Beynon Suzanne, Soares-Weiser Karla, Woolacott Nerys, Duffy Steven, Geddes John R
Centre for Reviews and Dissemination, University of York, York YO10 5DD, UK.
Br J Psychiatry. 2008 Jan;192(1):5-11. doi: 10.1192/bjp.bp.107.037887.
Pharmacological interventions alone do not provide sufficient benefit for some individuals with bipolar disorder.
To determine the effectiveness of psychosocial interventions for the prevention of relapse in bipolar disorder.
A systematic review and meta-analysis of randomised or quasi-randomised controlled trials were conducted.
Cognitive-behavioural therapy or group psychoeducation may be effective for relapse prevention in stable individuals. Family therapy was no more or less effective than individual psychosocial therapy or crisis management. There is no evidence that care management or integrated group therapy is effective in the prevention of relapse.
Cognitive-behavioural therapy, group psychoeducation and possibly family therapy may be beneficial as adjuncts to pharmacological maintenance treatments.
对于一些双相情感障碍患者，仅靠药物干预并不能带来足够的益处。
确定心理社会干预对预防双相情感障碍复发的有效性。
对随机或半随机对照试验进行系统评价和荟萃分析。
认知行为疗法或团体心理教育可能对稳定期患者预防复发有效。家庭治疗与个体心理社会治疗或危机管理相比，效果无差异。没有证据表明护理管理或综合团体治疗对预防复发有效。
认知行为疗法、团体心理教育以及可能的家庭治疗作为药物维持治疗的辅助手段可能有益。
