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Sahoo Saddichha, DPM; Devvarta Kumar, PhD

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

We found the study by Miklowitz et al¹ evaluating psychosocial treatments for bipolar depression very interesting and timely. They concluded that patients receiving intensive cognitive behavior therapy (CBT), family-focused treatment (FFT), or interpersonal and social rhythm therapy (IPSRT) had significantly higher year-end recovery rates and shorter times to recovery than patients who underwent a simple psychoeducation program. However, a recent review² concludes that psychoeducation programs significantly reduced rates of relapse whereas CBT did not, although IPSRT did show lower rates of relapse over a 2-year follow-up period.²

The sample size is another confounding factor. The Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) was initiated in the community to study effectiveness of various treatment approaches in bipolar disorder. It initially enrolled 4360 patients; 2689 patients had at least 1 major depressive episode at some point during the program.³ Of these, only 366 were enrolled, . . . [Full Text of this Article]

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RELATED LETTER

Is Psychosocial Management Effective?—Reply
David J. Miklowitz, Michael W. Otto, Ellen Frank, Noreen A. Reilly-Harrington, Stephen R. Wisniewski, Jane N. Kogan, Andrew A. Nierenberg, Joseph R. Calabrese, Lauren B. Marangell, Laszlo Gyulai, Mako Araga, Jodi M. Gonzalez, Edwin R. Shirley, Michael E. Thase, and Gary S. Sachs
Arch Gen Psychiatry. 2007;64(12):1452-1453.
EXTRACT | FULL TEXT  

RELATED ARTICLE

Psychosocial Treatments for Bipolar Depression: A 1-Year Randomized Trial From the Systematic Treatment Enhancement Program
David J. Miklowitz, Michael W. Otto, Ellen Frank, Noreen A. Reilly-Harrington, Stephen R. Wisniewski, Jane N. Kogan, Andrew A. Nierenberg, Joseph R. Calabrese, Lauren B. Marangell, Laszlo Gyulai, Mako Araga, Jodi M. Gonzalez, Edwin R. Shirley, Michael E. Thase, and Gary S. Sachs
Arch Gen Psychiatry. 2007;64(4):419-426.
ABSTRACT | FULL TEXT