Nurse‐led delivery of specialist supportive care for bipolar disorder: a randomized controlled trial

Crowe, Marie; Inder, Maree; Carlyle, Dave; Wilson, Lynere; Whitehead, Lisa; Panckhurst, A.; O’Brien, Tony; Frampton, Christopher; Joyce, Peter R.

doi:10.1111/j.1365-2850.2011.01822.x

Cited by 6 publications

(13 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There has also been a review that identified the potential effectiveness of social rhythm interventions and a qualitative study that identified that young people found the social rhythm component of IPSRT the most helpful in staying well . A previous feasibility study of delivering psychotherapy for BD in community mental services found that participants wanted it integrated and delivered by usual treatment team; and a commitment to a 9‐month therapy was unacceptable to many . In Christchurch, New Zealand, the median duration of treatment within community mental health services is 120 days, which is similar to findings from the United States showing that the median duration of acute mood episodes in BD is 13 weeks …”

Section: Introductionmentioning

confidence: 66%

“…It is anticipated that it can form the basis for the ongoing engagement between the clinician and the patient. The intervention needs to be feasible, acceptable and fit with the local context: The manual developed in the United States required adaptation for the New Zealand setting and has been modified while maintaining the key principles. A previous feasibility study in the local context found that participants wanted the intervention integrated into usual care and delivered by their usual treatment team. The duration of the intervention is potentially feasible given the average length of stay in this community mental health service (120 days).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Social rhythm therapy—A potentially translatable psychosocial intervention for bipolar disorder

et al. 2019

View full text Add to dashboard Cite

Introduction The aim of this paper was to present Social Rhythm Therapy, which has been modified from Interpersonal and Social Rhythm Therapy, by drawing on implementation science to describe a process that for integrating this into routine clinical practice. Method On the basis of the principles of user‐centred design, we aimed to modify an existing psychosocial therapy for bipolar disorder to make this readily translatable into a range of clinical practice models which could be further modified based on feedback from end users. Results Social Rhythm Therapy has been adapted from Interpersonal and Social Rhythm Therapy which has demonstrated efficacy in research settings. The adaptation was developed in order to facilitate implementation of some of the key components in routine clinical practice. It is short, relatively simple, easily learned and intended to be flexible. Conclusions Social rhythm therapy for bipolar disorder has many characteristics which may make it translatable into clinical practice in different settings. There is a need for studies into the clinical effectiveness of this intervention that has been modified from an evidence‐based intervention.

show abstract

Section: Introductionmentioning

confidence: 66%

Section: Resultsmentioning

confidence: 99%

Social rhythm therapy—A potentially translatable psychosocial intervention for bipolar disorder

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Depression and mania symptoms were assessed using the SCL-90, and there were no differences in changes in these measures over time between the two groups. Notably, this study was powered to detect relatively large effect sizes (>0.7), which suggests the possibility of type II error (31). …”

Section: Resultsmentioning

confidence: 97%

“…In all but one trial (27), psychotherapy was administered as an adjunct to pharmacologic treatments. In most cases, the addition of psychotherapy to pharmacotherapy was associated with improved outcomes for bipolar disorder compared with the control condition [but for exceptions, see, Scott et al (28), Meyer and Hautzinger (29), Parikh et al (30), Crowe et al (31), and de Barros Pellegrinelli et al (32)]. Below we briefly describe individual and group models of psychotherapy tested for bipolar disorder and the evidence supporting their efficacy/effectiveness.…”

Section: Resultsmentioning

confidence: 99%

“…Crowe and colleagues (31) conducted a pragmatic trial of nurse-led specialist supportive care (SSC), delivered in a community mental health clinic. SSC is designed to promote and maintain a therapeutic relationship between patient and clinician, improve adherence to pharmacotherapy, and develop problem-solving tools to help them better manage bipolar disorder.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Psychotherapy for Bipolar Disorder in Adults: A Review of the Evidence

