Psychosocial Interventions for Elderly People with Bipolar Disorder: Systematic Review with Meta-Analysis

Bipolar Affective Disorder is a chronic mental disorder that can have profound consequences for elderly people. The objective of this study was to analyse the evidence of the effectiveness of psychosocial and Cognitive-Behavioral Therapy-based interventions for bipolar disorder. To this end, a syste...

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Bibliographic Details
Authors: Vieira, Carolina Raquel Sales, Freitas, Eduarda Rezende
Format: article
Status:Published version
Publication Date:2025
Country:Brasil
Institution:Universidade de São Paulo (USP)
Repository:Paidéia (Ribeirão Preto. Online)
Language:English
OAI Identifier:oai:revistas.usp.br:article/237342
Online Access:https://revistas.usp.br/paideia/article/view/237342
Access Level:Open access
Keyword:bipolar disorder
psychosocial intervention
aging
cognitive behavioral therapy
randomized controlled trial
trastorno bipolar
intervención psicosocial
envejecimiento
terapia cognitivo-conductual
ensayo clínico controlado aleatório
transtorno bipolar
intervenção psicossocial
envelhecimento
terapia cognitivo-comportamental
ensaio clínico controlado randomizado
Description
Summary:Bipolar Affective Disorder is a chronic mental disorder that can have profound consequences for elderly people. The objective of this study was to analyse the evidence of the effectiveness of psychosocial and Cognitive-Behavioral Therapy-based interventions for bipolar disorder. To this end, a systematic review with meta-analysis was conducted based on randomized controlled trial, published between 2012 and 2022, that included elderly people in their samples. The search, carried out in the PubMed, SciELO, CENTRAL, and PePSIC databases, resulted in 1069 articles, 15 of which were included in this research. The recommendations of PRISMA and JBI were used. It was found that psychoeducation and, especially, interventions in Cognitive-Behavioral Therapy can improve symptoms of this disorder. Through meta-analysis, an effect in favour of Cognitive-Behavioral Therapy was observed for reducing mania, but not for depression. However, more studies are needed, as none conducted exclusively with elderly people were found.