Skip to main content
Mijn bibliotheek
Shop
Nieuws
Boeken
Tijdschriften
E-learning
Web-tv
Video
Audio
Tips voor Mijn BSL
UITGEBREID ZOEKEN
Inloggen
Top
Child Psychiatry & Human Development

Tip

Swipe om te navigeren naar een ander artikel

27-02-2023 | Original Article

Adolescent and Family-Focused Cognitive-Behavioral Therapy for Pediatric Bipolar Disorders: An Open Trial and Individual Trajectories Study in Routine Psychiatric Care

Auteurs: Beata Bäckström, Olof Rask, Jens Knutsson

Gepubliceerd in: Child Psychiatry & Human Development

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail
    Link delen
publish
Publiceer nu

Abstract

Psychosocial treatments improve outcome in Pediatric bipolar disorder (PBD), but few are developed specifically for adolescents and none has been evaluated in Europe. This study evaluates family-focused cognitive-behavioral therapy for adolescents (ages 13–18) with PBD in routine psychiatric care in Sweden, adapted for teenagers in a European setting from the Child and Family-Focused Cognitive Behavioral Therapy for PBD (ages 8–12) developed in the US. In a repeated-measure open trial, psychosocial functioning, depression, skills and knowledge about PBD, and family climate were assessed at pre-treatment, post-treatment, and after 6 months. Assessments were made by adolescents (n = 45), parents (n = 61) and clinicians. Both group statistics and individual trajectories are reported. Psychosocial function, as rated by parents and clinicians, improved at post-treatment, and parents reported less mania and improved family climate at post-treatment. Both parents and adolescents reported improved skills and knowledge. Most results after treatment showed medium effect sizes. Significant improvements were seen in most individual trajectories, however no change and even deterioration was observed in some. The present trial shows that AFF-CBT is well accepted and associated with improved psychosocial function in adolescents and improved skills and knowledge about PBD in adolescents and their parents. Regarding mood symptoms and family climate the results showed more individual variability, indicating that adjustments in delivery of the treatment according to the unique patient could be of importance. AFF-CBT seems to be a valuable addition to pharmacological treatments in PBD.
Literatuur
1.
Post RM, Altshuler LL, Kupka R, McElroy SL, Frye MA, Rowe M et al (2017) More childhood onset bipolar disorder in the United States than Canada or Europe: implications for treatment and prevention. Neurosci Biobehav Rev 4:204–213 CrossRef
2.
Goldstein BI, Birmaher B, Carlson GA, DelBello MP, Findling RL, Fristad M et al (2017) The international society for bipolar disorders task force report on pediatric bipolar disorder: knowledge to date and directions for future research. Bipolar Disord 19(7):524–525 PubMedPubMedCentralCrossRef
3.
Merikangas KR, Cui L, Kattan G, Carlson GA, Youngstrom EA, Angst J (2012) Mania with and without depression in a community sample of US adolescents. Arch Gen Psychiatry 69(9):943–951 PubMedCrossRef
4.
Birmaher B (2013) Bipolar disorder in children and adolescents. Child Adolesc Ment Health 18(3):140–148 PubMedCrossRef
5.
Pavuluri MN, O’Connor MM, Harral EM, Moss M, Sweeney JA (2006) Impact of neurocognitive function on academic difficulties in pediatric bipolar disorder: a clinical translation. Biol Psychiat 60(9):951–956 PubMedCrossRef
6.
MacPherson HA, Ruggieri AL, Christensen RE, Schettini E, Kim KL, Thomas SA et al (2018) Developmental evaluation of family functioning deficits in youths and young adults with childhood-onset bipolar disorder. J Affect Disord 235:574–582 PubMedPubMedCentralCrossRef
7.
Goldstein TR, Birmaher B, Axelson D, Goldstein BI, Gill MK, Esposito-Smythers C et al (2009) Psychosocial functioning among bipolar youth. J Affect Disord 114(1–3):174–183 PubMedCrossRef
8.
