Frank Ellen, Swartz Holly A, Boland Elaine
University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Dialogues Clin Neurosci. 2007;9(3):325-32. doi: 10.31887/DCNS.2007.9.3/efrank.
Bipolar disorder is characterized by frequent recurrences, often related to noncompliance with drug treatment, stressful life events, and disruptions in social rhythms. Interpersonal and social rhythm therapy (IPSRT) was designed to directly address these problem areas. This article discusses the circadian basis of IPSRT and the importance of stable daily routines in the maintenance of the euthymic state, as well as the two large controlled trials which empirically support this intervention. The authors discuss the advantages of IPSRT as an acute intervention, as well as a prophylactic treatment for both bipolar I and II disorder. Using a case example, the authors describe how IPSRT is implemented in a clinical setting, detailing the therapeutic methods and processes involved.
双相情感障碍的特点是频繁复发,这通常与不遵守药物治疗、生活压力事件以及社会节奏紊乱有关。人际与社会节奏疗法(IPSRT)旨在直接解决这些问题领域。本文讨论了IPSRT的昼夜节律基础以及稳定的日常作息在维持心境正常状态中的重要性,还讨论了两项有力支持这一干预措施的大型对照试验。作者们探讨了IPSRT作为双相I型和II型障碍的急性干预措施以及预防性治疗的优势。通过一个病例,作者们描述了IPSRT在临床环境中的实施方式,详细说明了所涉及的治疗方法和过程。