Psychoedukation in der Behandlung bipolarer affektiver Erkrankungen

Zusammenfassung

Basierend auf einem biologisch determinierten Ätiologiekonzept wurde über viele Jahre in der Behandlung bipolarer Erkrankungen die medikamentöse Therapie favorisiert. Empirische Befunde, die aufzeigten, dass trotz Einhaltung des medikamentösen Behandlungsregimes nahezu 75 % der Betroffenen im 5-Jahres-Intervall ein Rezidiv erleiden, führten zur Integration psychotherapeutischer Interventionsformen in die Behandlung bipolarer Erkrankungen. Adjuvant zur medikamentösen Therapie scheint Psychoedukation - die Informationsvermittlung über die Erkrankung und ihre Behandlungsmöglichkeiten - eine vielversprechende Methode, den Krankheitsverlauf sowie die Krankheitsbewältigung günstig zu beeinflussen und insbesondere die medikamentöse Behandlungscompliance zu erhöhen.

Summary

Based on a biologically determined etiological concept, pharmacotherapy has long been the sole treatment strategy for this disorder. Empirical findings, however, showed that despite their compliance with pharmacotherapy, nearly 75 % of subjects suffering from this disorder relapse within a 5-year-period., This led to the integration of psychotherapeutic interventions in the treatment of bipolar disorders. In addition to pharmacotherapy, psychoeducation seems to be a promising method for coping with the illness. Psychoeducation is a tool by which knowledge about the disorder and its treatment positively influences the course of the illness, enhances coping and improves patients' adherence to medication and thus reduces relapse rates.

Key Words

Bipolar affective disorder - psychoeducation - self-efficacy - encouraging empirical results

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