapy in bipolar disorders. Psychol Med 2001; 31: 459-67.
52. Scott J, Paykel E, Morriss R, Bentall R, Kinderman P, Johnson T, et al. Cognitive-behavioural therapy for severe and recurrent bipolar disorders: randomised controlled trial. Br J Psychiatry 2006; 188: 313-20.
53. Kilbourne AM, Post EP, Nossek A, Drill L, Cooley S, Bauer MS. Improving medical and psychiatric outcomes among individuals with bipolar disorder: a randomized controlled trial. Psychiatr Serv 2008; 59: 760-8.
54. Kilbourne AM, Goodrich DE, Lai Z, Clogston J, Waxmonsky J, Bauer MS. Life Goals Collaborative Care for patients with bipolar disorder and cardiovascular disease risk. Psychiatr Serv 2012; 63: 1234-8.
55. Simon GE, Ludman EJ, Unutzer J, Bauer MS, Operskalski B, Rutter C. Randomized trial of a population-based care program for people with bipolar disorder. Psychol Med 2005; 35: 13-24.
56. Miklowitz DJ, Simoneau TL, George EL, Richards JA, Kalbag A, Sachs-Ericsson N, et al. Family-focused treatment of bipolar disorder: 1-year effects of a psychoeducational program in conjunction with pharmacotherapy. Biol Psychiatry 2000; 48: 582-92.
57. Perlick DA, Miklowitz DJ, Lopez N, Chou J, Kalvin C, Adzhiashvili V, et al. Family-focused treatment for caregivers of patients with bipolar disorder. Bipolar Disord 2010; 12: 627-37.
58. Weiss RD, Griffin ML, Jaffee WB, Bender RE, Graff FS, Gallop RJ, et al. A 'community-friendly' version of integrated group therapy for patients with bipolar disorder and substance dependence: a randomized controlled trial. Drug Alcohol Depend 2009; 104: 212-9.
59. Proudfoot J, Parker G, Manicavasagar V, Hadzi-Pavlovic D, Whitton A, Nicholas J, et al. Effects of adjunctive peer support on perceptions of illness control and understanding in an online psychoeducation program for bipolar disorder: a randomised controlled trial. J Affect Disord 2012; 142: 98-105.
60. Smith DJ, Griffiths E, Poole R, di Florio A, Barnes E, Kelly MJ, et al. Beating Bipolar: exploratory trial of a novel Internet-based psychoeducational treatment for bipolar disorder. Bipolar Disord 2011; 13: 571-7.
61. Dogan S, Sabanciogullari S. The effects of patient education in lithium therapy on quality of life and compliance. Arch Psychiatr Nurs 2003; 17: 270-5.
62. Javadpour A, Hedayati A, Dehbozorgi GR, 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: 208-13.
63. Lobban F, Taylor L, Chandler C, Tyler E, Kinderman P, Kolamunnage-Dona R, et al. Enhanced relapse prevention for bipolar disorder by community mental health teams: cluster feasibility randomised trial. Br J Psychiatry 2010; 196: 59-63.
64. Perry A, Tarrier N, Morriss R, McCarthy E, Limb K. Randomised controlled trial of efficacy of teaching patients with bipolar disorder to identify early symptoms of relapse and obtain treatment. BMJ 1999; 318: 149-53.
65. Ball JR, Mitchell PB, Corry JC, Skillecorn A, Smith M, Malhi GS. A randomized controlled trial of cognitive therapy for bipolar disorder: focus on long-term change. J Clin Psychiatry 2006; 67: 277-86.
66. Zaretsky A, Lancee W, Miller C, Harris A, Parikh SV. Is cognitive-behavioural therapy more effective than psychoeducation in bipolar disorder? Can J Psychiatry 2008; 53: 441-8.
67. Lam DH, Bright J, Jones S, Hayward P, Schuck N, Chisholm D, et al. Cognitive therapy for bipolar illness: a pilot study of relapse prevention. Cogn Ther Res 2000; 24: 503-20.
68. Lam DH, Watkins ER, Hayward P, Bright J, Wright K, Kerr N, et al. A randomized controlled study of cognitive therapy for relapse prevention for bipolar affective disorder: outcome of the first year. Arch Gen Psychiatry 2003; 60: 145-52.
69. Cochran SD. Preventing medical noncompliance in the outpatient treatment of bipolar affective disorders. J Consult Clin Psychol 1984; 52: 873-8.
70. Colom F, Vieta E, Reinares M, Martinez-Aran A, Torrent C, Goikolea JM, et al. Psychoeducation efficacy in bipolar disorders: beyond compliance enhancement. J Clin Psychiatry 2003; 64: 1101-5.
