Psychoeducational Interventions in Bipolar Disorder
American Journal of Nursing Science
Volume 7, Issue 3-1, June 2018, Pages: 51-56
Received: Nov. 6, 2017; Accepted: Nov. 8, 2017; Published: Nov. 24, 2017
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Olga Velentza, Aiginiteio Hospital, Athens, Greece
Evangelia Grampsa, Dromokaitio Hospital, Athens, Greece
Euterpi Basiliadi, Sotiria Hospital of Thoracic Diseases, Athens, Greece
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Introduction: Psychoeducation is considered to be an integral part of the modern and total therapeutic treatment for mental disorder. It is the main intervention in the application of theory of psychosocial rehabilitation in practice. Purpose of this paper records the psychoeducation programs for mental illnesses, especially in bipolar disorder, in order to present the benefits of psychoeducational intervention both to mental sufferers and their families and / or caregivers through a bibliographic review. Conclusions: Family education and therapy is aimed at the well-being of all members, while psychoeducation aims to effectively treat the patient and maintain the balance. Family education helps members to be more "efficient" in interventions for their mentally ill and achieve better results when it is done in group, as this promotes the exchange of views and the mutual reinforcement.
Psychoeducation, Bipolar Disorder, Family Behavioral Therapy
To cite this article
Olga Velentza, Evangelia Grampsa, Euterpi Basiliadi, Psychoeducational Interventions in Bipolar Disorder, American Journal of Nursing Science. Special Issue: Nursing Education and Research. Vol. 7, No. 3-1, 2018, pp. 51-56. doi: 10.11648/j.ajns.s.2018070301.18
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Baeuml J, Froboese T, Kraemer S, Rentrop M, Pitschel-Walz G. Psychoeducation: A Basic Psychotherapeutic Intervention for Patients With Schizophrenia and Their Families. Schizophrenia Bul 2006, 32:S1–S9
Leff J., Kuipers L., Berkovitz R., et al. A controlled trial of social intervention in the family of schizophrenic patients: two year follow-up. British journal of Psychiatry. 1985, 146:594-600
Magliano L, Fiorillo A, Malangone C, De Rosa C, Maj M. The Family Intervention Working Group. Patient functioning and family burden in a controlled, real-world trial of family psychoeducation for schizophrenia. Psychiatry Serve 2006, 57: 1784–1791
Mahler C, Hermann K, Horne R et al. Assessing reported adherence to pharmacological treatment recommendations: translation and evaluation of the Medication Adherence Report Scale (MARS) in Germany. J Evaluation Clin Pract 2010, 16: 574–579
Economou M, Palli A, Peppou L, Madianos M. Recovery from schizophrenia: A Four-year Study in an Inner City Cohort. Community Ment Health J 2011, 47:660–667
Falloon IRH. Family interventions for mental disorders: efficacy and effectiveness. World Psychiatry 2003, 2:20–28
Economou MP. Psychoeducation: A multifaceted intervention. Int J Ment Health 2015, 44:259–262
Clarkin JF, Carpenter D, Hull J, Wilner Ρ, Glick I. Effects of psychoeducational intervention for married patients with bipolar disorder and their spouses. Psychiatry Serve 1998, 49:531–533
Falloon IRH., McGill CW., Boyd JL., Pederson J. Family management in the prevention of morbidity of schizophrenia: Social outcome of a two-year longitudinal study. Psychol Med. 1987, 17:59-66
Van Gent ΕΜ, Zwart FM. Psychoeducation of partners of bipolar-manic patients. J Affect Disord 1991, 129:15–18
National Institute For Health and Clinical Excellence. The management of bipolar affective disorder in adults, children and adolescents on primary and secondary care. NICE, London, 2006
Hogarty GE., Anderson CM., Reiss DJ. et al. Family Psychoeducation, social skills training, and maintenance chemotherapy in the aftercare treatment of schizophrenia: I. one-year effects of a controlled study on relapse and expressed emotion. Archives of General Psychiatry 1986, 43:633-642
Miklowitz DJ, Richards JA, George, Frank Ε, Suddath RL, Powell ΚΒ et al. Integrated family and individual therapy for bipolar disorder: Results of a treatment development study. J Clin Psychiatry 2003, 64:182–191
Benabarre A et. al. A randomized trial on the efficacy of group psychoeducation in the prophylaxis of recurrences in bipolar patients whose disease is in remission. Arch Gen Psychiatry 2003, 60:402–407
Reinares Μ, Vieta Ε, Colom F, Martinez-Aran A, Torrent C, Comes Μ et al. Impact of a psychoeducational family intervention on caregivers of stabilized bipolar patients. Psychotherapy Psychosomatic 2004, 73:312–319
Bond K, Anderson IM. Psychoeducation for relapse prevention in bipolar disorder: A systematic review of efficacy in randomized control trials. Bipolar Disord 2015, 17:349–362
Chakrabarti S, Gill S. Coping and its correlates among caregivers of patients with bipolar disorder: A preliminary study. Bipolar Disord 2002, 4:50–60
