Relapse Prevention in Patients With Bipolar Disorder: Cognitive Therapy Outcome After 2 Years

2005 ◽  
Vol 162 (2) ◽  
pp. 324-329 ◽  
Author(s):  
Dominic H. Lam ◽  
Peter Hayward ◽  
Edward R. Watkins ◽  
Kim Wright ◽  
Pak Sham
Keyword(s):  
Bipolar Disorder ◽  
Cognitive Therapy ◽  
Relapse Prevention ◽  
Therapy Outcome

scholarly journals Combining cognitive therapy with medication in bipolar disorder

2003 ◽  
Vol 9 (2) ◽  
pp. 110-116 ◽  
Author(s):  
Edward Watkins
Keyword(s):  
Bipolar Disorder ◽  
Cognitive Therapy ◽  
Relapse Prevention ◽  
Randomised Controlled Trials ◽  
Coping Skills ◽  
Psychosocial Risk ◽  
Self Monitoring ◽  
Randomised Controlled ◽  
And Coping ◽  
Combined Medication

Although mood stabilisers have substantially improved the treatment of bipolar disorder, recent studies suggest that treatment with lithium is not as effective as originally claimed. Furthermore, patients still have high rates of relapse even when prescribed medication. Recent research has shown that poor coping strategies in response to bipolar prodromes and disruptions of sleep and social routines increase the risk of relapse. Combining a psychosocial approach with medication may improve the rate of relapse prevention. Cognitive therapy teaches patients better self-monitoring and coping skills and is therefore an appropriate means of minimising psychosocial risk factors for relapse. Recent randomised controlled trials suggest that combined medication and cognitive therapy significantly reduce bipolar relapse compared with medication alone.

The Long-Term Effects of Mindfulness-Based Cognitive Therapy as a Relapse Prevention Treatment for Major Depressive Disorder

2010 ◽  
Vol 38 (5) ◽  
pp. 561-576 ◽  
Author(s):  
Kate L. Mathew ◽  
Hayley S. Whitford ◽  
Maura A. Kenny ◽  
Linley A. Denson
Keyword(s):  
Major Depressive Disorder ◽  
Depressive Disorder ◽  
Cognitive Therapy ◽  
Relapse Prevention ◽  
Mindfulness Practice ◽  
Long Term Effects ◽  
Major Depressive ◽  
Strong Negative Correlation ◽  
Group 3

Background: Mindfulness-based Cognitive Therapy (MBCT) is a relapse prevention treatment for major depressive disorder. Method: An observational clinical audit of 39 participants explored the long-term effects of MBCT using standardized measures of depression (BDI-II), rumination (RSS), and mindfulness (MAAS). Results: MBCT was associated with statistically significant reductions in depression from pre to post treatment. Gains were maintained over time (Group 1, 1–12 months, p = .002; Group 2, 13–24 months, p = .001; Group 3, 25–34 months, p = .04). Depression scores in Group 3 did begin to worsen, yet were still within the mild range of the BDI-II. Treatment variables such as attendance at “booster” sessions and ongoing mindfulness practice correlated with better depression outcomes (p = .003 and p = .03 respectively). There was a strong negative correlation between rumination and mindful attention (p < .001), consistent with a proposed mechanism of metacognition in the efficacy of MBCT. Conclusion: It is suggested that ongoing MBCT skills and practice may be important for relapse prevention over the longer term. Larger randomized studies of the mechanisms of MBCT with longer follow-up periods are recommended.

scholarly journals Timing of onset of lithium relapse prevention in bipolar disorder: evidence from randomised trials

2018 ◽  
Vol 213 (5) ◽  
pp. 664-666 ◽  
Author(s):  
Matthew J. Taylor
Keyword(s):  
Bipolar Disorder ◽  
Relapse Prevention ◽  
Early Onset ◽  
Hazard Ratio ◽  
Randomised Trials ◽  
Mood Episode ◽  
Early Effects ◽  
Timing Of Onset

SummaryLithium is widely prescribed, but the timing of key effects remains uncertain. The timing of onset of its relapse prevention effects is clarified by placebo-controlled randomised trials (3 studies, n = 1120). Lithium reduced relapse into any mood episode over the first 2 weeks of treatment (hazard ratio 0.40, 95% CI 0.16–0.97). Fewer manic relapses were evident within the first 4 weeks, however, early effects on depressive relapse were not demonstrated. There is an early onset of lithium relapse prevention effects in bipolar disorder, particularly against manic relapse. Full effects against depressive relapse may develop over a longer period.Declaration of interestM.J.T. reports personal fees from Sunovion, Otsuka, Lundbeck, outside the submitted work.

The Effects of Mindfulness-Based Cognitive Therapy in Bipolar Disorder

2016 ◽  
pp. 155-161
Author(s):  
Victoria L. Ives-Deliperi ◽  
Fleur Howells ◽  
Neil Horn
Keyword(s):  
Bipolar Disorder ◽  
Cognitive Therapy

scholarly journals Mindfulness in addictions

2016 ◽  
Vol 22 (6) ◽  
pp. 412-419 ◽  
Author(s):  
David Johnson ◽  
Donna Mullen ◽  
Iain D. Smith ◽  
Alistair Wilson
Keyword(s):  
Physical Health ◽  
Cognitive Therapy ◽  
Stress Reduction ◽  
Relapse Prevention ◽  
Good Effect ◽  
Prevention Techniques ◽  
Health Disorders ◽  
Mindfulness Based Stress Reduction

SummaryThere have been many developments in mindfulness-based approaches (MBAs) since the original mindfulness-based stress reduction (MBSR) course was first delivered in the 1980s. There are now a variety of mindfulness approaches, which are used to good effect in a range of psychological and physical health disorders. The addictions field first witnessed the development of relapse prevention techniques more than 30 years ago. MBAs have been adapted for use in relapse prevention and can be offered as a mindfulness-based relapse prevention (MBRP) course. MBSR or mindfulness-based cognitive therapy (MBCT) courses may also be useful for those with addiction problems. In this article, we describe the MBAs that are commonly offered at present. We highlight ways in which these approaches may be useful in the addictions feld. We also make suggestions for clinicians who may be interested in offering MBAs within their own service.

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