Psychological therapies and psychoeducational recommendations for bipolar disorder treatment during COVID‐19 pandemic

Rotenberg, Luísa de Siqueira; Nascimento, Camila; Khafif, Tatiana Cohab; Dias, Rebecca; Lafer, Beny

doi:10.1111/bdi.12981

Cited by 11 publications

(12 citation statements)

References 6 publications

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“…One article stated generally that ethical and professional standards of care and practice should be maintained by psychologists throughout appointments 41. Five articles described that whether patients want to continue with virtual care after initially using it should be assessed on an ongoing basis, and the modality changed if requested 49–53. Two articles (5%) highlighted the importance of healthcare providers explicitly informing patients of the steps they take ensure confidentiality of their sessions 54 55…”

Section: Resultsmentioning

confidence: 99%

Guidelines and recommendations about virtual mental health services from high-income countries: a rapid review

Ekeleme,

Yusuf,

Kastner

et al. 2024

BMJ Open

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ObjectivesThis study reviewed existing recommendations for virtual mental healthcare services through the quadruple aim framework to create a set of recommendations on virtual healthcare delivery to guide the development of Canadian policies on virtual mental health services.DesignWe conducted a systematic rapid review with qualitative content analysis of data from included manuscripts. The quadruple aim framework, consisting of improving patient experience and provider satisfaction, reducing costs and enhancing population health, was used to analyse and organise findings.MethodsSearches were conducted using seven databases from 1 January 2010 to 22 July 2022. We used qualitative content analysis to generate themes.ResultsThe search yielded 40 articles. Most articles (85%) discussed enhancing patient experiences, 55% addressed provider experiences and population health, and 25% focused on cost reduction. Identified themes included: screen patients for appropriateness of virtual care; obtain emergency contact details; communicate transparently with patients; improve marginalised patients’ access to care; support health equity for all patients; determine the cost-effectiveness of virtual care; inform patients of insurance coverage for virtual care services; increase provider training for virtual care and set professional boundaries between providers and patients.ConclusionsThis rapid review identified important considerations that can be used to advance virtual care policy to support people living with mental health conditions in a high-income country.

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Section: Resultsmentioning

confidence: 99%

Guidelines and recommendations about virtual mental health services from high-income countries: a rapid review

Ekeleme,

Yusuf,

Kastner

et al. 2024

BMJ Open

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show abstract

“…In fact, de Siqueira Rotenberg et al. ( 2020 ) have published a recommendation for a “swift transition” to digitally based approaches for the treatment of BP disorder. Therefore, it is critical to understand what is gained and what is lost during the delivery of treatment using telepsychiatry in place of traditional in‐person visits.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of the literature on telepsychiatry for bipolar disorder

et al. 2022

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Objective Bipolar (BP) disorder is a highly morbid disorder that is often misdiagnosed or undiagnosed and affects a large number of adults and children. Due to the coronavirus disease 2019 public health emergency stay at home orders, most outpatient mental health care was provided via telepsychiatry, and the many benefits of virtual care ensure that this will continue as an ongoing practice. The main aim of this review was to investigate what is currently known about the use of telepsychiatry services in the diagnosis and treatment of BP disorder across the lifespan. Method A systematic literature review assessing the use of telepsychiatry in BP disorder was conducted in PubMed, PsychINFO, and Medline. Results Six articles were included in the final review. All included articles assessed populations aged 17 years or older. The literature indicates that BP disorder was addressed in telepsychiatry services at a similar rate as in‐person services, reliable diagnoses can be made using remote interviews, satisfaction rates are comparable to in‐person services, telepsychiatry services are able to reach and impact patients with BP disorder, are sustainable, and patient outcomes can improve using a telepsychiatry intervention. Conclusions Given the morbidity of BP disorder, the research addressing the telepsychiatry diagnosis and treatment of BP disorder is sparse, with only emerging evidence of its reliability, effectiveness, and acceptance. There is no research assessing the safety and efficacy of telepsychiatry in pediatric populations with BP disorder. Given the morbidity associated with BP disorder at any age, further research is needed to determine how to safely and effectively incorporate telepsychiatry into clinical care for BP adult and pediatric patients.

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“…Everybody should aim to be informed just enough to be able to act responsibly (World Health Organization, 2020 ). The same was advised for individuals with BD (Siqueira et al., 2020 ).…”

Section: Discussionmentioning

confidence: 99%

COVID‐19‐related fears and information frequency predict sleep behavior in bipolar disorder

et al. 2021

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Introduction The coronavirus disease (COVID‐19) pandemic and consequent restrictions including social distancing had a great impact on everyday life. To date, little is known about how the restrictions affected sleep, which is commonly disturbed in bipolar disorder (BD). The aim of this study was to elucidate sleep patterns during the pandemic in Austrian BD individuals. Methods An online survey assessed sleep with the Pittsburgh Sleep Quality Index (PSQI) and COVID‐19‐associated attitudes, fears, and emotional distress of 20 BD individuals and 19 controls (HC) during the pandemic. The survey was conducted in April 2020, when very strict regulations were declared, and repeated in May, when they were loosened. Results Individuals with BD reported overall poor sleep according to PSQI sum at both time points. Subjective sleep quality, sleep latency, daytime sleepiness, and PSQI sum were worse in individuals with BD than in HC. Individuals with BD informed themselves more frequently about pandemic‐related topics. Higher information frequency and more COVID‐19 fears (about the virus, own infection, contracting others) correlated with worse PSQI values. Regression models found in BD group that higher information frequency as well as higher COVID‐19 fears in April predicted worse sleep characteristics in May, in particular subjective sleep quality, sleep duration, sleep efficiency, and daytime sleepiness. Conclusion As sufficient sleep duration and quality are essential for well‐being and particularly important for vulnerable BD individuals, it is important that information about the pandemic is gathered to a reasonable extent and mental health professionals include COVID‐19‐related fears when currently treating BD.

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Psychological therapies and psychoeducational recommendations for bipolar disorder treatment during COVID‐19 pandemic

Cited by 11 publications

References 6 publications

Guidelines and recommendations about virtual mental health services from high-income countries: a rapid review

Guidelines and recommendations about virtual mental health services from high-income countries: a rapid review

A systematic review of the literature on telepsychiatry for bipolar disorder

COVID‐19‐related fears and information frequency predict sleep behavior in bipolar disorder

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