Keramatian Kamyar, Levit Alexander, Chavoshi-Nejad Heeva, Westwell-Roper Clara, Nunez John-Jose, Forbes Ashley, Morton Emma, Michalak Erin E, Vieta Eduard, Yatham Lakshmi N
Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada.
Faculty of Law, McGill University, Montreal, QC, Canada.
Can J Psychiatry. 2025 May 20:7067437251342278. doi: 10.1177/07067437251342278.
ObjectiveBipolar disorder (BD) often goes unrecognized and untreated for several years leading to serious consequences. We have recently developed a manualized telehealth-based group psychoeducational and resilience enhancement program for individuals at high risk for bipolar disorder (PREP-BD). The primary objective of this study was to assess the feasibility of implementing PREP-BD to enhance help-seeking intentions among high-risk individuals.MethodThe intervention consisted of eight weekly, 60-minute group psychoeducation sessions conducted via Zoom. Participants ( = 21), aged 17 to 24 years, who met the bipolar at-risk criteria, were assigned to one of four cohorts. Primary outcomes for this feasibility trial included sign-up rate, completion rate, and acceptability as measured by the Client Satisfaction Questionnaire (CSQ-8). Preliminary efficacy was assessed using validated measures of help-seeking intentions, resilience, quality of life, and stigma, with pre- and post-intervention comparisons.ResultsOur findings indicate excellent feasibility as evidenced by timely recruitment, 100% sign-up rate, and 76.19% completion rate (defined as attending at least 75% of group sessions). The intervention showed preliminary improvements in help-seeking intentions, particularly for a hypomanic scenario. Quality of life also demonstrated significant improvement, while resilience and self-stigma showed non-significant trends toward improvement.ConclusionOur findings suggest the feasibility of implementing psychoeducation as an early identification strategy in individuals at risk for BD. Future randomized controlled trials are needed to investigate the effectiveness of PREP-BD.
目的
双相情感障碍(BD)常常多年未被识别和治疗,从而导致严重后果。我们最近为双相情感障碍高危个体开发了一项基于远程医疗的、手册化的团体心理教育和恢复力增强项目(PREP - BD)。本研究的主要目的是评估实施PREP - BD以增强高危个体寻求帮助意愿的可行性。
方法
干预措施包括通过Zoom每周进行一次、每次60分钟的八次团体心理教育课程。符合双相情感障碍高危标准、年龄在17至24岁的参与者(n = 21)被分配到四个队列之一。这项可行性试验的主要结果包括报名率、完成率以及通过客户满意度问卷(CSQ - 8)衡量的可接受性。使用经过验证的寻求帮助意愿、恢复力、生活质量和污名化测量方法,通过干预前后的比较来评估初步疗效。
结果
我们的研究结果表明该项目具有极佳的可行性,这体现在及时招募、100%的报名率和76.19%的完成率(定义为参加至少75%的团体课程)上。干预措施在寻求帮助意愿方面显示出初步改善,特别是在轻躁狂情景下。生活质量也有显著改善,而恢复力和自我污名化虽有改善趋势但不显著。
结论
我们的研究结果表明,将心理教育作为双相情感障碍高危个体的早期识别策略具有可行性。未来需要进行随机对照试验来研究PREP - BD的有效性。