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Psychosocial Treatments for Bipolar Disorder in Children and Adolescents
Annual Review of Clinical Psychology ( IF 18.4 ) Pub Date : 2022-02-26 , DOI: 10.1146/annurev-clinpsy-072220-021237
Haley M Brickman 1 , Mary A Fristad 1
Affiliation  

Evidence suggests that adjunctive psychosocial intervention for the treatment of pediatric bipolar spectrum disorders (BPSDs) is effective, feasible, and highly accepted as both an acute and maintenance treatment for youth with BPSD diagnoses as well as a preventive treatment for high-risk youth who are either asymptomatic or exhibit subsyndromal mood symptoms. Here, we provide a comprehensive review of all known evidence-based interventions, including detailed descriptions of treatment targets and core components, results of clinical trials, and updated research on mediators and moderators of treatment efficacy. Treatments are presented systematically according to level of empirical support (i.e., well established, probably efficacious, possibly efficacious, experimental, or questionable); upcoming and ongoing trials are included when possible. In line with a staging approach, preventive interventions are presented separately. Recommendations for best practices based on age, stage, and additional evidence-based child and family factors shown to affect treatment outcomes are provided.

中文翻译:

儿童和青少年双相情感障碍的心理社会治疗

有证据表明,辅助心理社会干预治疗儿童双相情感障碍 (BPSD) 是有效、可行的,并且被广泛接受,既可以作为 BPSD 诊断青少年的急性治疗和维持治疗,也可以作为高危青少年的预防性治疗。无症状或表现出亚综合征情绪症状。在这里,我们对所有已知的循证干预措施进行了全面回顾,包括治疗目标和核心组成部分的详细描述、临床试验结果以及治疗效果调节因素和调节因素的最新研究。根据经验支持的水平系统地提出治疗方法(即,充分确立的、可能有效的、可能有效的、实验性的或有问题的);如果可能的话,包括即将进行的和正在进行的试验。根据分期方法,预防性干预措施单独提出。提供了基于年龄、阶段以及显示影响治疗结果的其他基于证据的儿童和家庭因素的最佳实践建议。
更新日期:2022-02-26
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