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Provedor de dados:  BJMBR
País:  Brazil
Título:  Group cognitive behavior therapy for bipolar disorder can improve the quality of life
Autores:  Costa,R.T.
Cheniaux,E.
Rangé,B.P.
Versiani,M.
Nardi,A.E.
Data:  2012-09-01
Ano:  2012
Palavras-chave:  Group therapy
Psychotherapy
Bipolar disorder
Mania
Depression
Resumo:  Bipolar disorder (BD) can have an impact on psychosocial functioning and quality of life (QoL). Several studies have shown that structured psychotherapy in conjunction with pharmacotherapy may modify the course of some disorders; however, few studies have investigated the results of group cognitive behavior therapy (G-CBT) for BD. Our objective was to evaluate the effectiveness of 14 sessions of G-CBT for BD patients, comparing this intervention plus pharmacotherapy to treatment as usual (TAU; only pharmacotherapy). Forty-one patients with BD I and II participated in this study and were randomly allocated to each group (G-CBT: N = 27; TAU: N = 14). Thirty-seven participants completed the treatment (women: N = 66.67%; mean age = 41.5 years). QoL and mood symptoms were assessed in all participants. Scores changed significantly by the end of treatment in favor of the G-CBT group. The G-CBT group presented significantly better QoL in seven of the eight sub-items assessed with the Medical Outcomes Survey SF-36 scale. At the end of treatment, the G-CBT group exhibited lower scores for mania (not statistically significant) and depression (statistically significant) as well as a reduction in the frequency and duration of mood episodes (P < 0.01). The group variable was significant for the reduction of depression scores over time. This clinical change may explain the improvement in six of the eight subscales of QoL (P < 0.05). The G-CBT group showed better QoL in absolute values in all aspects and significant improvements in nearly all subscales. These results were not observed in the TAU control group.
Tipo:  Info:eu-repo/semantics/article
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2012000900011
Editor:  Associação Brasileira de Divulgação Científica
Relação:  10.1590/S0100-879X2012007500109
Formato:  text/html
Fonte:  Brazilian Journal of Medical and Biological Research v.45 n.9 2012
Direitos:  info:eu-repo/semantics/openAccess
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