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• W2009664689 abstract "Une abondante littérature a vu le jour ces cinq dernières années sur les thérapies psychologiques destinées aux patients atteints de troubles de l’humeur bipolaires. Psychoéducation, thérapies comportementales et cognitives, thérapies familiales comportementales et thérapie interpersonnelle ont démontré leur efficacité en association avec le traitement médicamenteux thymorégulateur. Toutes ces interventions ont en commun un socle psycho-éducatif associé à des spécificités toujours en relation avec le modèle transnosographique de vulnérabilité de Zubin et Spring ainsi qu’avec des techniques élémentaires de thérapie comportementale et cognitive. L’accent est mis sur l’observance médicamenteuse, l’importance du style de vie, la reconnaissance précoce des symptômes ainsi que sur l’intervention médicamenteuse rapide. Les bénéfices de ces interventions sont multiples, en particulier sur les symptômes résiduels et donc la qualité de vie des patients, ainsi que sur la prévention des récurrences dépressives que les traitements médicamenteux seuls contrôlent mal. Leur efficacité dans la prévention des rechutes maniaques et sur l’observance est également établie. Ces avantages apparaissent suffisamment concordants et robustes sur le plan scientifique pour espérer les voir apparaître de façon plus détaillées dans les prochaines recommandations concernant le traitement des troubles bipolaires. Psychological therapies dedicated to bipolar patients have attracted major interest and many publications have been devoted to them in the last five years. The efficiency of Psychoeducation, Cognitive and behavioral therapy, Behavioral family therapy and Interpersonal and Social Rhythm Therapy, have specially been focused on. These approaches share a common background of psychoeducation and are closely linked with the transnosographical model from Zubin and Spring as well as basic behavioral and cognitive technical requirements. All these therapies focus on medication adherence, regular lifestyle, early recognition of relapse and early pharmacologic intervention. There are some differences between advantages from each approach, but the overall effect is positive in enhancing medication adherence and preventing manic relapses, and also in preventing depressive episodes and improving quality of life. These robust and corroborating results should probably be integrated in future guidelines for the management of bipolar disorders." @default.
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• W2009664689 date "2010-12-01" @default.
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• W2009664689 title "Troubles affectifs bipolaires : modèles et bilan des approches psychothérapeutiques" @default.
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• W2009664689 doi "https://doi.org/10.1016/s0013-7006(10)70058-0" @default.
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