TY - JOUR
T1 - A pilot study of a combined group and individual functional remediation program for patients with bipolar I disorder
AU - Zyto, Susan
AU - Jabben, Nienke
AU - Schulte, Peter F. J.
AU - Regeer, Barbara J.
AU - Kupka, Ralph W.
PY - 2016/4/1
Y1 - 2016/4/1
N2 - Background Bipolar disorder has been associated with a decrease in cognitive functioning affecting the functional outcome of patients independent of mood states. However, there have only been few attempts to investigate the effects of functional remediation for patients with bipolar disorder. The current study investigates the feasibility and effectiveness of a combined group and individual functional remediation program for bipolar disorder, including both patients and their caregivers. Methods Twelve participants diagnosed with bipolar I disorder, and their caregivers, were treated with a combined group and individual functional remediation program. The feasibility of the program was evaluated by dropout rates and participants' evaluations of the program. The effectiveness of the program was explored through the assessment of functional outcome at baseline, immediately post-treatment, and follow-up three months later. Results The results indicate a high degree of satisfaction and a low dropout rate with the current program. Assessment of outcomes suggests improved functioning in the areas of autonomy and occupational functioning, evolving from baseline to follow-up. Limitations Due to a small sample size and the lack of a control group the results are preliminary. Conclusions This relatively brief intervention offers a more tailor-made approach to functional remediation and shows good feasibility, acceptability and improvement of functioning in patients with bipolar I disorder.
AB - Background Bipolar disorder has been associated with a decrease in cognitive functioning affecting the functional outcome of patients independent of mood states. However, there have only been few attempts to investigate the effects of functional remediation for patients with bipolar disorder. The current study investigates the feasibility and effectiveness of a combined group and individual functional remediation program for bipolar disorder, including both patients and their caregivers. Methods Twelve participants diagnosed with bipolar I disorder, and their caregivers, were treated with a combined group and individual functional remediation program. The feasibility of the program was evaluated by dropout rates and participants' evaluations of the program. The effectiveness of the program was explored through the assessment of functional outcome at baseline, immediately post-treatment, and follow-up three months later. Results The results indicate a high degree of satisfaction and a low dropout rate with the current program. Assessment of outcomes suggests improved functioning in the areas of autonomy and occupational functioning, evolving from baseline to follow-up. Limitations Due to a small sample size and the lack of a control group the results are preliminary. Conclusions This relatively brief intervention offers a more tailor-made approach to functional remediation and shows good feasibility, acceptability and improvement of functioning in patients with bipolar I disorder.
KW - Bipolar disorder
KW - Cognitive dysfunction
KW - Functional remediation
KW - Outcome
KW - Psychosocial functioning
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U2 - https://doi.org/10.1016/j.jad.2016.01.029
DO - https://doi.org/10.1016/j.jad.2016.01.029
M3 - Article
C2 - 26800305
SN - 0165-0327
VL - 194
SP - 9
EP - 15
JO - Journal of affective disorders
JF - Journal of affective disorders
ER -