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DOI: 10.1055/s-2005-867022
Psychotherapie und Psychoedukation bei bipolaren Störungen - manualisierte Therapieprogramme
Psychotherapy and Psychoeducation for Bipolar Disorders - Manualised Treatment ProgramsPublication History
Publication Date:
01 March 2006 (online)
![](https://www.thieme-connect.de/media/psychiat-praxis/2006S1/lookinside/thumbnails/10.1055-s-2005-867022-1.jpg)
Zusammenfassung
Der Artikel liefert einen Überblick über publizierte Therapiemanuale zur psychotherapeutischen Behandlung bipolarer Erkrankungen und diskutiert Nutzen und Aufbau manualisierter Programme. Es folgt die detaillierte Darstellung eines psychoedukativen Therapieprogramms, das sich in der Einzel- und Gruppenbehandlung stationärer und ambulanter Patienten sowie in der Angehörigenedukation bewährt hat. Abschließend werden zukünftige Forschungsfragen unter Hervorhebung der Notwendigkeit einer weiterführenden Evaluation bestehender Therapieprogramme angerissen.
Abstract
The article provides an overview of published treatment manuals for psychotherapy in bipolar disorders and discusses content and structure of manualised programs. This is followed by a more detailed description of an elaborated psychoeducative program which have successfully been applied in individual as well as in group settings for the education of inpatients, outpatients and patients' relatives. Future research needs to further evaluate existing programs in terms of treatment efficacy.
Literatur
- 1 Lam D, Bright J, Jones S, Hayward P, Schuck N, Chisholm D, Sham P. Cognitive therapy for bipolar illness - A pilot study of relapse prevention. Cognitive Therapy and Research. 2000; 24 (5) 503-520
- 2 Scott J, Garland A, Moorhead S. A pilot study of cognitive therapy in bipolar disorders. Psychological Medicine. 2001; 31 459-467
- 3 Colom F, Vieta E, Martinez-Aran A, Reinares M, Goikolea J M, Benabarre A, Torrent C, Comes M, Corbella B, Parramon G, Corominas J. 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. 2003; 60 402-407
- 4 Miklowitz D J, George E L, Richards J A, Simoneau T L, Suddath R L. A randomized study of family-focused psychoeducation and pharmacotherapy in the outpatient management of bipolar disorder. Arch Gen Psychiatry. 2003; 60 904-912
- 5 Rea M M, Miklowitz D J, Tompson M C, Goldstein M J, Hwang S, Mintz J. Family-focused treatment versus individual treatment for bipolar disorder: Results of a randomized clinical trial. Journal of Consulting & Clinical Psychology. 2003; 71 (3) 482-492
- 6 Lam D H, Hayward P, Watkins E, Wright K, Sham P. Relapse prevention in patients with bipolar disorder: Cognitive therapy outcome after 2 years. Am J Psychiatry. 2005; 162 (2) 324-329
- 7 Simon G E, Ludman E J, Unutzer J, Bauer M S, Operskalski B, Rutter C. et al . Randomized trial of a population-based care program for people with bipolar disorder. Psychological Medicine. 2005; 35 (1) 13-24
- 8 Cochran S. Preventing medical noncompliance in the outpatient treatment of bipolar affective disorders. Journal of Consulting & Clinical Psychology. 1984; 52 (5) 873-878
- 9 Clarkin J F, Carpenter D, Hull J, Wilner P, Glick I. Effects of psychoeducational intervention for married patients with bipolar disorder and their spouses. Psychiatr Serv. 1998; 49 531-533
- 10 Dogan S, Sabanciogullari S. The effects of patient education in lithium therapy on quality of life and compliance. Arch Psychiatr Nurs. 2003; 17 (6) 270-275
- 11 Clarkin J F, Glick I, Haas G L, Spencer J H, Lewis A, Peyser J, DeMane N, Good-Ellis M, Harris E, Lestelle V. A randomized clinical trial of inpatient family intervention. V. Results for affective disorders. J Affect Disord. 1990; 18 17-28
