MANUAL DE PSICOEDUCACION PARA EL TRASTORNO BIPOLAR PDF

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No obstante, se recomienda implementar este tipo de programas lo antes posible en el curso de la enfermedad. The physician—patient relationship must evolve towards greater interactivity and the promotion of pro-activity.

For such a purpose, it is indispensable to have therapeutic educational programs for patients. Prognosis of many non-psychiatric pathologies i. The first psycho-educational programs were focused on information, while current approaches have a much more therapeutic focus, including work on the disease significance, identifying personal triggers as well as prodromes, managing symptoms and overcoming problems of adherence to pharmaceutical drugs. Today, psycho-education is part of the routine of bipolar treatment, suitable to the physician's model.

Psycho-education has likewise demonstrated its efficiency in the prophylaxis of all sorts of two and five-year relapses, remarkably reducing episode duration, hospitalizations and adherence problems. Besides, as time passes, its efficiency is maintained, something that does not occur with other sorts of psycho-therapies. Furthermore, its implementation saves health resources.

However, this type of programs is recommended as soon as possible, in the course of the disease. This article introduces a series of evidences and practical considerations on the implementation of psycho-education, which in the bipolar disorder psychotherapy has the same role than lithium in pharmacotherapy.. ISSN: Psycho-Education, the Lithium of Psycho-therapies.

Descargar PDF. Francesc Colom 1 ,. Autor para correspondencia. Recibido 15 julio Aceptado 10 agosto Palabras clave:. Trastorno bipolar. This article introduces a series of evidences and practical considerations on the implementation of psycho-education, which in the bipolar disorder psychotherapy has the same role than lithium in pharmacotherapy.

Key words:. Bipolar disorder. Psychological treatments in cardiac rehabilitation: review of rationales and outcomes. J Psychosom Res, 48 , pp. Multicenter cluster-randomized trial of a multifactorial intervention to improve antihypertensive medication adherence and blood pressure control among patients at high cardiovascular risk the COM99 study.

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Diabetes Educ, 36 , pp. Patient education in groups increases knowledge of osteoporosis and adherence to treatment: a two-year randomized controlled trial.

Patient Educ Couns, 81 , pp. Evaluation of self-management education for asthmatic patients. J Asthma, 40 , pp. A critical update on psychological interventions for bipolar disorders. Curr Psychiatry Rep, 11 , pp. Achieving remission and recovery in bipolar disorder. J Clin Psychiatry, 71 , pp. Lithium maintenance: Effects of personality and attitude on health information acquisition and compliance. Br J Psychiatry, , pp. Lithium maintenance: I. A standard education program for patients.

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Bipolar Disord, 11 , pp. Evidence-based guidelines for treating bipolar disorder: revised second edition—recommendations from the British Association for Psychopharmacology. J Psychopharmacol, 23 , pp. Strategies for addressing adherence problems in patients with serious and persistent mental illness: recommendations from the expert consensus guidelines.

J Psychiatr Pract, 16 , pp. Keeping therapies simple: psychoeducation in the prevention of relapse in affective disorders. A randomized trial on the efficacy of group psychoeducation in the prophylaxis of recurrences in bipolar patients whose disease is in remission. Arch Gen Psychiatry, 60 , pp. Psychoeducation manual for bipolar disorder, University Press, ,. The need for publishing the silent evidence from negative trials. Acta Psychiatr Scand, , pp. Intensive psychosocial intervention enhances functioning in patients with bipolar depression: results from a 9-month randomized controlled trial.

Am J Psychiatry, , pp. Psychoeducation in bipolar patients with comorbid personality disorders. Bipolar Disord, 6 , pp. Stabilizing the stabilizer: group psychoeducation enhances the stability of serum lithium levels. Bipolar Disord, 7 , pp. Effect of abrupt change from standard to low serum levels of lithium: a reanalysis of double-blind lithium maintenance data. Psychoeducation efficacy in bipolar disorders: beyond compliance enhancement.

J Clin Psychiatry, 64 , pp. Group psychoeducation for stabilised bipolar disorders: 5-year outcome of a randomised clinical trial. The Stanley Foundation Bipolar Network.

Preliminary summary of demographics, course of illness and response to novel treatments. Br J Psychiatry Suppl, 41 , pp. The long-term natural history of the weekly symptomatic status of bipolar I disorder. Arch Gen Psychiatry, 59 , pp.

Psychoeducation for bipolar II disorder: an exploratory, 5-year outcome subanalysis. J Affect Disord, , pp. Long-term mental health resource utilization and cost of care following group psychoeducation or unstructured group support for bipolar disorders: a cost-benefit analysis. J Clin Psychiatry, 70 , pp. Design and implementation of a randomized trial evaluating systematic care for bipolar disorder.

Bipolar Disord, 4 , pp. Long-term effectiveness and cost of a systematic care program for bipolar disorder. Arch Gen Psychiatry, 63 , pp. Psychological interventions in bipolar disorder: From wishful thinking to an evidence-based approach. Acta Psychiatr Scand Suppl, , pp. Treatment adherence and illness insight in veterans with bipolar disorder. J Nerv Ment Dis, , pp.

The predictive effect of insight on adverse clinical outcomes in bipolar I disorder: a two-year prospective study. Clinical factors associated with treatment noncompliance in euthymic bipolar patients. J Clin Psychiatry, 61 , pp. Identifying and improving non-adherence in bipolar disorders. Predictors of nonadherence among individuals with bipolar disorder receiving treatment in a community mental health clinic.

Compr Psychiatry, 50 , pp. Factors associated with treatment nonadherence among US bipolar disorder patients. Hum Psychopharmacol, 23 , pp. Self-reported adherence to treatment with mood stabilizers, plasma levels, and psychiatric hospitalization.

Risk of rehospitalization among bipolar disorder patients who are nonadherent to antipsychotic therapy after hospital discharge.

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No obstante, se recomienda implementar este tipo de programas lo antes posible en el curso de la enfermedad. The physician—patient relationship must evolve towards greater interactivity and the promotion of pro-activity. For such a purpose, it is indispensable to have therapeutic educational programs for patients. Prognosis of many non-psychiatric pathologies i. The first psycho-educational programs were focused on information, while current approaches have a much more therapeutic focus, including work on the disease significance, identifying personal triggers as well as prodromes, managing symptoms and overcoming problems of adherence to pharmaceutical drugs.

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