Author : Ali Hassanpour Dehkordi, Kamal Solati*, Ateye Asgarani
Introduction Bipolar disorder is one of the psychiatric disorders which disrupts a patients performance in many areas. This study was an attempt to examine the impact of meta-cognitive behavioral group therapy, family education, along with drug therapy in alleviating the symptoms of mania and depression in bipolar patients. Methods This study was a quasi-experimental group with pre- and post-test and control group. 54 bipolar men and women entered this study through convenience sampling method and they were randomly divided into three groups each comprising 18 patients. All three groups received meta-cognitive behavioural therapy as well as receiving family education and their medications equally. The instruments used included demographic features questionnaire, Bech Mania Scale, and Hamilton Depression Scale. The gleaned data were analysed using Covariance. Results The post-test findings in the group treated through meta-cognitive behavioural method along with family education and drug therapy demonstrated remarkable progress in alleviating symptoms of mania and depression (p<0.05). Moreover, there was a significant difference between mania mean scores in the three groups at follow-up stage (p=0.002). Treatment through meta-cognitive behavioral therapy along with family education was effective in preventing relapse of mania symptoms. This was not significant for depression (p=0.06). Conclusion Drug therapy along with meta-cognitive behavioral therapy and family education can be more effective in reducing the symptoms and preventing recurrence of symptoms at different stages of bipolar disorder. Key words: Bipolar Disorder, Cognitive Behavior Therapy, Education, Drug Therapy.
Dr. Arend L Mapanawang, Sp.PD, FINASIM, PhD