Swartz¹,

Swanson²

2014

FOC

View full text Add to dashboard Cite

Although pharmacotherapy is the mainstay of treatment for bipolar disorder, medication offers only partial relief for patients. Treatment with pharmacologic interventions alone is associated with disappointingly low rates of remission, high rates of recurrence, residual symptoms, and psychosocial impairment. Bipolar-specific therapy is increasingly recommended as an essential component of illness management. This review summarizes the available data on psychotherapy for adults with bipolar disorder. We conducted a search of the literature for outcome studies published between 1995 and 2013 and identified 35 reports of 28 randomized controlled trials testing individual or group psychosocial interventions for adults with bipolar disorder. These reports include systematic trials investigating the efficacy and effectiveness of individual psychoeducation, group psychoeducation, individual cognitive-behavioral therapy, group cognitive-behavioral therapy, family therapy, interpersonal and social rhythm therapy, and integrated care management. The evidence demonstrates that bipolar disorder-specific psychotherapies, when added to medication for the treatment of bipolar disorder, consistently show advantages over medication alone on measures of symptom burden and risk of relapse. Whether delivered in a group or individual format, those who receive bipolar disorder-specific psychotherapy fare better than those who do not. Psychotherapeutic strategies common to most bipolar disorder-specific interventions are identified.

show abstract

Interventions delivered by nurses in adult outpatient psychiatric care: An integrative review

Ameel

Kontio

Välimäki

2019

Psychiatric Ment Health Nurs

View full text Add to dashboard Cite

Accessible summary What is known on the subject? In many countries, the majority of psychiatric care is being delivered in an outpatient setting and the proportion of outpatients is increasing on a global level. Nurses are the largest workforce in psychiatric care, but their role has been said to be difficult to define. According to our knowledge, there are no previous reviews focusing on nurse‐delivered interventions in the adult psychiatric outpatient setting. What this paper adds to existing knowledge? This review summarizes nurse‐delivered interventions identified in the research literature and describes these systematically. Analysing all the identified interventions using the Nursing Interventions Classification, we conclude that the emphasis of nurse‐delivered interventions in psychiatric outpatient care is on interventions aiming at improving the functioning of both patients and their family members by building on their own strengths. These findings differ from those presented in a review on inpatient psychiatric nursing. There are several clinical trials describing nurse‐delivered evidence‐based treatments, such as psychoeducation for patients and their family members in the case of patients diagnosed with schizophrenia and bipolar disorder. The quality of randomized controlled trials was higher than in earlier reviews describing psychiatric nursing interventions in general or in connection with a specific patient group. Further clinical trials are needed to describe the role of nurses in the care of patients diagnosed with depression and in the use of web‐based interventions. Additionally, it would be important to study what supports, and on the other hand hinders, the role of nurses in delivering evidence‐based treatments at the clinical level. What are the implications for practice? Nurses can play a central role in responding to the growing demand for evidence‐based practices in adult outpatient psychiatry, by delivering treatments for patients and family members. It is important that both nursing education and clinical practices recognize and support this role. AbstractIntroductionAccording to our knowledge, there are no previous reviews on nurse‐delivered interventions in the adult psychiatric outpatient setting.AimTo identify and systematically describe and analyse nurse‐delivered interventions based on research literature.MethodAn integrative review.ResultsThis review included 60 studies, of which 46 were intervention studies, including 40 clinical trials. The most common patient groups were patients diagnosed with schizophrenia and bipolar disorder. The nursing interventions described in the studies resembled a total of 68 interventions from the Nursing Interventions Classification. The treatment delivery methods varied and treatments often lacked a clear theoretical background.Implications for practiceThe core of nurse‐delivered interventions identified in research literature in psychiatric outpatient care is on interventions aiming at improving the functioning of both patients an...

show abstract

Nurse‐led delivery of specialist supportive care for bipolar disorder: a randomized controlled trial

Cited by 6 publications

References 28 publications

Social rhythm therapy—A potentially translatable psychosocial intervention for bipolar disorder

Social rhythm therapy—A potentially translatable psychosocial intervention for bipolar disorder

Psychotherapy for Bipolar Disorder in Adults: A Review of the Evidence

Interventions delivered by nurses in adult outpatient psychiatric care: An integrative review

Contact Info

Product

Resources

About