Martini Julia, Soltmann Bettina, Herzog Kristina, Hautzinger Martin, Bauer Michael, Pfennig Andrea
Klinik und Poliklinik für Psychiatrie und Psychotherapie, Universitätsklinikum Carl Gustav Carus, Medizinische Fakultät, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.
Fachbereich Psychologie, Klinische Psychologie und Psychotherapie, Eberhard Karls Universität Tübingen, Tübingen, Deutschland.
Nervenarzt. 2023 Mar;94(3):198-205. doi: 10.1007/s00115-022-01432-w. Epub 2023 Feb 3.
Although psychotherapy is an important pillar in the treatment of bipolar disorders, alongside pharmacotherapy, non-drug and complementary procedures, there is no up to date evidence synthesis for inpatient psychotherapeutic treatment and work with caregivers.
To review and evaluate the current study situation on evidence-based inpatient psychotherapy for bipolar disorders.
1.Summary of the evidence for inpatient psychotherapy in adolescents and adults with bipolar disorders from current review articles and guidelines (German S3 guidelines, Australian, Canadian, and British NICE guidelines). 2. Systematic literature search (PRISMA) in Cochrane trials and Medline (via PubMed). 2a. Identification of original articles using the following search term: "bipolar fft" OR "bipolar ipsrt" OR "bipolar cbt" OR "bipolar cognitive remediation" OR "bipolar psychotherapy inpatient". 2b. Screening of n = 942 publications on the following inclusion criteria: randomized controlled efficacy trials, inpatient treatment/recruitment in the inpatient setting, adolescent or adult patients with bipolar disorder or caregivers.
The guidelines recommend a combination of pharmacotherapy and psychotherapy for the treatment of patients with bipolar disorders (so far no evidence-based presentation of inpatient psychotherapy). The results from reviews and original papers are heterogeneous. Recently described evidence-based psychotherapeutic approaches for inpatient treatment are family focused therapy (FFT), interpersonal and social rhythm therapy (IPSRT) and psychoeducation.
Although the current evidence is heterogeneous and further systematic studies are necessary, the results indicate that psychotherapy should be started or initiated in the inpatient setting with inclusion of caregivers.
尽管心理治疗是双相情感障碍治疗的重要支柱，与药物治疗、非药物及辅助治疗方法并存，但目前尚无关于住院心理治疗及与护理人员协作的最新证据综述。
回顾和评估双相情感障碍循证住院心理治疗的当前研究状况。
指南推荐药物治疗和心理治疗相结合用于双相情感障碍患者的治疗（目前尚无循证的住院心理治疗介绍）。综述和原始论文的结果存在异质性。最近描述的循证住院治疗心理治疗方法是家庭聚焦治疗（FFT）、人际与社会节律治疗（IPSRT）和心理教育。
尽管目前的证据存在异质性且需要进一步的系统研究，但结果表明应在住院环境中启动或开展心理治疗，并纳入护理人员。
