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Psychological therapies for bipolar disorder : the role of model driven approaches to therapy integration.

Jones, Steven H. and Sellwood, William and McGovern, John (2005) Psychological therapies for bipolar disorder : the role of model driven approaches to therapy integration. Bipolar Disorders, 7 (1). pp. 22-32. ISSN 1398-5647

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Abstract

Objectives: The psychological and social aspects of bipolar disorder are receiving increasing recognition. Recently, there have been promising developments in psychological interventions, but there is scope for further improvement of therapeutic outcomes. This paper argues for the use of more detailed psychological models of bipolar disorder to inform the further development of therapeutic approaches. Method: Evidence for psychological, family and social factors in bipolar disorder is reviewed. The efficacy of current individual and family interventions are discussed. A model, which has potential to synthesize group and individual approaches, is outlined. Results: Psychological, social and family factors have important influences on the onset, course and outcome of bipolar disorder. Interventions based on vulnerability stress models have proved effective. However, to enhance efficacy future developments need to be based on models that integrate current understandings of the multiple levels at which mood fluctuations occur. A particular recent model is discussed which leads to specific proposals for future intervention research. Conclusions: Psychological and family approaches to BD have much potential. They clearly have a role in conjunction with appropriate pharmacological treatment. If this potential is to be fully realized future developments need to be based on psychological models that can accommodate the complexity of this illness.

Item Type: Article
Journal or Publication Title: Bipolar Disorders
Uncontrolled Keywords: bipolar disorder • cognitive behavioural therapy • family factors • family therapy • medication • psychological factors • psychological model • psychological therapy • social factors
Subjects: R Medicine > R Medicine (General)
Departments: Faculty of Health and Medicine > Health Research
ID Code: 31939
Deposited By: Mr Richard Ingham
Deposited On: 26 Feb 2010 13:52
Refereed?: Yes
Published?: Published
Last Modified: 26 Mar 2013 15:33
Identification Number:
URI: http://eprints.lancs.ac.uk/id/eprint/31939

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