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Original Research ARTICLE Provisionally accepted The full-text will be published soon. Notify me

Front. Psychiatry | doi: 10.3389/fpsyt.2019.00873

The Long-Term Effectiveness of Psychoeducation for Bipolar Disorders in Mental Health Services. A 4-Year Follow-Up Study Running title: 4-Year Outcome of Psychoeducation

  • 1Department of Clinical and Experimental Sciences, University of Brescia, Italy
  • 2Unità Operativa di Psichiatria Epidemiologica e Valutativa, Centro San Giovanni di Dio Fatebenefratelli (IRCCS), Italy
  • 3Centro San Giovanni di Dio Fatebenefratelli (IRCCS), Italy
  • 4Local Social Health Agency Garda, Italy
  • 5Department of Mental Health and Addictions, Civil Hospital of Brescia, Italy

Aims: The aims of the present study were to assess: the effectiveness of psychoeducation in MHSs in terms of time to first hospitalization during 4-year follow-up; the number and the days of hospitalizations, and the number of people hospitalized at 4-year follow-up; variables associated with better outcome in BD patients. Methods: This is a controlled study involving an experimental group (N=57) and a control group (N=52). The treatment phase consisting of 21 weeks, in which all participants received TAU, while the experimental group received additional psychoeducation. Results: The survival analysis showed significant differences in terms of time to first hospitalization of up to 4-year follow-up: the patients in the psychoeducation group showed a longer time free from hospitalizations than the control group. Concerning the predictors of time to first hospitalization, the only factor that showed a trend to statistical significance was psychoeducation. Conclusions: This is one of few studies assessing the long-term effectiveness of psychoeducation in a naturalistic setting. The data confirm that psychoeducation can impact illness course, in terms of longer time free from hospitalizations.

Keywords: Psychoeducation, effectiveness, follow-up, Hospitalizations, Integrated treatment, Bipolar Disorder

Received: 03 Sep 2019; Accepted: 06 Nov 2019.

Copyright: © 2019 Buizza, Candini, Ferrari, Ghilardi, Saviotti, TURRINA, Nobili, Sabaudo and De Girolamo. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: PhD. Chiara Buizza, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy, chiara.buizza@unibs.it