ABSTRACT

Background

Participant experiences of transdiagnostic bipolar disorder treatment groups has been largely under-explored. The present study aimed to explore the experiences of people living with bipolar disorder who participated in a pilot study of a transdiagnostic cognitive behaviour therapy for comorbid anxiety.

Methods

Ten participants (five male) diagnosed with bipolar disorder took part in an interview at the completion of the programme. Participants were asked open-ended questions about the programme and their experiences of participation in the group. Data were analysed using thematic analysis.

Results

Key themes identified included: (1) “Content and techniques – applications outside of the group”, where participants reported using the content learnt for the management of anxiety and other symptoms, including co-occurring conditions; (2) ‘Being part of the group – “feeling normal”, where participants reported feeling supported within a group that was specific to bipolar disorder; and (3) “Group structure – enabling process, content and research”, where participants reported that structural elements, such as participation in research, added meaning to their experience.

Conclusions

This research provides evidence for the value of transdiagnostic approaches in the treatment of bipolar disorder, with participants reporting that they applied the skills learnt to anxiety, substance use and bipolar disorder-specific symptoms.

中文翻译：

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双相情感障碍患者跨诊断焦虑认知行为治疗组的经验：一项定性研究

摘要

背景

跨诊断双相情感障碍治疗组的参与者经验在很大程度上没有得到充分探索。本研究旨在探讨双相情感障碍患者的经历，他们参与了一项针对共病焦虑的跨诊断认知行为疗法的试点研究。

方法

十名被诊断患有双相情感障碍的参与者（五名男性）在课程结束时参加了一次采访。参与者被问及有关该计划及其参与该小组的经历的开放式问题。使用主题分析对数据进行分析。

结果

确定的关键主题包括：（1）“内容和技术——小组外的应用”，参与者报告使用所学内容来管理焦虑和其他症状，包括同时发生的情况；（2）“成为小组的一员——“感觉正常”，参与者报告在一个特定于双相情感障碍的小组中感到支持；(3) “小组结构——促成过程、内容和研究”，参与者报告说，参与研究等结构性元素为他们的经历增添了意义。

结论

这项研究为跨诊断方法在治疗双相情感障碍中的价值提供了证据，参与者报告说他们将学到的技能应用于焦虑、物质使用和双相情感障碍的特定症状。