Crespo MC, Masjuan A, Lopez F, Perez M, Vilanova R, Flores M, Bonet P. Family psychoeducational interventions in schizophrenia: an interdisciplinary group approach experience, (abstract, p.54). Schizophrenia Research 2008, 98:3–199
Velentza O., Fradelos E.. Papathanasiou I. The positive effects of family therapy in state psychosis: The Ian R. H. Falloon model Health Sciences Research 2014; 1(4): 107-112 Published online October 30, 2014 ( ISSN: 2375-379X
Perry A., Tarrier N., Morriss R, McCarthy E, Limb K. Randomised controlled trial of efficacy of teaching patients with bipolar disorder to identify early symptoms of relapse and obtain treatment. US National Library of Medicine National Institutes of Health BMJ. 1999 Jan 16;318(7177):149-53
Lucksted A, McFarlane W, Downing D, Dixon L. Recent Developments in Family Psychoeducation as an Evidence- Based Practice. J Marital Fam Ther 2011, 1:101–121
Hogarty GE., Komblith SJ., Greenwald D., et al. Three-year trials of personal therapy among schizophrenic patients living with or independent of family. I: Description of study and effects on relapse rates. Am J Psychiatry. 1997, 154:1504-1513
Hogarty GE., Anderson CM., Reiss DJ., et al. Family psychoeducation, social skills training, and maintenance chemotherapy in the aftercare treatment of schizophrenia: Two-year effects of a controlled study on relapse and adjustment. Arch Gen Psychiatry. 1991, 48:340-347
Madianos M, Economou M, Dafni O, Koukia E, Palli A, Rogakou E. Family disruption, economic hardship and psychological distress in schizophrenia: can they be measured? Eur Psych 2004, 19:408–414
Retzer A, Simon FΒ, Weber G, Stierlin H, Schmidt G. A follow-up study of manic-depressive and schizoaffective psychoses after systemic family therapy. Fam Process 1991, 30:139–153
Taylor T, Killaspy H, Wright C, Turton P, White S, Kallert TW et al. A systematic review of the international published literature relating to quality of institutional care for people with longer term mental health problems. BMC Psychiatry 2009,9:55,
S. Patelakis A et. al. Effectiveness of relatives’ psychoeducation on family outcomes in bipolar disorder. Int J Ment Health 2015, 44:290–302
Davenport YB, Ebert ΜH, Adland ΜL, Goodwin FK. Couples group therapy as an adjunct to lithium maintenance of the manic patient. Am J Orthopsychiatry 1977, 47:495–502
Honig A, Hofman A, Hilwig Μ, Noorthoom Ε, Ponds R. Psychoeducation and expressed emotion in bipolar disorder: Preliminary findings. Psychiatry Res 1995, 56:299–301
Falloon IRH., Boyd JL., McGill CW., Razani J., Moss HB., Gilderman AM. Family Management in the prevention of exacerbations of schizophrenia: A controlled study. N Engl J Med. 1982, 306: 1437-1440
Falloon IRH, Barbieri L, Boggian I, Lamonaca D and for the problem solving training Research Group. Problem solving training for schizophrenia: Rationale and review. J Ment Health 2007, 16:553–568
Glick ID, Clarkin JF, Spencer JH Jr, Haas GL, Lewis AB, Peyser J ET AL. A controlled evaluation of inpatient family intervention. I. Preliminary results of the six-month follow-up. Arch Gen Psychiatry 1985, 42:882–886
Clarkinn JF, Glick ID, Haas GL, Spencer JH, Lewis AΒ, Peyser J et al. A randomized clinical trial of inpatient family intervention. V. Results for affective disorders. J Affect Disord 1990, 18:17–28
Haas GL, Glick ID, Clarkin JF, Spencer JH, Lewis AB, Peyser J et al. Inpatient family intervention: A randomized clinical trial. II: Results at hospital discharge. Arch Gen Psychiatry 1988, 45:217–224
Ryan CE, Epstein ΝΒ, Keitner GI, Miller IW, Bishop DS. Evaluating and treating families: The McMaster approach. Routledge, 2005, New York & Hove
Colom F, Vieta E. Psychoeducation manual for bipolar disorder. Oxford University Press, 1990, New York
Miller IW, Solomon DA, Ryan CE, Keitner GI. Does adjunctive family therapy enhance recovery from bipolar I mood episodes? J Affect Disord 2004, 82:431–436
Luciano M, Del Veccio V, Sampogna G, DE Rosa C, Fiorollo A. Including family members in psychoeducation for bipolar disorder: Is it worth it? Bipolar Disord 2015, 17:458–459
Epstein ΝΒ, Bishop DS, Levin S. The McMaster model of family functioning. J Marriage Fam Counsel 1978, 4:19–31
Bond K, Anderson IM. Psychoeducation for relapse prevention in bipolar disorder: A systematic review of efficacy in randomized control trials. Bipolar Disord 2015, 17:349–362
Miklowitz DJ, Goldstein ΜJ. Behavioral family treatment for patients with bipolar affective disorder. Behav Modif 1990, 14:457–489
Falloon IRH, Roncone R, Held T, Coverdale JH, Laidlaw TM. An International Overview of Family Interventions: Developing Effective Treatment Strategies and Measuring their Benefits for Patients, Carers and Communities. In: Lefley HP, Johnson DL (eds) Family Interventions in mental illness. Int perspect, USA Praeger Publishers, 2002, 3–23
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