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1232 – Psychoeducation For Patients With Bipolar Affective Disorder

Published online by Cambridge University Press:  15 April 2020

J. Prasko
Affiliation:
Department of Neurology, Faculty of Medicine and Dentistry, University Palacky Olomouc, University Hospital Olomouc
K. Latalova
Affiliation:
Department of Neurology, Faculty of Medicine and Dentistry, University Palacky Olomouc, University Hospital Olomouc
M. Cerna
Affiliation:
Department of Neurology, Faculty of Medicine and Dentistry, University Palacky Olomouc, University Hospital Olomouc
A. Grambal
Affiliation:
Department of Neurology, Faculty of Medicine and Dentistry, University Palacky Olomouc, University Hospital Olomouc
D. Jelenova
Affiliation:
Department of Neurology, Faculty of Medicine and Dentistry, University Palacky Olomouc, University Hospital Olomouc
D. Kamaradova
Affiliation:
Department of Neurology, Faculty of Medicine and Dentistry, University Palacky Olomouc, University Hospital Olomouc
M. Ociskova
Affiliation:
Department of Psychology, Philosophical Faculty, University Palacky Olomouc
Z. Sedlackova
Affiliation:
Department of Psychology, Philosophical Faculty, University Palacky Olomouc
K. Vrbova
Affiliation:
Department of Psychiatry, Faculty of Medicine and Dentistry, University Palacky Olomouc, University Hospital Olomouc, Olomouc
J. Vyskocilova
Affiliation:
Faculty of Humanities, Charles University in Prague, Prague, Czech Republic

Abstract

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Structured psychological interventions should be considered for patients with bipolar disorder once they are past the acute phase or a relapse, with the aim of reducing the likelihood of future relapses.

Method

The PubMed, Web of Science and Scopus databases were searched for articles containing the following keywords: “bipolar disorder” and “psychoeducation”. The resources were confronted with our own experiences with psychoeducation in bipolar patients and only most relevant information was included in the text.

Results

The most important target of the psychoeducation is to prevent a relapse by increasing compliance with medication usage, increasing social rhythms, reducing emotional expressivity in the family and increasing coping skills against stress. Studies on psychoeducation in bipolar disorder demonstrate significant effects on rehospitalization rates, compliance and knowledge. Compared with mood stabilizer treatment alone, combination treatment of CBT and mood stabilizers has been shown to reduce the number of bipolar episodes, reduce the duration of episodes that do occur, and reduce the number of hospital admissions due to episodes. The aim of the group psychoeducational program of the Psychiatric clinic in Olomouc is to familiarize patients with the essence of bipolar disorder, the part and principles of pharmacotherapy, the recognition of the warning signs of relapse, to advice about improper and stressful stereotypes in communication within families, and finally the training of social skills. Patients consider this program as a meaningful and helping them to better understanding what happened in their life. Supported by grant IGA MZ CR NT 11047-4/2010.

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Copyright © European Psychiatric Association 2013
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