Lolich María, Vázquez Gustavo H, Alvarez Lina M, Tamayo Jorge M
Neurosciences Department, Facultad de Ciencias Sociales, Universidad de Palermo, Buenos Aires, Argentina.
Actas Esp Psiquiatr. 2012 Mar-Apr;40(2):84-92. Epub 2012 Mar 1.
Multiple psychosocial interventions for bipolar disorder have been proposed in recent years. Therefore, we consider that a critical review of empirically validated models would be useful.
A review of the literature was conducted in Medline/PubMed for articles published during 2000-2010 that respond to the combination of "bipolar disorder" with the following key words: "psychosocial intervention", "psychoeducational intervention" and "psychotherapy".
Cognitive-behavioral, psychoeducational, systematic care models, interpersonal and family therapy interventions were found to be empirically validated. All of them reported significant improvements in therapeutic adherence and in the patients' functionality.
Although there are currently several validated psychosocial interventions for treating bipolar disorder, their efficacy needs to be specified in relation to more precise variables such as clinical type, comorbid disorders, stages or duration of the disease. Taking into account these clinical features would enable a proper selection of the most adequate intervention according to the patient's specific characteristics.
近年来，针对双相情感障碍提出了多种社会心理干预措施。因此，我们认为对经实证验证的模型进行批判性综述会很有用。
在Medline/PubMed上对2000年至2010年期间发表的文章进行文献综述，这些文章涉及“双相情感障碍”与以下关键词的组合：“社会心理干预”、“心理教育干预”和“心理治疗”。
认知行为、心理教育、系统护理模式、人际和家庭治疗干预措施经实证验证有效。所有这些干预措施都报告了治疗依从性和患者功能方面的显著改善。
虽然目前有几种经过验证的用于治疗双相情感障碍的社会心理干预措施，但其疗效需要根据更精确的变量来明确，如临床类型、共病、疾病阶段或病程。考虑这些临床特征将有助于根据患者的具体特征正确选择最合适的干预措施。
