Susan Zyto, Ralph W Kupka, Annet Nugter, Peter F J Schulte, Marieke van Eijkelen, Eline Regeer, Sigfried Schouws
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引用次数: 0
Abstract
Background: Bipolar disorder (BD) is associated with reduced psychosocial functioning, partly due to cognitive impairments. Functional remediation (FR), aimed at ameliorating daily functioning, is based on psychoeducation and strategies to cope with cognitive problems. Given the limited number of studies in patients with BD, more studies are needed to evaluate different FR programmes.
Methods: A total of 29 euthymic patients with BD-I followed a 12-session FR programme consisting of both group and individual sessions, offered in two variants: one in-person and one online (video conferencing). Both variants were supported by E-health modules. Feasibility was the primary outcome, as measured with dropout rates and attendance, as well as questionnaires about patients' experiences with the programme. The secondary aim was to explore effects on psychosocial functioning.
Results: Results show an acceptable dropout rate. Attendance was good as 83% visited at least 10 sessions. Analyses of participants' experiences revealed gain of insight and implementation of learned strategies in daily life. Independently working with the E-health modules did not appear feasible. Exploratory analyses showed a significant improvement in psychosocial functioning for both variants.
Limitations: The results of the effect analysis are preliminary, due to a small sample and lack of a control group.
Conclusions: This FR programme showed good feasibility for both the in-person and online variant. Online treatment has advantages as it can reach out to a larger group of participants. Effect analyses indicated reduction in psychosocial impairments in both variants. Larger controlled studies are needed to investigate the treatment effects of the current FR programme.
期刊介绍：
The British Journal of Clinical Psychology publishes original research, both empirical and theoretical, on all aspects of clinical psychology: - clinical and abnormal psychology featuring descriptive or experimental studies - aetiology, assessment and treatment of the whole range of psychological disorders irrespective of age group and setting - biological influences on individual behaviour - studies of psychological interventions and treatment on individuals, dyads, families and groups
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