Impact of nurse-led psycho-education interventions on functioning of bipolar disorder patients
Main Article Content
Keywords
Nurse-led, Psychoeducation, functioning, bipolar disorder
Abstract
Background: Bipolar illness has a negative impact on an individual's life as well as the lives of significant others. It also contributes to impairment because of decreased social and vocational functioning, an increased risk of suicide, and repeated relapses (Kurdal et al.,2014).
objective: To assess the impact of nurse-led psychoeducation interventions on the functioning of bipolar disorder patients.
Study Design: This study used a two-group quasi-experimental pretest–posttest approach. A total number of fifty-nine patients were divided into two groups, (n=29) patients in the study group and (n=30) in the control group.
Tool: The Bipolar Disorder Functioning Questionnaire and a demographic questionnaire form were used to gather the data.
Results: After psychoeducation, the scores of the experimental group became high as compared to a comparison group on all functioning levels by a significant margin (p <.05).
Conclusion: Psychoeducation has enabled bipolar patients to function at significantly greater levels.
Keywords: Nurse-led, Psychoeducation, functioning, bipolar disorder
References
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26. Šprah, L., Novak, T., & Dernovšek, M. (2010). P02-366 - A Preliminary Study of the Psychoeducational Effects on Cognitive Impairment in Euthymic Bipolar Outpatients. European Psychiatry, 25(S1) 25-E1064. doi:10.1016/S0924-9338(10)71064-6
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28. Keshavarzpir, Z., Seyedfatemi, N., Mardani-Hamooleh, M., Esmaeeli, N., & Boyd, J. E. (2021). The Effect of Psychoeducation on Internalized Stigma of the Hospitalized Patients with Bipolar Disorder: A Quasi-Experimental Study. Issues in mental health nursing, 42(1), 79– 86. https://doi.org/10.1080/01612840.2020.1779881
29. Çuhadar, D., & Çam, M. O. (2014). Effectiveness of psychoeducation in reducing internalized stigmatization in patients with bipolar disorder. Archives of psychiatric nursing, 28(1), 62–66. https://doi.org/10.1016/j.apnu.2013.10.008
30. Rusch, N., Abbruzzese, E., Hagedorn, E., Hartenhauer, D., Kaufmann, € I., Curschellas, J., Ventling, S., Zuaboni, G., Bridler, R., Olschewski, M., Kawohl, W., R€ossler, W., Kleim, B., & Corrigan, P. W. (2014). Efficacy of coming out proud to reduce stigma’s impact among people with mental illness: Pilot randomised controlled trial. The British Journal of Psychiatry: The Journal of Mental Science, 204(5), 391–397. https://doi.org/10.1192/bjp.bp.113.135772
31. Bonnín, C. D. M., Reinares, M., Martínez-Arán, A., Jiménez, E., Sánchez-Moreno, J., Solé, B.,... & Vieta, E. (2019). Improving functioning, quality of life, and well-being in patients with bipolar disorder. International Journal of Neuropsychopharmacology, 22(8), 467- 477.
32. Wciorka, J., Schaeffer, E., Switaj, P., Waszkiewicz, J., Krasuska, K., Wegrzyn, J., & Woźniak,
33. P. J. P. P. (2011). Bech-Rafaelsen Mania Scale and Young Mania Rating Scale-- comparison of psychometric properties of the two instruments for rating a manic syndrome. 45(1), 61-78.
34. Gumus, F. J. I. J. o. C. S. (2017). The effectiveness of individual psycho-education on functioning and quality of life with bipolar disorder in Turkey: a randomized controlled study. 10(1), 490.
35. Stafford, N., & Colom, F. (2013). Purpose and effectiveness of psychoeducation in patients with bipolar disorder in a bipolar clinic setting. Acta psychiatrica Scandinavica. Supplementum, (442), 11–18. https://doi.org/10.1111/acps.12118
2. McIntyre, R. S., Calabrese, J. R. J. C. M. r., & opinion. (2019). Bipolar depression: the clinical characteristics and unmet needs of a complex disorder. 35(11), 1993-2005.
3. Ferrari, A. J., Stockings, E., Khoo, J. P., Erskine, H. E., Degenhardt, L., Vos, T., & Whiteford,
4. H. A. (2016). The prevalence and burden of bipolar disorder: findings from the Global Burden of Disease Study 2013. Bipolar Disorders, 18(5), 440-450. doi:10.1111/bdi.12423
5. Bessonova, L., Ogden, K., Doane, M. J., O'Sullivan, A. K., & Tohen, M. (2020). The Economic Burden of Bipolar Disorder in the United States: A Systematic Literature Review. ClinicoEconomics and outcomes research: CEOR, 12, 481–497. https://doi.org/10. 2147/CEOR.S259338
6. Gautham, M. S., Gururaj, G., Varghese, M., Benegal, V., Rao, G. N., Kokane, A., . . . Pathak, K.J. I. J. o. S. P. (2020). The National Mental Health Survey of India (2016): Prevalence, socio-demographic correlates and treatment gap of mental morbidity. 66(4), 361-372.
