:::

詳目顯示

回上一頁
題名:雙極症病患接受人際社會節奏治療之成效--系統性文獻回顧
書刊名:護理暨健康照護研究
作者:許倍甄李明峰陸汝斌林靜蘭
作者(外文):Hsu, Pei-chenLee, Ming-fengLu, Ru-bandLin, Esther Ching-lan
出版日期:2015
卷期:11:3
頁次:頁234-241
主題關鍵詞:雙極症人際社會節奏治療系統性文獻回顧Bipolar disorderInterpersonal and social rhythm therapySystematic review
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:0
  • 共同引用共同引用:1
  • 點閱點閱:216
背景:雙極症為嚴重精神疾病,經常造成個人、家庭及社會等多層面影響,實證研究支持藥物治療應合併心理社會介入方能達到較佳的臨床成效,其中人際社會節奏治療為具有理論基礎的心理社會治療模式。目的:採用系統性文獻回顧方法,評析雙極症病患接受人際社會節奏治療之成效。方法:以系統性文獻回顧搜尋1988年至2014年期間發表於Cochrane Library、EBSCO-CINAHL、MEDLINE、PsycINFO、PsycARTIClES、PubMed及CEPS(Chinese Electronic Periodical Services)等資料庫的實證文獻,使用關鍵字bipolar disorder/雙極症、interpersonal and social rhythm therapy(IPSRT)/人際社會節奏治療,建立檢索範圍,共得76篇,選取符合篩選標準及排除重複出現的文獻,最後納入3篇隨機臨床試驗及2篇單組前後測研究。以Modified Jadad Scale及Oxford Centre for Evidence-Based Medicine評定其研究品質及證據等級。結果:五篇研究之研究品質介於4至7分、證據等級為2b至1b,屬於中高品質實證研究。人際社會節奏治療以個別形式居多,介入時間約半年至兩年,內容包括疾病與症狀因應、維持社會節奏的穩定性、人際衝突與失落的處理,治療成效以穩定情緒症狀為主。結論/實務應用:整體而言,人際社會節奏治療對雙極症病患具有穩定情緒的潛力,但目前實證證據的品質與數量仍待加強,且研究場域仍侷限於美國地區,建議未來研究宜朝向更為嚴謹的研究設計,並進一步探討其於不同地區或族群的實證成效。
Background: Bipolar disorder is a severe mental illness that leads to personal, family, and social difficulties. Evidence has shown that combined pharmacological and psychosocial interventions help optimize the clinical effectiveness of therapy. Interpersonal and social rhythm therapy (IPSRT) is an effective psychosocial treatment model based on Interpersonal Psychotherapy. Purpose: To examine the effectiveness of IPSRT for patients with bipolar disorder using a systematic review of the literature. Methods: Seven Chinese and English electronic databases were searched: Cochrane Library, EBSCO‐CINAHL, MEDLINE, PsycINFO, PsycARTIClES, PubMed, and CEPS (Chinese Electronic Periodical Services). Articles with the keywords "bipolar disorder" and "interpersonal and social rhythm therapy (IPSRT)" published between January 1988 and October 2014 were targeted. Seventy‐six articles were initially identified. After excluding duplicates and filtering using the inclusion criteria, 3 randomized clinical trials and 2 single pre‐post tests were retained for analysis. Research quality was assessed using the Modified Jadad Scale (MJS) and the Oxford Centre for Evidence‐Based Medicine (OCEBM). Results: Middle‐to‐high‐quality levels of evidence were rated 4-7 (MJS) and 1b-2b (OCEBM). Results showed that IPSRT: was used primarily in individualized formats for a period of time ranging from 6-24 months; consisted of symptom management and of stabilizing social and biological rhythms; and dealt with interpersonal conflicts or loss. Outcome indicators were assessed using symptom assessment and relapse, social rhythm, global assessment of function, medication adherence, and patient satisfication criteria. Evidence‐supported IPSRT for patients with bipolar disorder improved clinical symptoms and stabilized social rhythm. Conclusions/Implications for Practice: The studies examined in this literature review support that IPSRT benefits patients with bipolar disorder by stabilizing their mood symptoms and social rhythms. However, the published evidence related IPSRT is rare and limited to patients in the USA. Future studies should use more rigorous research designs and explore the effectiveness of this intervention in different national/ethnic settings.
