Cargando…
The influence of psychoeducation on regulating biological rhythm in a sample of patients with bipolar II disorder: a randomized clinical trial
INTRODUCTION: Changes in biological rhythm are among the various characteristics of bipolar disorder, and have long been associated with the functional impairment of the disease. There are only a few viable options of psychosocial interventions that deal with this specific topic; one of them is psyc...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4079627/ https://www.ncbi.nlm.nih.gov/pubmed/25061340 http://dx.doi.org/10.2147/PRBM.S52352 |
_version_ | 1782323877410504704 |
---|---|
author | Faria, Augusto Duarte de Mattos Souza, Luciano Dias de Azevedo Cardoso, Taiane Pinheiro, Karen Amaral Tavares Pinheiro, Ricardo Tavares da Silva, Ricardo Azevedo Jansen, Karen |
author_facet | Faria, Augusto Duarte de Mattos Souza, Luciano Dias de Azevedo Cardoso, Taiane Pinheiro, Karen Amaral Tavares Pinheiro, Ricardo Tavares da Silva, Ricardo Azevedo Jansen, Karen |
author_sort | Faria, Augusto Duarte |
collection | PubMed |
description | INTRODUCTION: Changes in biological rhythm are among the various characteristics of bipolar disorder, and have long been associated with the functional impairment of the disease. There are only a few viable options of psychosocial interventions that deal with this specific topic; one of them is psychoeducation, a model that, although it has been used by practitioners for some time, only recently have studies shown its efficacy in clinical practice. AIM: To assess if patients undergoing psychosocial intervention in addition to a pharmacological treatment have better regulation of their biological rhythm than those only using medication. METHOD: This study is a randomized clinical trial that compares a standard medication intervention to an intervention combined with drugs and psychoeducation. The evaluation of the biological rhythm was made using the Biological Rhythm Interview of Assessment in Neuropsychiatry, an 18-item scale divided in four areas (sleep, activity, social rhythm, and eating pattern). The combined intervention consisted of medication and a short-term psychoeducation model summarized in a protocol of six individual sessions of 1 hour each. RESULTS: The sample consisted of 61 patients with bipolar II disorder, but during the study, there were 14 losses to follow-up. Therefore, the final sample consisted of 45 individuals (26 for standard intervention and 19 for combined). The results showed that, in this sample and time period evaluated, the combined treatment of medication and psychoeducation had no statistically significant impact on the regulation of biological rhythm when compared to standard pharmacological treatment. CONCLUSION: Although the changes in biological rhythm were not statistically significant during the time period evaluated in this study, it is noteworthy that the trajectory of the score showed a trend towards improvement, which may indicate a positive impact on treatment, though it may take a longer time than expected. |
format | Online Article Text |
id | pubmed-4079627 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-40796272014-07-24 The influence of psychoeducation on regulating biological rhythm in a sample of patients with bipolar II disorder: a randomized clinical trial Faria, Augusto Duarte de Mattos Souza, Luciano Dias de Azevedo Cardoso, Taiane Pinheiro, Karen Amaral Tavares Pinheiro, Ricardo Tavares da Silva, Ricardo Azevedo Jansen, Karen Psychol Res Behav Manag Original Research INTRODUCTION: Changes in biological rhythm are among the various characteristics of bipolar disorder, and have long been associated with the functional impairment of the disease. There are only a few viable options of psychosocial interventions that deal with this specific topic; one of them is psychoeducation, a model that, although it has been used by practitioners for some time, only recently have studies shown its efficacy in clinical practice. AIM: To assess if patients undergoing psychosocial intervention in addition to a pharmacological treatment have better regulation of their biological rhythm than those only using medication. METHOD: This study is a randomized clinical trial that compares a standard medication intervention to an intervention combined with drugs and psychoeducation. The evaluation of the biological rhythm was made using the Biological Rhythm Interview of Assessment in Neuropsychiatry, an 18-item scale divided in four areas (sleep, activity, social rhythm, and eating pattern). The combined intervention