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A Meta-Analysis of Group Cognitive Behavioral Therapy and Group Psychoeducation for Treating Symptoms and Preventing Relapse in People Living with Bipolar Disorder

Objectives: This meta-analysis aims to evaluate the treatment outcomes of patients treated with Group cognitive behavioural therapy (GCBT) or group psychoeducation (GPE) as an adjunct to pharmacotherapy. Methods: Systematic search of PubMed, EMBASE, PsycINFO, and CENTRAL from inception till 1 March...

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Autores principales: Tan, Marcus K., Chia, Eik-Chao, Tam, Wilson W., McIntyre, Roger S., Zhang, Zhisong, Dam, Vu A., Nguyen, Tham T., Do, Hoa T., Ho, Roger C., Ho, Cyrus S. H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9691241/
https://www.ncbi.nlm.nih.gov/pubmed/36421612
http://dx.doi.org/10.3390/healthcare10112288
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author Tan, Marcus K.
Chia, Eik-Chao
Tam, Wilson W.
McIntyre, Roger S.
Zhang, Zhisong
Dam, Vu A.
Nguyen, Tham T.
Do, Hoa T.
Ho, Roger C.
Ho, Cyrus S. H.
author_facet Tan, Marcus K.
Chia, Eik-Chao
Tam, Wilson W.
McIntyre, Roger S.
Zhang, Zhisong
Dam, Vu A.
Nguyen, Tham T.
Do, Hoa T.
Ho, Roger C.
Ho, Cyrus S. H.
author_sort Tan, Marcus K.
collection PubMed
description Objectives: This meta-analysis aims to evaluate the treatment outcomes of patients treated with Group cognitive behavioural therapy (GCBT) or group psychoeducation (GPE) as an adjunct to pharmacotherapy. Methods: Systematic search of PubMed, EMBASE, PsycINFO, and CENTRAL from inception till 1 March 2022 was conducted. Randomized-controlled-trials (RCTs) comparing GCBT/GPE with controls (treatment-as-usual/individualized therapy) in adults with bipolar disorder were eligible. The outcomes were relapse rates of any depressive or manic episodes and control of depressive and manic symptoms post-intervention. Overall odds-ratio was used to evaluate the relapse rates. Standard Mean Differences were pooled using a random-effects model for the control of depressive and manic symptoms. Results: 25 articles were assessed full-text independently by two members, and 11 studies were included in this meta-analysis. 601 and 590 participants were randomized into group-therapy (GCBT/GPE) and control, respectively. GPE significantly reduces relapse rates at post-intervention with Odds ratio of 0.43 (95% CI = 0.28-to-0.62, p < 0.0001) (I² = 41%) compared to control, however, no significant results were found for GPE on control of depressive or manic symptoms. No significant results were found for GCBT in all outcomes. Conclusion: This meta-analysis provides some evidence that GPE could be an efficacious treatment as an adjunct to treatment-as-usual in reducing the relapse rates of patients with bipolar disorder.
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spelling pubmed-96912412022-11-25 A Meta-Analysis of Group Cognitive Behavioral Therapy and Group Psychoeducation for Treating Symptoms and Preventing Relapse in People Living with Bipolar Disorder Tan, Marcus K. Chia, Eik-Chao Tam, Wilson W. McIntyre, Roger S. Zhang, Zhisong Dam, Vu A. Nguyen, Tham T. Do, Hoa T. Ho, Roger C. Ho, Cyrus S. H. Healthcare (Basel) Review Objectives: This meta-analysis aims to evaluate the treatment outcomes of patients treated with Group cognitive behavioural therapy (GCBT) or group psychoeducation (GPE) as an adjunct to pharmacotherapy. Methods: Systematic search of PubMed, EMBASE, PsycINFO, and CENTRAL from inception till 1 March 2022 was conducted. Randomized-controlled-trials (RCTs) comparing GCBT/GPE with controls (treatment-as-usual/individualized therapy) in adults with bipolar disorder were eligible. The outcomes were relapse rates of any depressive or manic episodes and control of depressive and manic symptoms post-intervention. Overall odds-ratio was used to evaluate the relapse rates. Standard Mean Differences were pooled using a random-effects model for the control of depressive and manic symptoms. Results: 25 articles were assessed full-text independently by two members, and 11 studies were included in this meta-analysis. 601 and 590 participants were randomized into group-therapy (GCBT/GPE) and control, respectively. GPE significantly reduces relapse rates at post-intervention with Odds ratio of 0.43 (95% CI = 0.28-to-0.62, p < 0.0001) (I² = 41%) compared to control, however, no significant results were found for GPE on control of depressive or manic symptoms. No significant results were found for GCBT in all outcomes. Conclusion: This meta-analysis provides some evidence that GPE could be an efficacious treatment as an adjunct to treatment-as-usual in reducing the relapse rates of patients with bipolar disorder. MDPI 2022-11-15 /pmc/articles/PMC9691241/ /pubmed/36421612 http://dx.doi.org/10.3390/healthcare10112288 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Tan, Marcus K.
Chia, Eik-Chao
Tam, Wilson W.
McIntyre, Roger S.
Zhang, Zhisong
Dam, Vu A.
Nguyen, Tham T.
Do, Hoa T.
Ho, Roger C.
Ho, Cyrus S. H.
A Meta-Analysis of Group Cognitive Behavioral Therapy and Group Psychoeducation for Treating Symptoms and Preventing Relapse in People Living with Bipolar Disorder
title A Meta-Analysis of Group Cognitive Behavioral Therapy and Group Psychoeducation for Treating Symptoms and Preventing Relapse in People Living with Bipolar Disorder
title_full A Meta-Analysis of Group Cognitive Behavioral Therapy and Group Psychoeducation for Treating Symptoms and Preventing Relapse in People Living with Bipolar Disorder
title_fullStr A Meta-Analysis of Group Cognitive Behavioral Therapy and Group Psychoeducation for Treating Symptoms and Preventing Relapse in People Living with Bipolar Disorder
title_full_unstemmed A Meta-Analysis of Group Cognitive Behavioral Therapy and Group Psychoeducation for Treating Symptoms and Preventing Relapse in People Living with Bipolar Disorder
title_short A Meta-Analysis of Group Cognitive Behavioral Therapy and Group Psychoeducation for Treating Symptoms and Preventing Relapse in People Living with Bipolar Disorder
title_sort meta-analysis of group cognitive behavioral therapy and group psychoeducation for treating symptoms and preventing relapse in people living with bipolar disorder
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9691241/
https://www.ncbi.nlm.nih.gov/pubmed/36421612
http://dx.doi.org/10.3390/healthcare10112288
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