Psychotherapie bei bipolaren Störungen - randomisiert kontrollierte Wirksamkeitsstudien

Zusammenfassung

Vor dem Hintergrund eines Vulnerabilitäts-Stress-Modells werden psychoedukative, kognitiv-verhaltenstherapeutische, familienorientierte und interpersonale Ansätze in der Psychotherapie bipolarer Erkrankungen erläutert. Es folgt ein Überblick randomisiert kontrollierter Wirksamkeitsstudien, die für den erfolgreichen Einsatz insbesondere von Psychoedukation, Kognitiver Verhaltenstherapie und Familienorientierter Therapie sprechen. Abschließend werden Lücken in den Wirksamkeitsnachweisen diskutiert sowie die Notwendigkeit, psychotherapeutische Programme zu manualisieren.

Abstract

On the basis of a vulnerability-stress-model psychoeducative, cognitive-behavioural, family-oriented and interpersonal approaches of psychotherapy for bipolar disorders are described. This is followed by a review of randomised controlled trials investigating the treatment efficacy of psychotherapeutic interventions. These studies show positive results particularly for psychoeducation, cognitive-behavioural therapy and family-oriented therapy. Finally, it is discussed in which respects evidence for the successful implementation of psychotherapy is still missing and why it is so important to move towards manualised psychotherapeutic programs.

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