A Meta-Analysis of Group Cognitive Behavioral Therapy and Group Psychoeducation for Treating Symptoms and Preventing Relapse in People Living with Bipolar Disorder

Zhang, ZS (通讯作者),Huaibei Normal Univ, Fac Educ, Huaibei 235000, Peoples R China.
2022-11
Objectives: This meta-analysis aims to evaluate the treatment outcomes of patients treated with Group cognitive behavioural therapy (GCBT) or group psychoeducation (GPE) as an adjunct to pharmacotherapy. Methods: Systematic search of PubMed, EMBASE, PsycINFO, and CENTRAL from inception till 1 March 2022 was conducted. Randomized-controlled-trials (RCTs) comparing GCBT/GPE with controls (treatment-as-usual/individualized therapy) in adults with bipolar disorder were eligible. The outcomes were relapse rates of any depressive or manic episodes and control of depressive and manic symptoms post-intervention. Overall odds-ratio was used to evaluate the relapse rates. Standard Mean Differences were pooled using a random-effects model for the control of depressive and manic symptoms. Results: 25 articles were assessed full-text independently by two members, and 11 studies were included in this meta-analysis. 601 and 590 participants were randomized into group-therapy (GCBT/GPE) and control, respectively. GPE significantly reduces relapse rates at post-intervention with Odds ratio of 0.43 (95% CI = 0.28-to-0.62, p < 0.0001) (I-2 = 41%) compared to control, however, no significant results were found for GPE on control of depressive or manic symptoms. No significant results were found for GCBT in all outcomes. Conclusion: This meta-analysis provides some evidence that GPE could be an efficacious treatment as an adjunct to treatment-as-usual in reducing the relapse rates of patients with bipolar disorder.
HEALTHCARE
卷号:10|期号:11
收录类别:SCIE
语种
英语
来源机构
National University of Singapore; National University of Singapore; University of Toronto; University Health Network Toronto; University of Toronto; University of Toronto; Huaibei Normal University; Duy Tan University; Duy Tan University; National University of Singapore; National University of Singapore; National University of Singapore
资助信息
This study was funded by NUS Department of Psychological Medicine (R-177-000-100-001/R-177-000-003-001/ R177000702733) and NUS iHeathtech Other Operating Expenses (R-722-000-004-731); Research is supported by Vingroup Innovation Foundation (VINIF) in project code VINIF.2019.DA14; 2021 Humanities and Social Science research project of Anhui Universities (Project Name: Research on brain imaging features under hypnosis; SK2021ZD0047). Anhui Province Cognitive Behavioral Intelligent Computing and Application Engineering Research Center.
被引频次(WOS)
0
被引频次(其他)
0
180天使用计数
2
2013以来使用计数
2
EISSN
2227-9032
出版年
2022-11
DOI
10.3390/healthcare10112288
学科领域
循证公共卫生
关键词
bipolar disorder depression psychotherapy group cognitive behavioral therapy psychoeducation maintenance recurrence mania relapse chronic disease
资助机构
NUS Department of Psychological Medicine Vingroup Innovation Foundation (VINIF) Humanities and Social Science research project of Anhui Universities Anhui Province Cognitive Behavioral Intelligent Computing and Application Engineering Research Center NUS iHeathtech Other Operating Expenses
WOS学科分类
Health Care Sciences & Services Health Policy & Services