Efficacy of psychoeducational family intervention for bipolar I disorder: A controlled, multicentric, real-world study

Fiorillo, Andrea; Vecchio, Valeria Del; Luciano, Mario; Sampogna, Gaia; Rosa, Corrado De; Malangone, Claudio; Volpe, Umberto; Bardicchia, Francesco; Ciampini, Giuseppina; Crocamo, Cristina; Iapichino, S.; Lampis, Debora; Moroni, A.; Orlandi, Emanuele; Piselli, Massimiliano; Pompili, Enrico; Veltro, Franco; Carrà, Giuseppe; Maj, Mario

doi:10.1016/j.jad.2014.10.021

Cited by 67 publications

(84 citation statements)

References 66 publications

(64 reference statements)

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“…Secondly, coping strategies were evaluated using a self‐reported instrument, and responses given by relatives may have been biased by the so‐called “social desirability” effect . We tried to overcome this limitation by using a validated and reliable questionnaire with good psychometric properties, which was originally developed for schizophrenia and bipolar disorder and largely used in research settings . Third, this multicentre study has been conducted in Italy, a country characterized by strong family ties and a predominant Catholic ideology which may limit the generalizability of our findings to countries with different socio‐cultural backgrounds.…”

Section: Discussionmentioning

confidence: 99%

How do relatives cope with eating disorders? Results from an Italian multicentre study

Fiorillo

Sampogna

Luciano

et al. 2016

Intl J Eating Disorders

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Section: Discussionmentioning

confidence: 99%

How do relatives cope with eating disorders? Results from an Italian multicentre study

Fiorillo

Sampogna

Luciano

et al. 2016

Intl J Eating Disorders

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“…In a nonrandomized trial involving 137 patients with BD in Italy, Fiorillo et al. () found that patients who were consecutively assigned to 4–6 months of family‐focused psychoeducation had significant improvements in social functioning, and caregivers showed decreases in burden compared to a usual care group.…”

Section: Empirical Studies Of Fftmentioning

confidence: 99%

“…In the implementation study of Fiorillo et al. (, ), 11 Italian mental health centers were recruited, with two clinicians (total N = 22) from each center offered training in psychoeducational family therapy [as per the FFT and Falloon et al. () manuals].…”

Section: Empirical Studies Of Fftmentioning

confidence: 99%

Family‐Focused Therapy for Bipolar Disorder: Reflections on 30 Years of Research

2016

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Family-focused therapy (FFT) is an evidence-based intervention for adults and children with bipolar disorder (BD) and their caregivers, usually given in conjunction with pharmacotherapy after an illness episode. The treatment consists of conjoint sessions of psychoeducation regarding bipolar illness, communication enhancement training, and problem-solving skills training. This paper summarizes over 30 years of research on FFT and family processes in BD. Across eight randomized controlled trials with adults and adolescents with BD, FFT and mood-stabilizing medications have been found to hasten recovery from mood episodes, reduce recurrences, and reduce levels of symptom severity compared to briefer forms of psychoeducation and medications over 1–2 years. Several studies indicate that the effects of FFT on symptom improvement are greater among patients with high-expressed emotion relatives. New research focuses on FFT as an early intervention for youth at risk for BD, neuroimaging as a means of evaluating treatment mechanisms, and progress in implementing FFT in community mental health settings.

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“…O presente estudo é um indicador que este tipo de intervenções, embora se revelem vantajosas para os seus beneficiários, ainda são escassas e inconsistentes, havendo a clara necessidade de se continuar a investir neste âmbito para que o apoio prestado aos indivíduos com TB e seus CI seja cada vez mais sólido e eficaz, no sentido de se reduzir o impacto negativo que esta patologia acarreta (Fiorillo et al, 2014;Justo et al, 2007;Reinares et al, 2016).…”

Section: Conclusõesunclassified

“…A experiência de cuidar informalmente de um doente com TB, implica uma dedicação e esforço constante que, por si só, pode ser extremamente desgastante e exigente (World federation for mental health (WFMH), 2010), especialmente se os familiares/cuidadores não receberem o devido suporte psicossocial (Fiorillo et al, 2014).…”

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Intervenções psicoeducativas dirigidas a familiares de indivíduos com transtorno bipolar

Cabral¹,

Carvalho²,

Castilho³

et al. 2017

R Est Inv Psico y Educ

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ResumoOs familiares/cuidadores informais (CI) de indivíduos com transtornos mentais graves, como é o caso do Transtorno Bipolar (TB), estão sujeitos a um conjunto de dificuldades. Deste modo, é internacionalmente reconhecia a necessidade de se consolidar o apoio prestado a este tipo de CI. O presente estudo tem como objetivo analisar as características de intervenções destinadas a CI de indivíduos com TB, a partir de uma revisão sistemática da literatura. Os artigos analisados destacam que estas intervenções se revelam eficazes na redução da sobrecarga do CI e na melhoria da sua capacidade de cuidar, o que, por sua vez, se traduz na redução de recaídas do indivíduo com TB. Palavras-chave: Doente, Família, Psicoeducação, Intervenção. AbstractThe Relatives/ Informal Caregivers (IC) of individuals with severe mental disorders, such as Bipolar Disorder (TB), are subject to a number of difficulties.Therefore, it is internationally recognized the need to consolidate the support given to this type of IC. The present study is a review of the literature aims to analyze the characteristics of interventions for IC of individuals with TB. The papers analyzed highlight that these interventions prove to be effective in reducing IC overload and improving their ability to care, which, translates into reducing relapses of the individual with TB.

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Efficacy of psychoeducational family intervention for bipolar I disorder: A controlled, multicentric, real-world study

Cited by 67 publications

References 66 publications

How do relatives cope with eating disorders? Results from an Italian multicentre study

How do relatives cope with eating disorders? Results from an Italian multicentre study

Family‐Focused Therapy for Bipolar Disorder: Reflections on 30 Years of Research

Intervenções psicoeducativas dirigidas a familiares de indivíduos com transtorno bipolar

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