Hauser M, Galling B, Correll CU (2013) Suicidal ideation and suicide attempts in children and adolescents with bipolar disorder: a systematic review of prevalence and incidence rates, correlates, and targeted interventions. Bipolar Disord 15(5):507–523 PubMedPubMedCentralCrossRef
9.
Weinstein SM, Cruz RA, Isaia AR, Peters AT, West AE (2018) Child- and family- focused cognitive behavioral therapy for pediatric bipolar disorder: applications for suicide prevention. Suicide Life-Threaten Behav 48(6):797–811 CrossRef
10.
11.
West AE, Celio CI, Henry DB, Pavuluri MN (2011) Child mania rating scale- parent version: a valid measure of symptom change due to pharmacotherapy. J Affect Disord 128(1–2):112–119 PubMedCrossRef
12.
Peris TS, Miklowitz DJ (2015) Parental expressed emotion and youth psychopathology: new directions for an old construct. Child Psychiatry Hum Dev 46(6):863–873 PubMedPubMedCentralCrossRef
13.
Miklowitz DJ, Axelson DA, Birmaher B, George EL, Taylor DO, Schneck CD et al (2008) Family-focused treatment for adolescents with bipolar disorder: results of a 2-year randomized trial. Arch Gen Psychiatry 65(9):1053–1061 PubMedPubMedCentralCrossRef
14.
Fristad MA, Verducci JS, Walters K, Young ME (2009) Impact of multifamily psychoeducational psychotherapy in treating children aged 8 to 12 years with mood disorders. Arch Gen Psychiatry 66(9):1013–1021 PubMedCrossRef
15.
Goldstein TR, Axelson DA, Birmaher B, Brent DA (2007) Dialectical behavior therapy for adolescents with bipolar disorder: a 1-year open trial. J Am Acad Child Adolesc Psychiatry 46(7):820–830 PubMedPubMedCentralCrossRef
16.
Pavuluri MN, Graczyk PA, Henry DB, Carbray JA, Heidenreich J, Miklowitz DJ (2004) Child-and family-focused cognitive-behavioral therapy for pediatric bipolar disorder: development and preliminary results. J Am Acad Child Adolesc Psychiatry 43(5):528–537 PubMedCrossRef
17.
Miklowitz DJ, Efthimiou O, Furukawa TA, Scott J, McLaren R, Geddes JR et al (2021) Adjunctive psychotherapy for bipolar disorder: a systematic review and component network meta-analysis. JAMA Psychiat 78(2):1–10 CrossRef
18.
Fristad MA, MacPherson HA (2014) Evidence-based psychosocial treatments for child and adolescent bipolar spectrum disorders. J Clin Child Adolesc Psychol 43(3):339–355 PubMedCrossRef
19.
Brickman HM, Fristad MA (2022) Psychosocial treatments for bipolar disorder in children and adolescents. Annu Rev Clin Psychol 18:291–327 PubMedCrossRef
20.
West AE, Jacobs RH, Westerholm R, Lee A, Carbray J, Heidenreich J et al (2009) Child and family-focused cognitive-behavioral therapy for pediatric bipolar disorder: pilot study of group treatment format. J Can Acad Child Adolesc Psychiatry 18(3):239 PubMedPubMedCentral
21.
West AE, Weinstein SM, Peters AT, Katz AC, Henry DB, Cruz RA et al (2014) Child-and family-focused cognitive-behavioral therapy for pediatric bipolar disorder: a randomized clinical trial. J Am Acad Child Adolesc Psychiatry 53(11):1168–1178 PubMedPubMedCentralCrossRef
22.
Knutsson J, Bäckström B, Daukantaitė D, Lecerof F (2017) Adolescent and family- focused cognitive–behavioural therapy for paediatric bipolar disorders: a case series. Clin Psychol Psychother 24(3):589–617 PubMedCrossRef
23.
Goodman R (1997) The strengths and difficulties questionnaire: a research note. J Child Psychol Psychiatry 38(5):581–586 PubMedCrossRef
24.
Shaffer D, Gould MS, Brasic J, Ambrosini P, Fisher P, Bird H et al (1983) A children’s global assessment scale (CGAS). Arch Gen Psychiatry 40(11):1228–1231 PubMedCrossRef
25.
Lundh LG, Wångby-Lundh M, Bjärehed J (2008) Self- reported emotional and behavioral problems in Swedish 14 to 15- year- old adolescents: a study with the self- report version of the strengths and difficulties questionnaire. Scand J Psychol 49(6):523–532 PubMedCrossRef
26.
Lundh A, Forsman M, Serlachius E, Långström N (2012) The children’s global assessment scale (CGAS) predicts negative outcomes in early adulthood. Suicide 1(3.0):1–2
27.
Montgomery SA, Åsberg M (1979) A new depression scale designed to be sensitive to change. Br J Psychiatry 134(4):382–389 PubMedCrossRef
28.