71. Colom F, Vieta E, Martinez-Aran A, Reinares M, Goikolea JM, Benabarre A, et al. A randomized trial on the efficacy of group psychoeducation in the prophylaxis of recurrences in bipolar patients whose disease is in remission. Arch Gen Psychiatry 2003; 60: 402-7.
72. Torrent C, Bonnin Cdel M, Martinez-Aran A, Valle J, Amann BL, Gonzalez-Pinto A, et al. Efficacy of functional remediation in bipolar disorder: a multicenter randomized controlled study. Am J Psychiatry 2013; 170: 852-9.
73. Castle D, White C, Chamberlain J, Berk M, Berk L, Lauder S, et al. Groupbased psychosocial intervention for bipolar disorder: randomised controlled trial. Br J Psychiatry 2010; 196: 383-8.
74. Gomes BC, Abreu LN, Brietzke E, Caetano SC, Kleinman A, Nery FG, et al. A randomized controlled trial of cognitive behavioral group therapy for bipolar disorder. Psychother Psychosom 2011; 80: 144-50.
75. Costa RT, Cheniaux E, Range 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: 862-8.
76. Perich T, Manicavasagar V, Mitchell PB, Ball JR, Hadzi-Pavlovic D. A randomized controlled trial of mindfulness-based cognitive therapy for bipolar disorder. Acta Psychiatr Scand 2013; 127: 333-43.
77. Williams JM, Alatiq Y, Crane C, Barnhofer T, Fennell MJ, Duggan DS, et al. Mindfulness-based Cognitive Therapy (MBCT) in bipolar disorder: preliminary evaluation of immediate effects on between-episode functioning. J Affect Disord 2008; 107: 275-9.
78. Lahera G, Benito A, Montes JM, Fernandez-Liria A, Olbert CM, Penn DL. Social cognition and interaction training (SCIT) for outpatients with bipolar disorder. J Affect Disord 2013; 146: 132-6.
79. D'Souza R, Piskulic D, Sundram S. A brief dyadic group based psychoeducation program improves relapse rates in recently remitted bipolar disorder: a pilot randomised controlled trial. J Affect Disord 2010; 120: 272-6.
80. Bordbar MRF. Short-term family-focused psycho-educational program for bipolar mood disorder in Mashhad. Iran J Med Sci 2009; 34: 104-9
81. Madigan K, Egan P, Brennan D, Hill S, Maguire B, Horgan F, et al. A randomised controlled trial of carer-focussed multi-family group psychoeducation in bipolar disorder. Eur Psychiatry 2012; 27: 281-4.
82. Reinares M, Colom F, Sanchez-Moreno J, Torrent C, Martinez-Aran A, Comes M, et al. Impact of caregiver group psychoeducation on the course and outcome of bipolar patients in remission: a randomized controlled trial. Bipolar Disord 2008; 10: 511-9.
83. Van Gent EM, Zwart FM. Psychoeducation of partners of bipolar-manic patients. J Affect Disord 1991; 21: 15-8.
84. Kessing LV, Hansen HV, Hvenegaard A, Christensen EM, Dam H, Gluud C, et al. Treatment in a specialised out-patient mood disorder clinic v. standard out-patient treatment in the early course of bipolar disorder: randomised clinical trial. Br J Psychiatry 2013; 202: 212-9.
85. Rea MM, Tompson MC, Miklowitz DJ, Goldstein MJ, Hwang S, Mintz J. Family-focused treatment versus individual treatment for bipolar disorder: results of a randomized clinical trial. J Consult Clin Psychol 2003; 71: 482-92.
86. 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: 1429-39.
87. Stafford MR, Jackson H, Mayo-Wilson E, Morrison AP, Kendall T. Early interventions to prevent psychosis: systematic review and meta-analysis. BMJ 2013; 346: f185.
88. Bird V, Premkumar P, Kendall T, Whittington C, Mitchell J, Kuipers E. Early intervention services, cognitive-behavioural therapy and family intervention in early psychosis: systematic review. Br J Psychiatry 2010; 197: 350-6.
89. Pharoah F, Mari J, Rathbone J, Wong W. Family intervention for schizophrenia. Cochrane Database Syst Rev 2010; 12: CD000088.
90. National Institute for Health and Care Excellence. Depression in Adults; The Treatment and Management of Depression in Adults. Clinical Guidance CG90. NICE, 2009.
91. Whittington CJ, Kendall T, Fonagy P, Cottrell D, Cotgrove A, Boddington E. Selective serotonin reuptake inhibitors in childhood depression: systematic review of published versus unpublished data. Lancet 2004; 363: 1341-5.
92. Montes JM, Maurino J, de Dios C, Medina E. Suboptimal treatment adherence in bipolar disorder: impact on clinical outcomes and functioning. Patient Prefer Adherence 2013; 7: 89-94.