Interpersonal and social rhythm therapy proven to be an
effective treatment for bipolar disorder
September 06, 2005
Laptop Battery University of Pittsburgh study results published in Archives of
General Psychiatry
Bipolar disorder ( depression) is a mood disorder, which means that the symptoms are abnormalities of mood. Bipolar disorder involves episodes of both serious mania and depression. Bipolar disorder can have a devastating impact on sufferer's lives and can lead to suicide if it is not treated.
Thinkpad PITTSBURGH - A treatment program that stresses maintaining a
regular schedule of daily activities and stability in personal
relationships is an effective therapy for bipolar disorder, report
University of Pittsburgh School of Medicine researchers in
September's Archives of General Psychiatry. Interpersonal and
Social Rhythm Therapy (IPSRT), a novel approach developed by the
University of Pittsburgh researchers, was effective in preventing
relapse over a two-year period, particularly in patients who don't
have other chronic medical problems such as diabetes or
heart disease.
This topic discusses bipolar disorder in adults. If you are concerned that your child or teen may have bipolar disorder, see the topic Bipolar Disorder in Childhood and Adolescence.
Microsoft IPSRT is based on the idea that disruptions in daily routines
and problems in interpersonal relationships can cause recurrence of
the manic and depressive episodes that characterize bipolar
disorder. During the treatment, therapists help patients understand
how changes in daily routines and the quality of their social
relationships and their social roles, such as a parent, spouse or
caregiver, for example, can affect their moods. After identifying
situations that can trigger mania or depression, therapists teach
the individuals how to better manage stressful events and better
maintain positive relationships.
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Laptop Computers "Our study shows that this form of psychotherapy is helpful to
many
people with bipolar disorder,"
said Ellen Frank, Ph.D., professor of psychiatry at the
University of Pittsburgh School of Medicine and Western
Psychiatric Institute and Clinic, and principal investigator of
the study. "Second, it shows that the type of psychotherapy we
choose for a patient should depend on the individual's
circumstances. Treatment for bipolar is not 'one-size-fits-all.'
We have shown that IPSRT is a powerful tool in the prevention of
illness recurrence."
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Laptop Computer More than 4 percent of adults in the United States suffer from a
bipolar disorder or "sub-threshold" bipolar disorder. Bipolar
disorder, commonly referred to as manic-depressive illness, is
characterized by cycles of mania, depression or mixed states that
often disrupt work, school, family and social
life.
is a trace mineral nutrient that may adversely influence bipolar disorder. Elevated blood and hair levels of vanadium have been reported in people with mania and depression, and one effect of the bipolar medication lithium is to interrupt a biochemical action of vanadium in the body.51 Vanadium is therefore one suspect in the search for a cause of bipolar disorder. People with bipolar disorder should avoid supplements containing vanadium until more is known.
Desktop Computer Conventional treatment approaches for the disorder include
lithium and other mood stabilizers, which work well in the
short-term but often have limited long-term success. Historically,
psychotherapy has not been given much credence as a treatment
option for the condition because of the disorder's strong
biological basis. Only recently have researchers begun to
investigate the effectiveness of psychotherapy for people with
bipolar disorder, and studies like this one have shown that
psychotherapy can have promising long-term benefits.
Notebooks The University of Pittsburgh study involved 175 acutely ill
individuals with bipolar I disorder, the more serious form of the
illness involving full-blown episodes of mania and major
depression, who were enrolled in the Maintenance Therapies in
Bipolar Disorder trial. They were randomized to one of four
treatment groups. One group received IPSRT during both the acute
phase of their bipolar disorder, defined by a severe episode of
mania, depression or mixed symptoms, and for two years after the
episode, referred to as the maintenance phase. The second group
received Intensive Clinical Management therapy (ICM), a form of
psychotherapy that addresses the general causes, symptoms and
treatments of bipolar disorder, during both the acute and
maintenance phases. The remaining two groups received either IPSRT
during the acute phase and ICM during the maintenance phase or ICM
during the acute phase and IPSRT during the maintenance phase.
Patients in all groups received standard medication therapy
throughout the study.
Lenovo After controlling for the effects of marital status, medical
burden and anxiety, the researchers found that patients who
received IPSRT during the acute treatment were more likely to
remain well during the two-year maintenance phase. Furthermore, the
strength of the effect was directly related to the extent to which
patients increased the regularity of their social routines. Those
who responded well to IPSRT were more likely to be those in
somewhat better physical
health.
Hard Drive Patients who had multiple medical problems in addition to
bipolar disorder and those with anxiety responded better to the ICM
therapy, possibly because of that therapy's focus on physical
symptoms. Study authors hypothesized that these patients had a
greater need to manage and cope with their medical symptoms and
were less able to focus on controlling their social rhythms and
relationships. Individuals with bipolar disorder are at an
increased risk for a number of serious medical illnesses, including
cardiovascular disease, diabetes and pulmonary problems.
Travelstar University of Pittsburgh Medical Center
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