Family-Focused Therapy for Bipolar Disorder: Reflections on 30 Years of Research.
Family-Focused Therapy for Bipolar Disorder: Reflections on 30 Years of Research.
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DOI：
10.1111/famp.12237
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发表时间：
2016-09
期刊：
影响因子：
3.9
通讯作者：
Chung B
中科院分区：
文献类型：
--
作者：
Miklowitz DJ;Chung B
以家庭为中心的治疗（FFT）是一种针对双相情感障碍（BD）成人和儿童及其护理人员的循证干预措施，通常在疾病发作后与药物治疗结合使用。治疗包括关于双相情感障碍的心理教育，沟通增强训练和解决问题技能训练的联合会议。本文总结了30多年来在BD中对FFT和族过程的研究。在8项针对BD成人和青少年的随机对照试验中，发现FFT和情绪稳定药物与1-2年的简短心理教育和药物相比，可以加速情绪发作的恢复，减少复发，降低症状严重程度。一些研究表明，FFT对症状改善的影响在具有高表达情绪亲属的患者中更大。新的研究重点是FFT作为早期干预青少年有风险的BD，神经影像学作为评估治疗机制的一种手段，以及在社区精神卫生环境中实施FFT的进展。
Family-focused therapy (FFT) is an evidence-based intervention for adults and children with bipolar disorder (BD) and their caregivers, usually given in conjunction with pharmacotherapy after an illness episode. The treatment consists of conjoint sessions of psychoeducation regarding bipolar illness, communication enhancement training, and problem-solving skills training. This paper summarizes over 30 years of research on FFT and family processes in BD. Across eight randomized controlled trials with adults and adolescents with BD, FFT and mood-stabilizing medications have been found to hasten recovery from mood episodes, reduce recurrences, and reduce levels of symptom severity compared to briefer forms of psychoeducation and medications over 1–2 years. Several studies indicate that the effects of FFT on symptom improvement are greater among patients with high-expressed emotion relatives. New research focuses on FFT as an early intervention for youth at risk for BD, neuroimaging as a means of evaluating treatment mechanisms, and progress in implementing FFT in community mental health settings.
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