7. He, H., Hu, C., Ren, Z., Bai, L., Gao, F., & Lyu, J. J. J. o. p. r. (2020). Trends in the incidence and DALYs of bipolar disorder at global, regional, and national levels: results from the global burden of Disease Study 2017. 125, 96-105.
8. Sagar, R., Dandona, R., Gururaj, G., Dhaliwal, R., Singh, A., Ferrari, A., . . . Chakma, J. K. J. T.L. P. (2020). The burden of mental disorders across the states of India: the Global Burden of Disease Study 1990–2017. 7(2), 148-161.
9. Swaroopachary, R., Kalasapati, L. K., Ivaturi, S. C., & Reddy, C. M. P. K. J. A. o. M. H. (2018). Disability in bipolar affective disorder patients about the duration of illness and current affective state. 19(1), 37.
10. Sanchez-Moreno, J., Martinez-Aran, A., & Vieta, E. (2017). Treatment of Functional Impairment in Patients with Bipolar Disorder. Current Psychiatry Reports, 19(1). doi:1 0.1007/s11920-017-0752-
11. Wesley, M. S., Manjula, M., & Thirthalli, J. J. I. J. o. p. m. (2018). Interepisodic functioning in patients with bipolar disorder in remission. 40(1), 52-60.
12. Grande, I., Berk, M., Birmaher, B., & Vieta, E. (2016). Bipolar disorder. Lancet (London, England), 387(10027), 1561–1572. https://doi.org/10.1016/S0140-6736(15)00241-X
13. Faridhosseini, F., Baniasadi, M., Bordbar, M. R. F., Pourgholami, M., Ahrari, S., & Asgharipour, N. J. I. j. o. p. (2017). Effectiveness of psycho-educational group training on quality of life and recurrence of patients with bipolar disorder. 12(1), 21.
14. Bonnin CM, Torrent C, Arango C, Amann BL, Solé B, GonzálezPinto A, Crespo JM, Tabarés- Seisdedos R, Reinares M, AyusoMateos JL, García-Portilla MP, Ibañez Á, Salamero M, Vieta E, Martinez-Aran A, CIBERSAM Functional Remediation Group (2016) Functional remediation in bipolar disorder: 1-year follow-up of neurocognitive and functional outcome. Br J Psychiatry 208:87–93.
15. Goodwin, G. M., Haddad, P. M., Ferrier, I. N., Aronson, J. K., Barnes, T., Cipriani, A., Coghill, D. R., Fazel, S., Geddes, J. R., Grunze, H., Holmes, E. A., Howes, O., Hudson, S., Hunt, N., Jones, I., Macmillan, I. C., McAllister-Williams, H., Miklowitz, D. R., Morriss, R., Munafò, M., … Young, A. H. (2016). Evidence-based guidelines for treating bipolar disorder: Revised third edition recommendations from the British Association for Psychopharmacology. Journal of Psychopharmacology (Oxford, England), 30(6), 495–553. https://doi.org/10.1177/0269 881116636545
16. Morriss, R. K. (2016). Psychological interventions for adults with bipolar disorder: Systematic review and meta-analysis.
17. Suhardiana, R., Dwi, I. L., Dwiko, N. G., & Dina, P. S. (2018). Effectiveness of Family Psycho- educational to Improve Quality of Life Patients with Bipolar Disorder: A Systematic Review.
18. Kavitha, R. R., Kamalam, S., & Rajkumar, R. P. (2022). Effectiveness of Family-Focused Nurse-led Intervention on Functional Improvement of Patients with Bipolar Disorder at a Tertiary Hospital in South India: A Randomized Controlled Trial. Indian journal of psychological medicine, 44(2), 152–159. https://doi.org/10.1177/02537176211060557
19. Soo, S. A., Zhang, Z. W., Jia, S., Khong, E., Low, J. E. W., Vamadevan, S., . . . Sum, M. Y. J. T.J. o. C. P. (2018). Randomized controlled trials of psycho-education modalities in the management of bipolar disorder: a systematic review. 79(3), 16073.
20. Bilderbeck, A. C., Atkinson, L. Z., McMahon, H. C., Voysey, M., Simon, J., Price, J., . . . Holmes, E. J. J. o. a. d. (2016). Psycho-education and online mood tracking for patients with bipolar disorder: a randomized controlled trial. 205, 245-251.
21. Kurdal, E., Tanriverdi, D., & Savas, H. A. (2014). The effect of psycho-education on the functioning level of patients with bipolar disorder. Western journal of nursing research, 36(3), 312–328. https://doi.org/10.1177/0193945913504038
22. Rosa AR, Reinar,M, Michalak EE, et al. Functional impairment and disability across mood states in bipolar disorder. Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research. 2010 Dec;13(8):984-988.
