Psychoeducation in bipolar patients with comorbid personality disorders.

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

Author-supplied keywords

  • Adult
  • Bipolar Disorder
  • Comorbidity
  • Diagnostic and Statistical Manual of Mental Disord
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Mental Health Services
  • Patient Education as Topic
  • Personality Disorders
  • Prospective Studies
  • Psychotherapy
  • Secondary Prevention
  • Single-Blind Method
  • diagnosis
  • epidemiology
  • methods
  • organization {&} administration
  • therapy

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  • Francesc Colom

  • Eduard Vieta

  • Jose Sanchez-Moreno

  • Anabel Martinez-Aran

  • Carla Torrent

  • Maria Reinares

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