RSS-Feed abonnieren
DOI: 10.1055/s-2003-43143
© Georg Thieme Verlag Stuttgart · New York
Psychoedukation in der Behandlung bipolarer affektiver Erkrankungen
Publikationsverlauf
Publikationsdatum:
24. Oktober 2003 (online)
![](https://www.thieme-connect.de/media/psychoneuro/200309/lookinside/thumbnails/10.1055-s-2003-43143-1.jpg)
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
Literatur
- 1 Basco MR, Rush AJ. Cognitive-behavioral therapy for bipolar disorder. New York, The Guilford Press. 1996;
- 2 Bauer M, Mc L Bride. Structured group psychotherapy for bipolar disorder. New York, Springer. 1996;
- 3 Bäuml J, Pitschel-Walz G. Psychoedukation bei schizophrenen Erkrankungen. Stuttgart: Schattauer. 2002;
- 4 Cochran SD. Preventing medical noncompliance in the outpatient treatment of bipolar disorder. Journal of Consulting and Clinical Psychology. 1984; 52 873-878
- 5 Colom F, Vieta E, Martinez-Ará A, Reinares M, Goikolea J, Benabarre A, Torren C, Comes M, Corbella B, Parramon G, Corominas J. A randomized trial on the efficacy of group psychoeducation in the prophylaxis of recurrences in bipolar patients whose disease is in remission. Archives of General Psychiatry. 2003; 60 402-407
- 6 Frank E, Kupfer DJ, Ehlers CL, Monk TH, Corne C, Carter S, Frankel D. Interpersonal and social rhythm therapy for bipolar disorder: Integrating interpersonal and behavioral approaches. Behavior Therapist. 1994; 17 143-149
- 7 Miklowitz DJ, Goldstein MJ. A Family-Focused Treatment Approach. New York, Guilford Press. 1997;
- 8 Miklowitz D, Simoneau T, George E, Richards J, Kalbag A, Sachs-Ericsson N, Suddath R. Family-focused treatment of bipolar disorder: 1-year effects of a psychoeducational program in conjunction with pharmacotherapy. Biological Psychiatry. 2000; 48 582-592
- 9 Lam DH, Jones SH, Hayward P, Bright JA. Cognitive therapy for bipolar disorder: A therapist`s guide to concepts, methods and practice. Chichester, John Wiley & Sons. 1999;
- 10 10. DH Lam, Watkins E, Hayward P, Bright J, Wright K, Kerr N, Parr-Davis G, Sham P. A randomized controlled study of cognitive therapy for relapse prevention for bipolar affective disorder. Archives of General Psychiatry. 2003; 60 145-152
- 11 Palmer A, Williams H, Adams M. Cognitive behaviour therapy in group format for bipolar affective disorder. Behavioural and Cognitive Psychotherapy. 1995; 23 153-168
- 12 Patelis-Siotis I, Young LT, Robb JC, Marriott M, Bieling PJ, Cox LRT. Group cognitive behavioral therapy for bipolar disorder: A feasibility and effectiveness study. Journal of Affective Disorders, Special Issue. 2001; 65 145-153
- 13 Perry AN, Tarrier N, Morriss R, Mc K Carthy, Limb K. Randomised controlled trial of efficacy of teaching patients with bipolar disorder to identify early symptoms of relapse and obtain treatment. British Medical Journal. 1999; 318 149-153
- 14 Scott J, Garland A, Moorhead S. A pilot study of cognitive therapy in bipolar disorders. Psychological Medicine. 2001; 31 459-467
- 15 van Gent E, Zwart F. Psychoeducation of partners of bipolar-manic patients. Journal of Affective Disorders. 1991; 21 15-18
- 16 Wagner P, Bräunig P. Psychoedukation bei bipolaren Störungen - Ein Therapiemanual für Gruppen (Druck in Vorbereitung).
- 17 Yalom ID. The Theory and Practice of Group Psychotherapy. New York, Basic Books. 1975;
Korrespondenzadresse:
Prof. Dr. med. habil. Peter Bräunig
Klinikum Chemnitz gGmbH
Klinik für Psychiatrie, Verhaltensmedizin und Psychosomatik
Dresdner Str. 178
09131 Chemnitz