]>
IRCT201202159028N1 IRCT 2012-08-27 Shiraz medical university Impact of a psycho-education on patients with bipolar disorder Impact of a systematic intervention program on quality of life, relapse prevention and medication compliance in patients with bipolar disorder 2009-12-22 anticipated 96 Complete https://irct.ir/trial/9654 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive. N/A bipolar mood disorder. Intervention 1: Patients in intervention group, received standard pharmacotherapy for BpD and also enrolled for simple individual psychoeducation. Program consisted of 8 sessions each consisting of a 50 minute session per week of a short form of psychoeducation course, derived from studies of Colom, F. and Vieta,E. (19). Sessions of psychoeducation were performed by a psychiatry resident who was blinded to treatment. All psychoeducation treatment sessions for all patients were performed by the same resident who conducted a one-on-one session with each individual patient. Psychoeducation programs and discussions were presented to the patients in the following format: Session 1: Understanding BpD. and its aetiology. Session 2: Familiarisation with symptoms of mania and hypomania. Session 3: Understanding signs of depression and other psychological episodes. Session 4: Awareness of causes and prognosis. Session 5: Education about the function, types and adverse side effect of mood stabiliser medication. Session 6: Functions, types and adverse effects of antimanic and antidepressant medications. Patients also receive information about the risk of discontinuation of these medications. Session 7: Learning how to detect any future episodes of relapse. Session 8: Strategies and plans ought to be taken upon early detection of symptoms and self directed to new situations. These 8 weekly scheduled sessions were conducted face to face in the clinic of psychology at Hafez Hospital. The first 10 minutes of each sitting was allocated to establishing rapport with the patient, and a short question and answer session. During this period, the patients were asked to explain, in their own words, their understanding of all presented material. Any misconstrued discussed and explained in detail. After first 10 minutes the researcher gave all relevant information in layman language about the particular topics for 40 minutes. The strategies and plans for early detections of symptoms discussed. After 8 sessions of face to face simple individual education, intervention continued by way of scheduled monthly telephone contact to remind patients of their next appointment. Each telephone contact consisted of a 10-minute question and answer session where the patient’s queries were thoroughly responded to. Follow-up telephone contact for each patient was then scheduled for the subsequent 18 months. Intervention 2: Patients who were randomised in the control group were continuing standard pharmacotherapy by their psychiatrists of choice.
public Ali Javadpour MD
Psychiatric Department , Hafez Hospital , Shiraz , Iran
Shiraz Iran (Islamic Republic of) +7 116271531 javadpoura@sums.ac.ir Shiraz University Of Medical Science scientific Ali Javadpour MD
Psychiatric department, Hafez Hospital , Shiraz, Iran
Shiraz Iran (Islamic Republic of) +7 116271531 javadpoura@sums.ac.ir Shiraz University Of Medical Science Iran (Islamic Republic of) inclusion criteria : 18-60 year old; past history of 2 episodes during 2 years or 3 episodes during 5 years; in euthymic phase. exclusion criteria: >60 years or <18 years old;less than 2episodes during 2 years or less 3 episodes during 5 years; in acute phase or with sever residual symptoms 18 years 60 years Both F31 Bipolar affective disorder Lifestyle Treatment - Drugs Patients in intervention group, received standard pharmacotherapy for BpD and also enrolled for simple individual psychoeducation. Program consisted of 8 sessions each consisting of a 50 minute session per week of a short form of psychoeducation course, derived from studies of Colom, F. and Vieta,E. (19). Sessions of psychoeducation were performed by a psychiatry resident who was blinded to treatment. All psychoeducation treatment sessions for all patients were performed by the same resident who conducted a one-on-one session with each individual patient. Psychoeducation programs and discussions were presented to the patients in the following format: Session 1: Understanding BpD. and its aetiology. Session 2: Familiarisation with symptoms of mania and hypomania. Session 3: Understanding signs of depression and other psychological episodes. Session 4: Awareness of causes and prognosis. Session 5: Education about the function, types and adverse side effect of mood stabiliser medication. Session 6: Functions, types and adverse effects of antimanic and antidepressant medications. Patients also receive information about the risk of discontinuation of these medications. Session 7: Learning how to detect any future episodes of relapse. Session 8: Strategies and plans ought to be taken upon early detection of symptoms and self directed to new situations. These 8 weekly scheduled sessions were conducted face to face in the clinic of psychology at Hafez Hospital. The first 10 minutes of each sitting was allocated to establishing rapport with the patient, and a short question and answer session. During this period, the patients were asked to explain, in their own words, their understanding of all presented material. Any misconstrued discussed and explained in detail. After first 10 minutes the researcher gave all relevant information in layman language about the particular topics for 40 minutes. The strategies and plans for early detections of symptoms discussed. After 8 sessions of face to face simple individual education, intervention continued by way of scheduled monthly telephone contact to remind patients of their next appointment. Each telephone contact consisted of a 10-minute question and answer session where the patient’s queries were thoroughly responded to. Follow-up telephone contact for each patient was then scheduled for the subsequent 18 months. Patients who were randomised in the control group were continuing standard pharmacotherapy by their psychiatrists of choice Quality of life. medication adherence. recurrence.admision. Timepoint: 6 ,12 and 18 months after begining of study. Method of measurement: WHO QOL BREF. hamilton depression scale. Bech Rafaelsen mania scale. Medication adherence Rating scale. Severity of depression and mania. Timepoint: at 6 T 12 and 18 months after begining of study. Method of measurement: Hamilon depression scale. Bech Rafaelsen mania scale. Shiraz medical university Approved 2010-12-26 Ethics Commite of Shiraz medical university Shiraz medical university shiraz Iran (Islamic Republic of)