Evidence map›Paper›PMID 17728418›Full record

Trial reportThe American journal of psychiatry2007

Intensive psychosocial intervention enhances functioning in patients with bipolar depression: results from a 9-month randomized controlled trial.

David J Miklowitz, Michael W Otto, Ellen Frank, Noreen A Reilly-Harrington, Jane N Kogan, Gary S Sachs, Michael E Thase, Joseph R Calabrese, Lauren B Marangell, Michael J Ostacher and 5 more

Open access · greenAbstract readCase ReportsComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in The American journal of psychiatry, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 87 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 7 pooled it
12.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

87 citing papers in PubMed, 7 syntheses or guidelines pooled it, 272 citations in OpenAlex.

  1. Collaborative care approaches for people with severe mental illness.The Cochrane database of systematic reviews · 2024
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  3. Digital biomarkers from geolocation data in bipolar disorder and schizophrenia: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2019
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27 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 1 institution in 1 country.

David J MiklowitzDepartment of Psychology, University of Colorado, Boulder, CO 80309-0345, USA. miklow@psych.colorado.edu
Michael W Otto
Ellen Frank
Noreen A Reilly-Harrington
Jane N Kogan
Gary S Sachs
Michael E Thase
Joseph R Calabrese
Lauren B Marangell
Michael J Ostacher
Jayendra Patel
Marshall R Thomas
Mako Araga
Jodi M Gonzalez
Stephen R Wisniewski
University of Colorado Boulder · US

Funding

TREATMENT OF BIPOLAR DISORDER-278980001N01MH080001 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · 1998 to 2003
$5.3M
MAINTENANCE THERAPIES IN BIPOLAR DISORDERSR37MH029618 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FRANK, ELLEN · 1992 to 2002
$3.2M
Medical Comorbidity, Medical Burden and Biopolar DisorderR01MH029618 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KUPFER, DAVID J · 1985 to 2006
$262k
INTEGRATED FAMILY/INDIVIDUAL THERAPY OF BIPOLAR DISORDERR21MH055101 · NIMH · UNIVERSITY OF COLORADO AT BOULDER · PI MIKLOWITZ, DAVID JAY · 1996 to 1998
–
FAMILY FACTORS AND OUTCOME IN BIPOLAR DISORDERR29MH043931 · NIMH · UNIVERSITY OF COLORADO AT BOULDER · PI MIKLOWITZ, DAVID JAY · 1991 to 1995
–
NIMH NIH HHS MH29618NIMH NIH HHS MH43931NIMH NIH HHS MH55101NIMH NIH HHS N01 MH080001NIMH NIH HHS R01 MH029618NIMH NIH HHS R37 MH029618
6 · The paper itself

Abstract

objectivePsychosocial interventions are effective adjuncts to pharmacotherapy in delaying recurrences of bipolar disorder; however, to date their effects on life functioning have been given little attention. In a randomized trial, the authors examined the impact of intensive psychosocial treatment plus pharmacotherapy on the functional outcomes of patients with bipolar disorder over the 9 months following a depressive episode.

methodParticipants were 152 depressed outpatients with bipolar I or bipolar II disorder in the multisite Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) study. All patients received pharmacotherapy. Eighty-four patients were randomly assigned to intensive psychosocial intervention (30 sessions over 9 months of interpersonal and social rhythm therapy, cognitive behavior therapy [CBT], or family-focused therapy), and 68 patients were randomly assigned to collaborative care (a 3-session psychoeducational treatment). Independent evaluators rated the four subscales of the Longitudinal Interval Follow-Up Evaluation-Range of Impaired Functioning Tool (LIFE-RIFT) (relationships, satisfaction with activities, work/role functioning, and recreational activities) through structured interviews given at baseline and every 3 months over a 9-month period.

resultsPatients in intensive psychotherapy had better total functioning, relationship functioning, and life satisfaction scores over 9 months than patients in collaborative care, even after pretreatment functioning and concurrent depression scores were covaried. No effects of psychosocial intervention were observed on work/role functioning or recreation scores during this 9-month period.

conclusionsIntensive psychosocial treatment enhances relationship functioning and life satisfaction among patients with bipolar disorder. Alternate interventions focused on the specific cognitive deficits of individuals with bipolar disorder may be necessary to enhance vocational functioning after a depressive episode.

Indexed as

AdultAge of OnsetAmbulatory CareAnticonvulsantsAntidepressive AgentsAntipsychotic AgentsBehavior TherapyBipolar DisorderCombined Modality TherapyFamily TherapyFemaleFollow-Up StudiesHealth StatusHumansLithium CompoundsMaleAnticonvulsantsAntidepressive AgentsAntipsychotic AgentsLithium CompoundsPsychotropic Drugs

Identifiers

PMID17728418
PMCPMC3579578
OpenAlexW2031957317

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.