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- Title
A nationwide study on concordance with multimodal treatment guidelines in bipolar disorder.
- Authors
Renes, Joannes W.; Regeer, Eline J.; Hoogendoorn, Adriaan W.; Nolen, Willem A.; Kupka, Ralph W.
- Abstract
Background: Most previous studies on concordance with treatment guidelines for bipolar disorder focused on pharmacotherapy. Few studies have included other treatment modalities.Aims: To study concordance with the Dutch guideline of various treatment modalities in outpatient treatment settings for patients with bipolar disorder and to identity factors associated with concordance.Methods: A nationwide non-interventional study using psychiatrists' and patients' surveys.Results: 839 patients with bipolar or schizoaffective disorder bipolar type were included. Concordance with the guideline was highest for participation of a psychiatrist in the treatment (98%) and for maintenance pharmacotherapy (96%), but lower for supportive treatment (73.5%), use of an emergency plan (70.6%), psychotherapy (52.2%), group psychoeducation (47.2%), and mood monitoring (47%). Presence of a written treatment plan, a more specialized treatment setting, more years of education, and diagnosis of bipolar I disorder versus bipolar II, bipolar NOS, or schizoaffective disorder were significantly associated with better concordance.Conclusion: In contrast to pharmacotherapy, psychosocial treatments are only implemented to a limited extend in everyday clinical practice in bipolar disorder. More effort is needed to implement non-pharmacological guideline recommendations for bipolar disorder.
- Subjects
BIPOLAR disorder; COMBINED modality therapy; SCHIZOAFFECTIVE disorders; PSYCHOEDUCATION
- Publication
International Journal of Bipolar Disorders, 2018, Vol 6, Issue 1, p1
- ISSN
2194-7511
- Publication type
Article
- DOI
10.1186/s40345-018-0130-z