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The British Journal of Psychiatry
Year: 2010  |  Volume: 196  |  Issue: 5  |  Page No.: 383 - 388

Group-based psychosocial intervention for bipolar disorder: randomised controlled trial

D Castle, C White, J Chamberlain, M Berk, L Berk, S Lauder, G Murray, I Schweitzer, L Piterman and M. Gilbert    

Abstract:

Background

Psychosocial interventions have the potential to enhance relapse prevention in bipolar disorder.

Aims

To evaluate a manualised group-based intervention for people with bipolar disorder in a naturalistic setting.

Method

Eighty-four participants were randomised to receive the group-based intervention (a 12-week programme plus three booster sessions) or treatment as usual, and followed up with monthly telephone interviews (for 9 months post-intervention) and face-to-face interviews (at baseline, 3 months and 12 months).

Results

Participants who received the group-based intervention were significantly less likely to have a relapse of any type and spent less time unwell. There was a reduced rate of relapse in the treatment group for pooled relapses of any type (hazard ratio 0.43, 95% CI 0.20–0.95; t343 = –2.09, P = 0.04).

Conclusions

This study suggests that the group-based intervention reduces relapse risk in bipolar disorder.

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