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Is Psychosocial Management Effective?
Sahoo Saddichha, DPM;
Devvarta Kumar, PhD
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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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] AUTHOR INFORMATION
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