- 12 Perry A, Tarrier N, Morriss R, McCarthy E, Limb K. Randomised controlled trial of efficacy of teaching patients with bipolar disorder to identify early symptoms of relapse and obtain treatment. BMJ. 1999; 318 149-153
- 13 Lam D, Watkins E R, Hayward P, Bright J, Wright K, Kerr N, Parr-Davis G, Sham P. A randomized controlled study of cognitive therapy for relapse prevention for bipolar affective disorder. Outcome of the first year. Arch Gen Psychiatry. 2003; 60 145-152
- 14 Basco M, Rush A J. Cognitive behavioral treatment of manic-depressive disorder. New York; Guilford Press 1996
- 15 Lam D, Jones S, Hayward P, Bright J. Cognitive Therapy for Bipolar Disorder. A therapist's guide to concepts, methods and practice. Chichester; Wiley 1999
- 16 Newman C, Leahy R, Beck A, Reilly-Harrington N, Gyulai L. Bipolar disorder: A cognitive approach. Washington; American Psychological Association 2002
- 17 Bauer M, McBride L. Structured group psychotherapy for bipolar disorder. The Life Goals Program. second ed. New York; Springer Publishing Company 2003
- 18 Miklowitz D J, Goldstein M. Bipolar disorder: A family-focused treatment approach. New York; Guilford Press 1997
- 19 Frank E, Kupfer D J, Ehlers C L, Monk T H, Cornes C, Carter S, Frankel D. Interpersonal and Social Rhythm Therapy for bipolar disorder: Integrating interpersonal and behavioral approaches. The Behavior Therapist. 1994; 17 (7) 143-149
- 20 Frank E, Kupfer D, Cornes C, Carter S, Frankel D, Hlastala S A. Interpersonal and Social Rhythm Therapy (IPRST). A Manual for the adaptation of Interpersonal Psychotherapy to the treatment of bipolar disorders. Unpublished manuscript,. 2002
- 21 Miklowitz D J, Simoneau D L, George E L, Richards J A, Kalbag A, Sachs-Ericsson N, Suddath R L. Family-focused treatment of bipolar disorder: 1-year effects of a psychoeducational program in conjunction with pharmacotherapy. Biol Psychiatry. 2000; 48 582-592
- 22 Bauer M, McBride L. Structured group psychotherapy for bipolar disorder. The Life Goals Program. New York; Springer Publishing Company 1996
- 23 Colom F, Vieta E, Reinares M, Martinez-Aran A, Torrent C, Goikolea J M, Gasto C. Psychoeducation efficacy in bipolar disorders: Beyond compliance enhancement. J Clin Psychiatry. 2003; 64 (9) 1101-1105
- 24 Wagner P, Bräunig P. Psychoedukation bei bipolaren Störungen. Ein Therapiemanual für Gruppen. Stuttgart; Schattauer 2004
- 25 Schaub B, Bernhard B, Gauck L. Kognitiv-psychoedukative Therapie bei bipolaren Erkrankungen. Ein Therapiemanual. Göttingen; Hogrefe 2004
- 26 Meyer T, Hautzinger M. Manisch-depressive Störungen. Kognitiv-verhaltenstherapeutisches Behandlungsmanual. Weinheim; Beltz Verlag 2004
- 27 Sachs G S, Thase M E, Otto M, Bauer M, Miklowitz D J, Wisniewski S R, Lavori P, Lebowitz B, Rudorfer M, Frank E, Nierenberg A A, Fava M, Bowden C, Ketter T, Marangell L, Calabrese J, Kupfer D, Rosenbaum J F. Rationale, design, and methods of the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD). Biol Psychiatry. 2003; 53 1028-1042
- 28 Miklowitz D J, George E L, Axelson D A, Kim E Y, Birmaher B, Schneck C, Beresford C, Craighead W E, Brent D A. Family-focused treatment for adolescents with bipolar disorder. J Affect Disord. 2004; 82 113-128
- 29 Weiss R D, Griffin M L, Greenfield S F, Najavits L M, Wyner D, Soto J A, Hennen J A. Group therapy for patients with bipolar disorder and substance dependence: Results of a pilot study. J Clin Psychiatry. 2000; 61 361-367
Prof. Dr. med. habil. Peter Bräunig
Klinik für Psychiatrie und Psychotherapie · Vivantes Humboldt-Klinikum Berlin · Akademisches Lehrkrankenhaus der Charité · Universitätsmedizin Berlin
Am Nordgraben 2
13509 Berlin
Email: peter.braeunig@vivantes.de