Cognitive-behavioural therapy for severe and recurrent bipolar disorders: Randomised controlled trial

Efficacy trials suggest that structured psychological therapies may significantly reduce recurrence rates of major mood episodes in individuals with bipolar disorders. To compare the effectiveness of treatment as usual with an additional 22 sessions of cognitive-behavioural therapy (CBT). We underto...

Full description

Saved in:
Bibliographic Details
Published in:British journal of psychiatry 2006-04, Vol.188 (4), p.313-320
Main Authors: SCOTT, JAN, PAYKEL, EUGENE, MORRISS, RICHARD, BENTALL, RICHARD, KINDERMAN, PETER, JOHNSON, TONY, ABBOTT, ROSEMARY, HAYHURST, HAZEL
Format: Article
Language:English
Subjects:
Adult
Behavior modification
Bipolar disorder
Bipolar Disorder - prevention & control
Clinical trials
Cognitive ability
Cognitive behavioral therapy
Cognitive therapy
Cognitive Therapy - methods
Cognitive-behavioral factors
Efficacy
Female
Health care
Health services
Hospitals
Humans
Illnesses
Interviews
Male
Mental health
Mood
Personality disorders
Psychiatry
Recurrence
Recurrent
Treatment Outcome
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Efficacy trials suggest that structured psychological therapies may significantly reduce recurrence rates of major mood episodes in individuals with bipolar disorders. To compare the effectiveness of treatment as usual with an additional 22 sessions of cognitive-behavioural therapy (CBT). We undertook a multicentre, pragmatic, randomised controlled treatment trial (n=253). Patients were assessed every 8 weeks for 18 months. More than half of the patients had a recurrence by 18 months, with no significant differences between groups (hazard ratio=1.05; 95% CI 0.74-1.50). Post hoc analysis demonstrated a significant interaction (P=0.04) such that adjunctive CBT was significantly more effective than treatment as usual in those with fewer than 12 previous episodes, but less effective in those with more episodes. People with bipolar disorder and comparatively fewer previous mood episodes may benefit from CBT. However, such cases form the minority of those receiving mental healthcare.
ISSN:0007-1250
1472-1465
DOI:10.1192/bjp.188.4.313