Psychoeducation in bipolar patients with comorbid personality disorders

  • Colom F
  • Vieta E
  • Sanchez-Moreno J
 et al. 
  • 15

    Readers

    Mendeley users who have this article in their library.
  • N/A

    Citations

    Citations of this article.

Abstract

BACKGROUND: The co-occurrence of personality and bipolar disorders is quite common. Bipolar patients with personality disorders have been described as having poorer outcome than 'pure' bipolar patients. However, from a combined-approach point of view, a little has been done to improve the course of these patients. Psychoeducation has shown its efficacy in the prevention of relapses in the bipolar population but, to date, no data is available on its efficacy in the management of bipolar patients with personality disorders. METHOD: The present study shows a subanalysis from a single-blind randomized prospective clinical trial on the efficacy of group psychoeducation in bipolar I patients. Bipolar patients fulfilling DSM-IV criteria for any personality disorder were randomized to either psychoeducational treatment or a non-structured intervention. There were 22 patients in the control group and 15 in the psychoeducation group. All patients received naturalistic pharmacological treatment as well. The follow-up phase comprised 2 years where all patients continued receiving naturalistic treatment without psychological intervention and were assessed monthly for several outcome measures. RESULTS: At the end of the follow-up phase (2 years), a 100% of control group patients fulfilled criteria for recurrence versus a 67% in the psychoeducation group (p < 0.005). Patients included in the psychoeducation group had a higher time-to-relapse and a significantly lower mean number of total, manic and depressive relapses. No significant differences regarding the number of patients who required hospitalization were found but the mean duration of days spent in the hospitalization room was significantly higher for the patients included in the control group. CONCLUSION: Psychoeducation may be a useful intervention for bipolar patients with comorbid personality disorders. Further studies should address the efficacy of specifically tailored interventions for this common type of patients.

Author-supplied keywords

  • *Patient Education as Topic
  • Adult
  • Bipolar Disorder/diagnosis/*epidemiology/*therapy
  • Comorbidity
  • Diagnostic and Statistical Manual of Mental Disord
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Mental Health Services/*organization & administrat
  • Personality Disorders/diagnosis/*epidemiology/*the
  • Prospective Studies
  • Psychotherapy/*methods
  • Recurrence/prevention & control
  • Single-Blind Method

Get free article suggestions today

Mendeley saves you time finding and organizing research

Sign up here
Already have an account ?Sign in

Authors

  • F Colom

  • E Vieta

  • J Sanchez-Moreno

  • A Martinez-Aran

  • C Torrent

  • M Reinares

Cite this document

Choose a citation style from the tabs below

Save time finding and organizing research with Mendeley

Sign up for free