期刊
JOURNAL OF AFFECTIVE DISORDERS
卷 82, 期 -, 页码 S113-S128出版社
ELSEVIER
DOI: 10.1016/j.jad.2004.05.020
关键词
bipolar disorder; adolescence; childhood; psychosocial treatment; family therapy; expressed emotion
资金
- NIMH NIH HHS [P30 MH066371, R21 MH062555-01A1, K23 MH001878, R21 MH062555-02, P30 MH066371-05, R01 MH073871-01A1, P30 MH066371-02, K23 MH001878-01, K23 MH001878-04, K23 MH001878-03, R01 MH073871-03, R01 MH073871-02, R21 MH062555, K23 MH001878-05, R21-MH62555, R01 MH073871-04, P30 MH066371-03, R01 MH073871, P30 MH066371-01, K23 MH001878-02, R21 MH062555-03, P30 MH066371-04] Funding Source: Medline
Background: Research has begun to elucidate the optimal pharmacological treatments for pediatric-onset bipolar patients, but few studies have examined the role of psychosocial interventions as adjuncts to pharmacotherapy in maintenance treatment. This article describes an adjunctive family-focused psychoeducational treatment for bipolar adolescents (FFT-A). The adult version of FFT has been shown to be effective in forestalling relapses in two randomized clinical trials involving bipolar adults. Methods: FFT-A is administered to adolescents who have had an exacerbation of manic, depressed, or mixed symptoms within the last 3 months. It is given in 21 outpatient sessions of psychoeducation, communication enhancement training, and problem solving skills training. We describe modifications to the adult FFT model to address the developmental issues and unique clinical presentations of pediatric-onset patients. Results: An open treatment trial involving 20 bipolar adolescents (11 boys, 9 girls; mean age 14.8 +/- 1.6) found that the combination of FFT-A and mood stabilizing medications was associated with improvements in depression symptoms, mania symptoms, and behavior problems over 1 year. Limitations: These early results are based on a small-scale open trial. Conclusions: Results from an ongoing randomized controlled trial will clarify whether combining FFT-A with pharmacotherapy improves the 2-year course of adolescent bipolar disorder. If the results are positive, then a structured manual-based psychosocial approach will be available for clinicians who treat adolescent bipolar patients in the community. (C) 2004 Elsevier B.V. All rights reserved.
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