期刊論文
1.Oremus, M.、Wolfson, C.、Perrault, A.、Demers, L.、Momoli, F.、Moride, Y.(2001)。Interrater reliability of the modified Jadad quality scale for systematic reviews of Alzheimer's disease drug trials。Dementia and Geriatric Cognitive Disorders,12(3),232-236。  new window
2.陳惠君、吳羿諠、許民憲、高靖雯、陳秀蘭、陸汝斌(20081200)。第一型與第二型雙極症臨床表徵及生活品質之比較。實證護理,4(4),307-317。new window  延伸查詢new window
3.賴穎婕、呂明坤、楊延光、林進嘉、譚宏斌、陳為堅、陸汝斌、郭柏秀(20100400)。Clinical Features and Familial Aggregation of Social Relationships in Major Depressive and Bipolar Disorders in Southern Taiwan。臺灣公共衛生雜誌,29(2),169-182。new window  延伸查詢new window
4.Dilsaver, S. C.(2011)。An estimate of the minimum economic burden of bipolar I and II disorders in the United States: 2009。Journal of Affective Disorders,129(1-3),79-83。  new window
5.Ehlers, C. L.、Frank, E.、Kupfer, D. J.(1988)。Social zeitgebers and biological rhythms: A unified approach to understanding the etiology of depression。Archives of General Psychiatry,45(10),948-952。  new window
6.Frank, E.、Hlastala, S.、Ritenour, A.、Houck, P.、Tu, X. M.、Monk, T. H.、Kupfer, D. J.(1997)。Inducing lifestyle regularity in recovering bipolar disorder patients: Results from the maintenance therapies in bipolar disorder protocol。Biological Psychiatry,41(12),1165-1173。  new window
7.Frank, E.、Kupfer, D. J.、Thase, M. E.、Mallinger, A. G.、Swartz, H. A.、Fagiolini, A. M.(2005)。Two-year outcomes for interpersonal and social rhythm therapy in individuals with bipolar I disorder。Archives of General Psychiatry,62(9),996-1004。  new window
8.Grunze, H.、Vieta, E.、Goodwin, G. M.、Bowden, C.、Licht, R. W.、Moller, H. J.、Kasper, S.(2010)。The World Federation of Societies of Biological Psychiatry (WFSBP) guidelines for the biological treatment of bipolar disorders: Update 2010 on the treatment of acute bipolar depression。World Journal of Biological Psychiatry,11(2),81-109。  new window
9.Hlastala, S. A.、Kotler, J. S.、McClellan, J. M.、McCauley, E. A.(2010)。Interpersonal and social rhythm therapy for adolescents with bipolar disorder: Treatment development and results from an open trial。Depression and Anxiety,27(5),457-464。  new window
10.Hoberg, A. A.、Ponto, J.、Nelson, P. J.、Frye, M. A.(2013)。Group interpersonal and social rhythm therapy for bipolar depression。Perspectives in Psychiatric Care,49(4),226-234。  new window
11.Moher, D.、Liberati, A.、Tetzlaff, J.、Altman, D. G.、The PRISMA Group(2009)。Reprint--Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement。Physical Therapy,89(9),873-880。  new window
12.Shen, G. H. C.、Alloy, L. B.、Abramson, L. Y.、Sylvia, L. G.(2008)。Social rhythm regularity and the onset of affective episodes in bipolar spectrum individuals。Bipolar Disorders,10(4),520-529。  new window
13.Swartz, H. A.、Frank, E.、Cheng, Y.(2012)。A randomized pilot study of psychotherapy and quetiapine for the acute treatment of bipolar II depression。Bipolar Disorders,14(2),211-216。  new window
14.Zhang, H.、Wisniewski, S. R.、Bauer, M. S.、Sachs, G. S.、Thase, M. E.(2006)。Comparisons of perceived quality of life across clinical states in bipolar disorder: Data from the first 2000 Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) participants。Comprehensive Psychiatry,47(3),161-168。  new window
圖書
1.Frank, E.(2005)。Treating bipolar disorder: A clinician’s guide to interpersonal and social rhythm therapy。New York, NY:The Guilford Press。  new window
2.American Psychiatric Association、臺灣精神醫學會(2014)。DSM-5精神疾病診斷準則手冊。合記圖書出版社。  延伸查詢new window
其他
1.Centre for Evidence-Based Medicine(2009)。Oxford centre for evidence-based medicine~Levels of evidence (March 2009),http://www.cebm.net/oxford-centre-evidence-based-medicine-levels-evidence-march-2009/。  new window
 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top
QR Code
QRCODE