Impact of Multifamily Psychoeducational Psychotherapy in Treating Children Aged 8 to 12 Years With Mood Disorders

Fristad, Mary A.; Verducci, Joseph S.; Walters, Kimberly A.; Young, Matthew

doi:10.1001/archgenpsychiatry.2009.112

Cited by 198 publications

(154 citation statements)

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“…A future study should compare effects of different ratios. Lastly, previous trials of biological and psychosocial interventions for mood disorders in youth have demonstrated increased benefits of intervention at longer-term follow-up assessments (Fristad 2006; The TADS Team Fristad et al 2009); long-term follow-up data are currently being collected. Future analyses will also examine potential mediators and moderators of treatment to assist with more individualized treatment planning.…”

Section: Limitations and Future Directionsmentioning

confidence: 99%

“…Previous research provides support for the efficacy of adjunctive family-focused psychoeducation and skills-based interventions for youth with BPSD, including psychoeducational psychotherapy (PEP), family-focused treatment, and child-and family-focused cognitive behavioral therapy West et al 2014). PEP has the strongest evidence base for treating children £12 years of age with BPSD (Fristad et al 2002(Fristad et al , 2003Fristad 2006;Fristad et al 2009;Mendenhall et al 2009;Fristad and MacPherson 2014). Key goals of PEP are to provide psychoeducation about mood disorders and treatments, provide social support, and build skills in symptom management, emotion regulation, problem solving and communication.…”

Section: Introductionmentioning

confidence: 99%

“…Key goals of PEP are to provide psychoeducation about mood disorders and treatments, provide social support, and build skills in symptom management, emotion regulation, problem solving and communication. Fristad and colleagues have developed a PEP manual (Fristad et al 2011c) and completed three previous randomized controlled trials (RCTs) (Fristad et al 2002(Fristad et al , 2003Fristad 2006;Fristad et al 2009;Mendenhall et al 2009) and an effectiveness trial ). These trials have demonstrated PEP's efficacy in improving mood symptoms, family interactions, parent understanding of mood disorders, access to quality mental healthcare, and high degrees of treatment satisfaction.…”

Section: Introductionmentioning

confidence: 99%

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A Randomized Controlled Trial of Individual Family Psychoeducational Psychotherapy and Omega-3 Fatty Acids in Youth with Subsyndromal Bipolar Disorder

Fristad

Young

Vesco

et al. 2015

Journal of Child and Adolescent Psychopharmacology

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Objective: This pilot study evaluates efficacy of omega-3 fatty acid supplementation (O3), individual family psychoeducational psychotherapy (IF-PEP), and their combination in youth with subsyndromal bipolar disorders (bipolar disorder not otherwise specified [BP-NOS], cyclothymic disorder [CYC]). Methods: This study was a 12 week, randomized trial of O3 versus placebo and IF-PEP versus active monitoring (AM) using a 2 · 2 design (O3 + PEP: n = 5; O3 + AM: n = 5; placebo + PEP: n = 7; placebo + AM: n = 6). Twenty-three youth ages 7-14 with BP-NOS or CYC were recruited via community advertisements and clinician referrals. Participants could be taking stable medication for attention-deficit/hyperactivity disorder and sleep aids, but no other psychotropics. Independent evaluators assessed participants at screen, baseline, and 2, 4, 6, 9, and 12 weeks. Primary outcome measures were the Kiddie Schedule for Affective Disorders (K-SADS) Depression (KDRS) and Mania (KMRS) Rating Scales, Children's Depression Rating ScaleRevised (CDRS-R), and Young Mania Rating Scale (YMRS). O3/placebo conditions were double-blind; independent evaluators were blind to psychotherapy condition.

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Section: Limitations and Future Directionsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A Randomized Controlled Trial of Individual Family Psychoeducational Psychotherapy and Omega-3 Fatty Acids in Youth with Subsyndromal Bipolar Disorder

Fristad

Young

Vesco

et al. 2015

Journal of Child and Adolescent Psychopharmacology

Self Cite

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“…Apesar disso, os estudos demonstraram eficácia em alguns aspectos, tais como, a redução dos sintomas do TB (e.g., Miklowitz et al, 2008;Fristad et al, 2009;Fristad, 2006;Fristad et al, 2002;Miklowitz et al, 2004;Miklowitz et al, 2011), comportamentos mais adequados dos pais frente ao TB de seus filhos (e.g., Fristad et al, 2003;Fristad, 2006); melhora do relacionamento familiar (e.g., Fristad, 2006;Fristad et al, 2002); ganho de experiência, aumento do conhecimento dos pais em relação à doença e aumento do apoio familiar e social (e.g., Fristad et al, 2003;Fristad et al, 2002). Estes resultados se mantiveram após o follow-up.…”

Section: Discussionunclassified

Transtorno bipolar em crianças e adolescentes: critérios para diagnóstico e revisão de intervenções psicossociais

