Faridhosseini Farhad, Baniasadi Mehdi, Fayyazi Bordbar Mohammad Reza, Pourgholami Meysam, Ahrari Samira, Asgharipour Negar
Associate Professor of Psychiatry, Psychiatry and Behavioral Sciences Research Center, Ibn-e-Sina Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Psychiatrist, Psychiatry and Behavioral Sciences Research Center, Ibn-e-Sina Hospital, Mashhad, Iran.
Iran J Psychiatry. 2017 Jan;12(1):21-28.
Bipolar disorder (BD) is a disabling psychiatric disorder with frequent recurrences. Besides pharmacotherapy, psychoeducation could be helpful in reducing symptoms as well as recurrence of this disorder, leading to improvement of patients' quality of life. This study aimed at investigating the effectiveness of a culturally adjusted structured program for training Iranian BD patients. In a 6-month course (spring and summer 2014), 24 BD patients, visiting the outpatient clinic of Ibn-Sina Hospital in Mashhad and experiencing euthymic phase, were allocated in to 2 groups of intervention and control. The intervention group received 8 sessions of psychoeducation in four weeks. Patients in the control group received the usual treatment. The patients were evaluated with Hamilton Depression Rating Scale, Young Mania Rating Scale, and Short Form 36 before the intervention and 4 weeks later, and the results were compared using independent t test. The patients were reexamined after 6 months for recurrence, hospitalization, treatment adherence, and visiting a psychiatrist, and were compared with patients in the control groups. There was a significant difference in the intervention group in improvement in quality of life before and after treatment (p<0.003). In addition, the difference was significant between the 2 groups in the number of recurrence (p<0.001) and hospitalization (p<0.000) in 6 months. : In addition to pharmacotherapy, psychoeducation of patients with BD can improve their quality of life and decrease the risk of disorder recurrence.
双相情感障碍（BD）是一种致残性精神疾病，复发频繁。除药物治疗外，心理教育有助于减轻该疾病的症状及复发，从而提高患者的生活质量。本研究旨在调查一项经文化调整的结构化项目对伊朗双相情感障碍患者培训的有效性。在一个为期6个月的课程（2014年春季和夏季）中，24名在马什哈德伊本·西那医院门诊就诊且处于心境正常期的双相情感障碍患者被分为干预组和对照组。干预组在四周内接受8次心理教育课程。对照组患者接受常规治疗。在干预前及4周后，使用汉密尔顿抑郁量表、杨氏躁狂量表和简明健康调查问卷36项对患者进行评估，并使用独立t检验比较结果。6个月后对患者进行复查，评估复发、住院、治疗依从性及看精神科医生的情况，并与对照组患者进行比较。干预组治疗前后生活质量改善有显著差异（p<0.003）。此外，两组在6个月内的复发次数（p<0.001）和住院次数（p<0.000）方面差异显著。：除药物治疗外，双相情感障碍患者的心理教育可提高其生活质量并降低疾病复发风险。
