Susan Zyto1, Nienke Jabben2, Peter F J Schulte3, Barbara J Regeer4, Ralph W Kupka5. 1. Mental Health Service Organisation North Holland North, Division for Specialised Treatment, Centre for Old Age and Psychosomatic Medicine, Hoorn, The Netherlands. Electronic address: S.Zyto@ggz-nhn.nl. 2. Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University, The Netherlands. 3. Mental Health Service Organisation North Holland North, Division for Specialised Treatment, Treatment Centre for Bipolar Disorders, Alkmaar, The Netherlands. 4. VU University, Faculty of Earth and Life Sciences, Athena Institute for Research on Innovation and Communication in Health and Life Sciences, Amsterdam, The Netherlands. 5. VU University Medical Center, Department of Psychiatry, Amsterdam, The Netherlands.
Abstract
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.
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.
Authors: Brisa Solé; Esther Jiménez; Carla Torrent; Maria Reinares; Caterina Del Mar Bonnin; Imma Torres; Cristina Varo; Iria Grande; Elia Valls; Estela Salagre; Jose Sanchez-Moreno; Anabel Martinez-Aran; André F Carvalho; Eduard Vieta Journal: Int J Neuropsychopharmacol Date: 2017-08-01 Impact factor: 5.176
Authors: Caterina Del Mar Bonnín; María Reinares; Anabel Martínez-Arán; Esther Jiménez; Jose Sánchez-Moreno; Brisa Solé; Laura Montejo; Eduard Vieta Journal: Int J Neuropsychopharmacol Date: 2019-08-01 Impact factor: 5.176
Authors: Juul Koene; Susan Zyto; Jaap van der Stel; Natasja van Lang; Marion Ammeraal; Ralph W Kupka; Jaap van Weeghel Journal: Int J Bipolar Disord Date: 2022-03-14
Authors: Sigfried N T M Schouws; Melis Orhan; Nicole Korten; Susan Zyto; Aartjan T F Beekman; Ralph W Kupka; Erik Scherder; Annemiek Dols Journal: Bipolar Disord Date: 2021-09-25 Impact factor: 5.345