Cited by 88Bipolar Disorder and TreatmentMental Health and Patient InvolvementPersonality Disorders and Psychopathology

Towards recovery-oriented psychosocial interventions for bipolar disorder: Quality of life outcomes, stage-sensitive treatments, and mindfulness mechanisms

Open access
Murray, Greg, Leitan, Nuwan D, Thomas, Neil, Michalak, Erin E, Johnson, Sheri L, Jones, Steven, Perich, Tania, Berk, Lesley +1 more·2017·Clinical Psychology Review

Abstract

Current adjunctive psychosocial interventions for bipolar disorder (BD) aim to impact illness course via information sharing/skill development. This focus on clinical outcomes contrasts with the emergent recovery paradigm, which prioritises adaptation to serious mental illness and movement towards personally meaningful goals. The aim of this review is to encourage innovation in the psychological management of BD by considering three recovery-oriented trends in the literature. First, the importance of quality of life as a target of recovery-oriented clinical work is considered. Second, the recent staging approach to BD is described, and we outline implications for psychosocial interventions tailored to stage. Finally, we review evidence suggesting that mindfulness-based psychosocial interventions have potential across early, middle and late stages of BD. It is concluded that the humanistic emphasis of the recovery paradigm provides a timely stimulus for development of a next generation of psychosocial treatments for people with BD.

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Crossref · 10.1016/j.cpr.2017.01.002

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  • Adjunctive psychosocial interventions may be useful for acute depressive episodes and in maintenance treatment to prevent relapse and restore quality of life in BD.

    “adjunctive psychosocial interventions may also be useful for acute depressive episodes, as well as in maintenance treatment to prevent relapse and to restore quality of life to the individual and family.72, 73”

    From Canadian Network for Mood and Anxiety Treatments ( <scp>CANMAT</scp> ) and International Society for Bipolar Disorders ( <scp>ISBD</scp> ) 2018 guidelines for the management of patients with bipolar disorder (2018) · cites this paper as [73]

    The opening section describes psychosocial interventions as useful adjuncts to medication for bipolar disorder. The stage-sensitive treatment discussion (p. 13) reports preliminary improvements in depressive symptoms, quality of life and relapse rates, and the discussion on p. 29 describes mindfulness as part of relapse-prevention strategies. These passages support the cautious general claim, but they do not establish benefit specifically during acute depressive episodes or restoration of quality of life for both the individual and family. (LLM, conf=0.84)

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  • Pharmacotherapy is essential and forms the foundation for the successful treatment of BD.

    “While pharmacotherapy is essential and forms the foundation for the successful treatment of BD”

    From Canadian Network for Mood and Anxiety Treatments ( <scp>CANMAT</scp> ) and International Society for Bipolar Disorders ( <scp>ISBD</scp> ) 2018 guidelines for the management of patients with bipolar disorder (2018) · cites this paper as [73]

    The introduction describes psychosocial interventions as adjuncts to pharmacotherapy for bipolar disorder, supporting the idea that medication is a central treatment. It does not say pharmacotherapy is essential for every patient or a prerequisite for successful treatment; the staging-model figure lists psychological or pharmacological therapy as options at Stage 1. The copy provides no page number for these passages. (LLM, conf=0.82)

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Research works printed but not linked: 3

  1. [47]47. Deckersbach, T., Hölzel, B. K., Eisner, L. R., Stange, J. P., Peckham, A. D., Dougherty, D. D., . . . Nierenberg, A. A. (2012). Mindfulness-based cognitive therapy for nonremitted patients with bipolar disorder. CNS Neuroscience and Therapeutics, 18(2), 133-141.
  2. [74]74. Jones, S. H., Mulligan, L. D., Higginson, S., Dunn, G., & Morrison, A. P. (2013). The bipolar recovery questionnaire: Psychometric properties of a quantitative measure of recovery experiences in bipolar disorder. Journal of Affective Disorders, 147(1-3), 34-43.
  3. [153]153. Scott, J., Paykel, E., Morriss, R., Bentall, R., Kinderman, P., Johnson, T., & Hayhurst, R. A. H. (2006). Cognitive-behavioural therapy for severe and recurrent bipolar disorders: Randomised controlled trial. British Journal of Psychiatry, 188(APR.), 313-320.

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Authors
Murray, G., Leitan, N. D., Thomas, N., Michalak, E. E., Johnson, S. L., Jones, S., Perich, T., Berk, L., & Berk, M.
Affiliations
  • Swinburne University of Technology (AU)
  • University of British Columbia (CA)
  • University of California, Berkeley (US)
  • Lancaster University (GB)
  • Western Sydney University (AU)
  • Deakin University (AU)
Corresponding author
Murray, Greg
Venue
Clinical Psychology Review
Publisher
Elsevier BV
Published
2017-03
Volume
52
Pages
148-163
ISSN
0272-7358 (ISSN-L)
OpenAlex
W2579511333
Cited by
87
References
215
Citations by year
2026: 3 · 2025: 7 · 2024: 9 · 2023: 4 · 2022: 9 · 2021: 11 · 2020: 8 · 2019: 22 · 2018: 10 · 2017: 4
FWCI
1.83
Type
journal article
Language
en
Open access
Locations
  • Clinical Psychology Review (publishedVersion)
  • PubMed (publishedVersion)
  • Lancaster EPrints (Lancaster University) (submittedVersion)
  • Figshare (submittedVersion, cc-by)
  • Swinburne figshare (Swinburne University of Technology) (submittedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
  • Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Keywords
bipolar disorder, recovery-oriented interventions, psychosocial interventions, quality of life, mindfulness-based interventions, humanistic psychology, treatment moderators
MeSH terms
Bipolar Disorder, Humans, Psychotherapy, Quality of Life, Treatment Outcome, Mindfulness

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