Early stages of bipolar disorder: characterization and strategies for early intervention
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Journal of Psychiatry (São Paulo. 1999. Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462015000400012 |
Resumo: | Objective: To characterize the early stages of bipolar disorder (BD), defined as the clinical prodrome/subsyndromal stage and first-episode phase, and strategies for their respective treatment. Methods: A selective literature search of the PubMed, Embase, PsycINFO, and ISI databases from inception until March 2014 was performed. Included in this review were articles that a) characterized prodromal and first-episode stages of BD or b) detailed efficacy and safety/tolerability of interventions in patients considered prodromal for BD or those with only one episode of mania/hypomania. Results: As research has only recently focused on characterization of the early phase of BD, there is little evidence for the effectiveness of any treatment option in the early phase of BD. Case management; individual, group, and family therapy; supportive therapy; and group psychoeducation programs have been proposed. Most evidence-based treatment guidelines for BD do not address treatment specifically in the context of the early stages of illness. Evidence for pharmacotherapy is usually presented in relation to illness polarity (i.e., manic/mixed or depressed) or treatment phase. Conclusions: Although early recognition and treatment are critical to preventing unfavorable outcomes, there is currently little evidence for interventions in these stages of BD. |
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Brazilian Journal of Psychiatry (São Paulo. 1999. Online) |
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Early stages of bipolar disorder: characterization and strategies for early interventionBipolar disorderfirst episode of maniadepressionmanic-depressive illnessearly interventionstaging Objective: To characterize the early stages of bipolar disorder (BD), defined as the clinical prodrome/subsyndromal stage and first-episode phase, and strategies for their respective treatment. Methods: A selective literature search of the PubMed, Embase, PsycINFO, and ISI databases from inception until March 2014 was performed. Included in this review were articles that a) characterized prodromal and first-episode stages of BD or b) detailed efficacy and safety/tolerability of interventions in patients considered prodromal for BD or those with only one episode of mania/hypomania. Results: As research has only recently focused on characterization of the early phase of BD, there is little evidence for the effectiveness of any treatment option in the early phase of BD. Case management; individual, group, and family therapy; supportive therapy; and group psychoeducation programs have been proposed. Most evidence-based treatment guidelines for BD do not address treatment specifically in the context of the early stages of illness. Evidence for pharmacotherapy is usually presented in relation to illness polarity (i.e., manic/mixed or depressed) or treatment phase. Conclusions: Although early recognition and treatment are critical to preventing unfavorable outcomes, there is currently little evidence for interventions in these stages of BD.Associação Brasileira de Psiquiatria2015-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462015000400012Brazilian Journal of Psychiatry v.37 n.4 2015reponame:Brazilian Journal of Psychiatry (São Paulo. 1999. Online)instname:Associação Brasileira de Psiquiatria (ABP)instacron:ABP10.1590/1516-4446-2014-1620info:eu-repo/semantics/openAccessRios,Adiel C.Noto,Mariane N.Rizzo,Lucas B.Mansur,RodrigoMartins Jr.,Flávio E.Grassi-Oliveira,RodrigoCorrell,Christoph U.Brietzke,Elisaeng2016-03-07T00:00:00Zoai:scielo:S1516-44462015000400012Revistahttp://www.bjp.org.br/ahead_of_print.asphttps://old.scielo.br/oai/scielo-oai.php||rbp@abpbrasil.org.br1809-452X1516-4446opendoar:2016-03-07T00:00Brazilian Journal of Psychiatry (São Paulo. 1999. Online) - Associação Brasileira de Psiquiatria (ABP)false |
dc.title.none.fl_str_mv |
Early stages of bipolar disorder: characterization and strategies for early intervention |
title |
Early stages of bipolar disorder: characterization and strategies for early intervention |
spellingShingle |
Early stages of bipolar disorder: characterization and strategies for early intervention Rios,Adiel C. Bipolar disorder first episode of mania depression manic-depressive illness early intervention staging |
title_short |
Early stages of bipolar disorder: characterization and strategies for early intervention |
title_full |
Early stages of bipolar disorder: characterization and strategies for early intervention |
title_fullStr |
Early stages of bipolar disorder: characterization and strategies for early intervention |
title_full_unstemmed |
Early stages of bipolar disorder: characterization and strategies for early intervention |
title_sort |
Early stages of bipolar disorder: characterization and strategies for early intervention |
author |
Rios,Adiel C. |
author_facet |
Rios,Adiel C. Noto,Mariane N. Rizzo,Lucas B. Mansur,Rodrigo Martins Jr.,Flávio E. Grassi-Oliveira,Rodrigo Correll,Christoph U. Brietzke,Elisa |
author_role |
author |
author2 |
Noto,Mariane N. Rizzo,Lucas B. Mansur,Rodrigo Martins Jr.,Flávio E. Grassi-Oliveira,Rodrigo Correll,Christoph U. Brietzke,Elisa |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Rios,Adiel C. Noto,Mariane N. Rizzo,Lucas B. Mansur,Rodrigo Martins Jr.,Flávio E. Grassi-Oliveira,Rodrigo Correll,Christoph U. Brietzke,Elisa |
dc.subject.por.fl_str_mv |
Bipolar disorder first episode of mania depression manic-depressive illness early intervention staging |
topic |
Bipolar disorder first episode of mania depression manic-depressive illness early intervention staging |
description |
Objective: To characterize the early stages of bipolar disorder (BD), defined as the clinical prodrome/subsyndromal stage and first-episode phase, and strategies for their respective treatment. Methods: A selective literature search of the PubMed, Embase, PsycINFO, and ISI databases from inception until March 2014 was performed. Included in this review were articles that a) characterized prodromal and first-episode stages of BD or b) detailed efficacy and safety/tolerability of interventions in patients considered prodromal for BD or those with only one episode of mania/hypomania. Results: As research has only recently focused on characterization of the early phase of BD, there is little evidence for the effectiveness of any treatment option in the early phase of BD. Case management; individual, group, and family therapy; supportive therapy; and group psychoeducation programs have been proposed. Most evidence-based treatment guidelines for BD do not address treatment specifically in the context of the early stages of illness. Evidence for pharmacotherapy is usually presented in relation to illness polarity (i.e., manic/mixed or depressed) or treatment phase. Conclusions: Although early recognition and treatment are critical to preventing unfavorable outcomes, there is currently little evidence for interventions in these stages of BD. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462015000400012 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462015000400012 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1516-4446-2014-1620 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Brasileira de Psiquiatria |
publisher.none.fl_str_mv |
Associação Brasileira de Psiquiatria |
dc.source.none.fl_str_mv |
Brazilian Journal of Psychiatry v.37 n.4 2015 reponame:Brazilian Journal of Psychiatry (São Paulo. 1999. Online) instname:Associação Brasileira de Psiquiatria (ABP) instacron:ABP |
instname_str |
Associação Brasileira de Psiquiatria (ABP) |
instacron_str |
ABP |
institution |
ABP |
reponame_str |
Brazilian Journal of Psychiatry (São Paulo. 1999. Online) |
collection |
Brazilian Journal of Psychiatry (São Paulo. 1999. Online) |
repository.name.fl_str_mv |
Brazilian Journal of Psychiatry (São Paulo. 1999. Online) - Associação Brasileira de Psiquiatria (ABP) |
repository.mail.fl_str_mv |
||rbp@abpbrasil.org.br |
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1754212556867633152 |