Moraes

Gon

Zazula

2016

Psico

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Este artigo está licenciado sob forma de uma licença Creative Commons Atribuição 4.0 Internacional, que permite uso irrestrito, distribuição e reprodução em qualquer meio, desde que a publicação original seja corretamente citada. http://creativecommons.org/licenses/by/4.0/deed.pt_BR Revisão sistemática ISSN 1980-8623 Transtorno bipolar em crianças e adolescentes: critérios para diagnóstico e revisão de intervenções psicossociais ResumoO transtorno bipolar é um transtorno mental crônico, recorrente e incapacitante. Entretanto, em crianças e adolescentes pode manifestar-se de forma diferente do padrão clássico descrito na idade adulta. Objetivou-se revisar e analisar estudos empíricos de intervenções psicossociais realizadas para o transtorno bipolar em crianças e adolescentes quanto aos seus objetivos, método, principais resultados e discussão. Foi realizada uma revisão sistemática de 21 artigos de intervenção psicossocial publicados entre 1999 e 2014. Constatou-se diversidade quanto às variáveis investigadas, tais como método, delineamento experimental, amostra, instrumentos e temas. Apesar disso, os estudos demonstraram eficácia em alguns aspectos estudados, em especial a comunicação e a informação aos pacientes e familiares. Sugere-se o desenvolvimento de pesquisas sobre transtorno bipolar em crianças e adolescentes, de modo a contribuir para a elaboração de ações ou programas de intervenção direcionados especificamente para esta população.Palavras-chave: Transtorno bipolar; Infância; Adolescência; Intervenção psicossocial. Bipolar disorder in children and adolescents: criterions to diagnostic and review of psychosocial interventions AbstractThe bipolar disorder is a chronic, recurrent and incapacitating mental disease. Although with children and adolescents could occur differently than in adult age. The aim of this study was review and analyze empirical studies of psychosocial interventions for bipolar disorder with children and adolescents related to objectives, method, main results and data discussion. A systematic review was performance of 21 psychosocial intervention's articles, published between 1999 and 2014. The results showed diversity related to investigated variables, such as method, experimental design, sample, instruments and themes. Despite this, the studies demonstrated efficacy in some aspects investigated, specially communication and information to patients and their families. It suggests researches about bipolar disorder in children and adolescents to contribute for a large number of actions and intervention programs directly to this population.Keywords: Bipolar disorder; Childhood; Adolescence; Psychosocial intervention. Trastorno bipolar en niños y adolescentes: criterios para el diagnóstico y revisión de las intervenciones psicosociales ResumenEl trastorno mental crónico es un trastorno mental crónico, recurrente y incapacitante. Sin embargo, en los niños y adolescentes pueden manifestar patrón diferente del descrito en la edad adulta. El objetivo de este estudio es revisar y analizar ...

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“…8,40 Psychotherapeutic interventions have proved effective for those at high risk with prodromal syndromes, 41,42 and study of safe potentially effective early interventions such as omega-3-fatty acids and N-acetylcysteine would be It is illegal to post this copyrighted PDF on any website.…”

Section: J Clin Psychiatry 77:8 August 2016mentioning

confidence: 99%

Further Evidence of a Cohort Effect in Bipolar Disorder

Post

Kupka

Keck

et al. 2016

J. Clin. Psychiatry

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Objective: Given that a cohort effect is rarely mentioned as one of the possible contributors to the increased incidence of childhood-onset bipolar disorder in the United States, we reexamined evidence for the phenomenon within our outpatient Bipolar Collaborative Network. Methods: 968 outpatients (mean age, 41 years) with DSM bipolar disorder from 1995 to 2002 from 4 sites in the United States and 3 in the Netherlands and Germany (abbreviated as Europe) gave informed consent and provided detailed demographic, illness, and family history information on a patient questionnaire. Family history of bipolar disorder, depression, suicide attempt, alcohol abuse, substance abuse, and "other" illness was collected for each parent and the 4 grandparents. Age at onset and family history of illness burden were then assessed as a function of the age of the patient at network entry. Results: Data for patients aged 35 years or older (n = 613) were included in the first analysis. Compared to older patients, those who were younger when they entered the network had an earlier age at onset of their bipolar disorder (r = 0.33, P < .001). Similarly, the youngest patients at entry (representing the most recent cohorts) had parents and grandparents with more psychiatric illness than patients born in earlier cohorts (n = 968). Conclusions: These preliminary data, taken with the substantial literature, suggest a cohort effect for earlier age at onset of bipolar disorder and greater burden of psychiatric disorders in 2 generations of direct progenitors of our patients. The resulting likely increase in severity of bipolar illness in future generations based on this earlier age at onset and increased familial loading, particularly in the United States, deserves focused clinical and public health attention and attempts at amelioration.

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Impact of Multifamily Psychoeducational Psychotherapy in Treating Children Aged 8 to 12 Years With Mood Disorders

Abstract: Brief, adjunctive psychoeducational group psychotherapy is associated with improved outcome for children aged 8 to 12 years with major mood disorders. Trial Registration clinicaltrials.gov Identifier: NCT00050557.

Cited by 198 publications

References 50 publications

A Randomized Controlled Trial of Individual Family Psychoeducational Psychotherapy and Omega-3 Fatty Acids in Youth with Subsyndromal Bipolar Disorder

A Randomized Controlled Trial of Individual Family Psychoeducational Psychotherapy and Omega-3 Fatty Acids in Youth with Subsyndromal Bipolar Disorder

Transtorno bipolar em crianças e adolescentes: critérios para diagnóstico e revisão de intervenções psicossociais

Further Evidence of a Cohort Effect in Bipolar Disorder

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