The role of family interventions in bipolar disorder: A systematic review

TY - JOUR

T1 - The role of family interventions in bipolar disorder

T2 - A systematic review

AU - Reinares, M.

AU - Bonnín, C. M.

AU - Hidalgo-Mazzei, D.

AU - Sánchez-Moreno, J.

AU - Colom, F.

AU - Vieta, E.

PY - 2016/2/1

Y1 - 2016/2/1

N2 - The reciprocal relationship between bipolar disorder (BD) and the family system highlights the importance of adjunctive family intervention. However, its implementation in clinical practice is not widespread. To update the knowledge in this field and identify areas of uncertainty this manuscript present a comprehensive overview of the bidirectional relationship between BD and family variables, and a systematic review of the evidence-based studies published up to March 2015 on the efficacy of adjunctive family intervention in BD. Findings show that not only specific family's attitudes/interactions affect the course of BD but that equally the illness itself has a strong impact on family functioning, caregivers' burden and health. Regarding family intervention, there are methodological differences between studies and variability in the sample characteristics and the intervention used. Most evidence-based studies support the efficacy of adjunctive family treatment in the illness outcomes, both in youth and adult population, as well as benefits for caregivers. The results emphasize the need to involve caregivers in the therapeutic management of BD through tailored interventions based on patients' characteristics and family needs.

AB - The reciprocal relationship between bipolar disorder (BD) and the family system highlights the importance of adjunctive family intervention. However, its implementation in clinical practice is not widespread. To update the knowledge in this field and identify areas of uncertainty this manuscript present a comprehensive overview of the bidirectional relationship between BD and family variables, and a systematic review of the evidence-based studies published up to March 2015 on the efficacy of adjunctive family intervention in BD. Findings show that not only specific family's attitudes/interactions affect the course of BD but that equally the illness itself has a strong impact on family functioning, caregivers' burden and health. Regarding family intervention, there are methodological differences between studies and variability in the sample characteristics and the intervention used. Most evidence-based studies support the efficacy of adjunctive family treatment in the illness outcomes, both in youth and adult population, as well as benefits for caregivers. The results emphasize the need to involve caregivers in the therapeutic management of BD through tailored interventions based on patients' characteristics and family needs.

KW - Bipolar disorder

KW - Burden

KW - Caregiver

KW - Expressed emotion

KW - Family

KW - Family intervention

UR - https://www.scopus.com/pages/publications/84954220462

U2 - 10.1016/j.cpr.2015.11.010

DO - 10.1016/j.cpr.2015.11.010

M3 - Review article

C2 - 26691629

AN - SCOPUS:84954220462

SN - 0272-7358

VL - 43

SP - 47

EP - 57

JO - Clinical Psychology Review

JF - Clinical Psychology Review

ER -