consisted of medication and a short-term psychoeducation model summarized in a protocol of six individual sessions of 1 hour each. RESULTS: The sample consisted of 61 patients with bipolar II disorder, but during the study, there were 14 losses to follow-up. Therefore, the final sample consisted of 45 individuals (26 for standard intervention and 19 for combined). The results showed that, in this sample and time period evaluated, the combined treatment of medication and psychoeducation had no statistically significant impact on the regulation of biological rhythm when compared to standard pharmacological treatment. CONCLUSION: Although the changes in biological rhythm were not statistically significant during the time period evaluated in this study, it is noteworthy that the trajectory of the score showed a trend towards improvement, which may indicate a positive impact on treatment, though it may take a longer time than expected. Dove Medical Press 2014-06-26 /pmc/articles/PMC4079627/ /pubmed/25061340 http://dx.doi.org/10.2147/PRBM.S52352 Text en © 2014 Faria et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Original Research Faria, Augusto Duarte de Mattos Souza, Luciano Dias de Azevedo Cardoso, Taiane Pinheiro, Karen Amaral Tavares Pinheiro, Ricardo Tavares da Silva, Ricardo Azevedo Jansen, Karen The influence of psychoeducation on regulating biological rhythm in a sample of patients with bipolar II disorder: a randomized clinical trial |
title | The influence of psychoeducation on regulating biological rhythm in a sample of patients with bipolar II disorder: a randomized clinical trial |
title_full | The influence of psychoeducation on regulating biological rhythm in a sample of patients with bipolar II disorder: a randomized clinical trial |
title_fullStr | The influence of psychoeducation on regulating biological rhythm in a sample of patients with bipolar II disorder: a randomized clinical trial |
title_full_unstemmed | The influence of psychoeducation on regulating biological rhythm in a sample of patients with bipolar II disorder: a randomized clinical trial |
title_short | The influence of psychoeducation on regulating biological rhythm in a sample of patients with bipolar II disorder: a randomized clinical trial |
title_sort | influence of psychoeducation on regulating biological rhythm in a sample of patients with bipolar ii disorder: a randomized clinical trial |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4079627/ https://www.ncbi.nlm.nih.gov/pubmed/25061340 http://dx.doi.org/10.2147/PRBM.S52352 |
work_keys_str_mv | AT fariaaugustoduarte theinfluenceofpsychoeducationonregulatingbiologicalrhythminasampleofpatientswithbipolariidisorderarandomizedclinicaltrial AT demattossouzalucianodias theinfluenceofpsychoeducationonregulatingbiologicalrhythminasampleofpatientswithbipolariidisorderarandomizedclinicaltrial AT deazevedocardosotaiane theinfluenceofpsychoeducationonregulatingbiologicalrhythminasampleofpatientswithbipolariidisorderarandomizedclinicaltrial AT pinheirokarenamaraltavares theinfluenceofpsychoeducationonregulatingbiologicalrhythminasampleofpatientswithbipolariidisorderarandomizedclinicaltrial AT pinheiroricardotavares theinfluenceofpsychoeducationonregulatingbiologicalrhythminasampleofpatientswithbipolariidisorderarandomizedclinicaltrial AT dasilvaricardoazevedo theinfluenceofpsychoeducationonregulatingbiologicalrhythminasampleofpatientswithbipolariidisorderarandomizedclinicaltrial AT jansenkaren theinfluenceofpsychoeducationonregulatingbiologicalrhythminasampleofpatientswithbipolariidisorderarandomizedclinicaltrial AT fariaaugustoduarte influenceofpsychoeducationonregulatingbiologicalrhythminasampleofpatientswithbipolariidisorderarandomizedclinicaltrial AT demattossouzalucianodias influenceofpsychoeducationonregulatingbiologicalrhythminasampleofpatientswithbipolariidisorderarandomizedclinicaltrial AT deazevedocardosotaiane influenceofpsychoeducationonregulatingbiologicalrhythminasampleofpatientswithbipolariidisorderarandomizedclinicaltrial AT pinheirokarenamaraltavares influenceofpsychoeducationonregulatingbiologicalrhythminasampleofpatientswithbipolariidisorderarandomizedclinicaltrial AT pinheiroricardotavares influenceofpsychoeducationonregulatingbiologicalrhythminasampleofpatientswithbipolariidisorderarandomizedclinicaltrial AT dasilvaricardoazevedo influenceofpsychoeducationonregulatingbiologicalrhythminasampleofpatientswithbipolariidisorderarandomizedclinicaltrial AT jansenkaren influenceofpsychoeducationonregulatingbiologicalrhythminasampleofpatientswithbipolariidisorderarandomizedclinicaltrial |