Hansson K, Jarbin H (1997) A new self-rating questionnaire in Swedish for measuring expressed emotion. Nord J Psychiatry 51(4):289–297 CrossRef
29.
O’Brien MP, Miklowitz DJ, Cannon TD (2015) Decreases in perceived maternal criticism predict improvement in subthreshold psychotic symptoms in a randomized trial of family-focused therapy for individuals at clinical high risk for psychosis. J Fam Psychol 29(6):945–951 PubMedPubMedCentralCrossRef
30.
31.
O’Donnell LA, Weintraub MJ, Ellis AJ, Axelson DA, Kowatch RA, Schneck CD et al (2020) A randomized comparison of two psychosocial interventions of family functioning in adolescents with bipolar disorder. Fam Process 59(2):376–389 PubMedPubMedCentralCrossRef
32.
Fredman SJ, Baucom DH, Boeding S, Miklowitz DJ (2015) Relatives´ emotional involvement moderates the effects of family therapy for bipolar disorder. J Consult Clin Psychol 83(1):81–91 PubMedCrossRef
33.
34.
Jacobson NS, Truax P (1991) Clinical significance: a statistical approach to defining meaningful change in psyc, hotherapy research. J Consult Clin Psychol 59(1):12–19 PubMedCrossRef
35.
Shirk SR, Caporino NE, Karver MS (2010) The alliance in adolescent therapy: conceptual, operational, and predictive issues. In: Castro-Blanco D, Karver MS (eds) Elusive alliance: treatment engagement strategies with high-risk adolescents. American Psychological Association, pp 59–93 CrossRef
36.
Cuijpers P, Karyotaki E, Reijnders M, Ebert DD (2019) Was Eysenck right after all? A reassessment of the effects of psychotherapy for adult depression. Epidemiol Psychiatr Sci 28(1):21–30 PubMedCrossRef
37.
Rhee TG, Olfson M, Nierenberg AA, Wilkinson ST (2020) 20-year trends in the pharmacologic treatment of bipolar disorder by psychiatrists in outpatient care settings. Am J Psychiatry 177(8):706–715 PubMedPubMedCentralCrossRef
38.
Miklowitz DJ, Schneck CD, Singh MK, Taylor DO, George EL, Cosgrove VE et al (2013) Early intervention for symptomatic youth at risk for bipolar disorder: a randomized trial of family-focused therapy. J Am Acad Child Adolesc Psychiatry 52(2):121–131 PubMedPubMedCentralCrossRef
39.
Cuijpers P, Li J, Hofmann SG, Andersson G (2010) Self-reported versus clinician- rated symptoms of depression as outcome measures in psychotherapy research on depression: a meta-analysis. Clin Psychol Rev 30(6):768–778 PubMedCrossRef
40.
Hobbs C, Lewis G, Dowrick C, Kounali D, Peters TJ, Lewis G (2021) Comparison between self-administered depression questionnaires and patients’ own views of changes in their mood: a prospective cohort study in primary care. Psychol Med 51(5):853–860 PubMedCrossRef
41.
Bennett F, Hodgetts S, Close A, Frye M, Grunze H, Keck P et al (2019) Predictors of psychosocial outcome of bipolar disorder: data from the Stanley Foundation Bipolar network. Int J Bipolar Disord 7(1):1–9 CrossRef
42.
Ellis AJ, Portnoff LC, Axelson DA, Kowatch RA, Walshaw P, Miklowitz DJ (2014) Parental expressed emotion and suicidal ideation in adolescents with bipolar disorder. Psychiatry Res 216(2):213–216 PubMedPubMedCentralCrossRef
43.
Jarbin H. (2003) Long-term outcome, suicidal behaviour, quality of life and expressed emotion in adolescent onset psychotic disorders. (Doctoral dissertation, Acta Universitatis Upsaliensis)
44.
Rabelo JL, Cruz BF, Rodrigues Ferreira JD, De Mattos VB, Barbosa IG (2021) Psychoeducation in bipolar disorder: a systemic review. World J Psychiatry 11(12):1407–2142 PubMedPubMedCentralCrossRef
45.
Sagar-Ouriaghli I, Godfrey E, Bridge L, Meade L, Brown JS (2019) Improving mental health service utilization among men: a systematic review and synthesis of behavior change techniques within interventions targeting help-seeking. Am J Mens Health 13(3):1557988319857009 PubMedPubMedCentralCrossRef
Metagegevens
Titel
Adolescent and Family-Focused Cognitive-Behavioral Therapy for Pediatric Bipolar Disorders: An Open Trial and Individual Trajectories Study in Routine Psychiatric Care
Auteurs
Beata Bäckström
Olof Rask
Jens Knutsson
Publicatiedatum
27-02-2023
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-023-01504-1