23. Alzahrani, M. S. (2023). The role of the mental health nurse in the application of different treatment modalities in mental health nursing: Essa. Evidence-Based Nursing Research, 5(2), 45-47. https://doi.org/10.47104/ebnrojs3.v5i2.287.
24. Aydemir, O., Eren, I., Savaş, H., Kalkan Oğuzhanoğlu, N., Koçal, N., Devrimci Ozgüven, H., Akkaya, C., Devrim Başterzi, A., Karlidağ, R., Yenilmez, C., Ozerdem, A., Kora, K., Tamam, L., Gülseren, S., Oral, E. T., & Vahip, S. (2007).
25. Bipolar Bozuklukta Işlevsellik Olçeğinin Geliştirilmesi, Güvenilirlik ve Geçerliliği [Development of a questionnaire to assess inter-episode functioning in bipolar disorder: Bipolar Disorder Functioning Questionnaire]. Turk psikiyatri dergisi = Turkish journal of psychiatry, 18(4), 344–352.
26. Šprah, L., Novak, T., & Dernovšek, M. (2010). P02-366 - A Preliminary Study of the Psychoeducational Effects on Cognitive Impairment in Euthymic Bipolar Outpatients. European Psychiatry, 25(S1) 25-E1064. doi:10.1016/S0924-9338(10)71064-6
27. Toni, C., Luciano, M., Arsenio, E., Boiano, A., Corvino, E., Della Rocca, B., Lapadula, M. V., Tretola, L., Sampogna, G., & Fiorillo, A. (2023). The Efficacy of Psychoeducational Family Intervention for Major Depression: Study Protocol of a Randomized Controlled Trial. Brain Sciences, 13(8),
28. Keshavarzpir, Z., Seyedfatemi, N., Mardani-Hamooleh, M., Esmaeeli, N., & Boyd, J. E. (2021). The Effect of Psychoeducation on Internalized Stigma of the Hospitalized Patients with Bipolar Disorder: A Quasi-Experimental Study. Issues in mental health nursing, 42(1), 79– 86. https://doi.org/10.1080/01612840.2020.1779881
29. Çuhadar, D., & Çam, M. O. (2014). Effectiveness of psychoeducation in reducing internalized stigmatization in patients with bipolar disorder. Archives of psychiatric nursing, 28(1), 62–66. https://doi.org/10.1016/j.apnu.2013.10.008
30. Rusch, N., Abbruzzese, E., Hagedorn, E., Hartenhauer, D., Kaufmann, € I., Curschellas, J., Ventling, S., Zuaboni, G., Bridler, R., Olschewski, M., Kawohl, W., R€ossler, W., Kleim, B., & Corrigan, P. W. (2014). Efficacy of coming out proud to reduce stigma’s impact among people with mental illness: Pilot randomised controlled trial. The British Journal of Psychiatry: The Journal of Mental Science, 204(5), 391–397. https://doi.org/10.1192/bjp.bp.113.135772
31. Bonnín, C. D. M., Reinares, M., Martínez-Arán, A., Jiménez, E., Sánchez-Moreno, J., Solé, B.,... & Vieta, E. (2019). Improving functioning, quality of life, and well-being in patients with bipolar disorder. International Journal of Neuropsychopharmacology, 22(8), 467- 477.
32. Wciorka, J., Schaeffer, E., Switaj, P., Waszkiewicz, J., Krasuska, K., Wegrzyn, J., & Woźniak,
33. P. J. P. P. (2011). Bech-Rafaelsen Mania Scale and Young Mania Rating Scale-- comparison of psychometric properties of the two instruments for rating a manic syndrome. 45(1), 61-78.
34. Gumus, F. J. I. J. o. C. S. (2017). The effectiveness of individual psycho-education on functioning and quality of life with bipolar disorder in Turkey: a randomized controlled study. 10(1), 490.
35. Stafford, N., & Colom, F. (2013). Purpose and effectiveness of psychoeducation in patients with bipolar disorder in a bipolar clinic setting. Acta psychiatrica Scandinavica. Supplementum, (442), 11–18. https://doi.org/10.1111/acps.12118
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Jan 25, 2024
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How to Cite
Ms. Khawer Saeeda., Ms. Hajra Sarwar., & Ms. Madiha Mukhtar. (2024). Impact of nurse-led psycho-education interventions on functioning of bipolar disorder patients. Journal of Population Therapeutics and Clinical Pharmacology, 31(1), 1366–1377. https://doi.org/10.53555/jptcp.v31i1.4101
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Author Biographies
Ms. Khawer Saeeda.
Student of Master of Science in Nursing. The University of Lahore, Pakistan
Ms. Hajra Sarwar.
Assistant Professor. The University of Lahore, Pakistan
Ms. Madiha Mukhtar.
Assistant Professor. The University of Lahore, Pakistan