Volume 15, Issue 2 (10-2021)
ijpb 2021, 15(2): 87-110 |
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Shahmohammadi H, Niknam M. Interpersonal and Social Rhythm Therapy (IPSRT) on Depression and Emotional Instability in Patients with Bipolar Disorder Type 1 treated with Medication. ijpb 2021; 15 (2) :87-110
URL: http://ijpb.ir/article-1-398-en.html
URL: http://ijpb.ir/article-1-398-en.html
Department of Psychology and Educational Sciences, Faculty of Humanities, Khatam University, Tehran, Iran.
Abstract: (6080 Views)
Bipolar disorder is a chronic and relapsing disorder for which various interventions have been introduced. Interpersonal and Social Rhythm Therapy (IPSRT) was developed to treat patients' stressful events, improve social and circadian rhythm disturbances, and increase treatment adherence. This quasi-experimental study, with pre-test, post-test, follow-up, and control group, aimed to investigate the effectiveness of IPSRT on depression and emotional instability in patients with bipolar disorder Type 1 treated with medication. The statistical population included all male patients with bipolar disorder, type 1, who were referred to Azadi Rehabilitation and Treatment Center in Tehran during 2020-21. Using a convenience sampling method, participants were randomly assigned to an experimental group (n=12) and a control group (n=12). The experimental group received IPSRT in twelve 90-minute sessions, whereas the control group was on the waiting list. We used the Hamilton Depression Rating Scale (HAM-D) and the Difficulties in Emotion Regulation Scale (DERS; Gratz & Roemer, 2004) and analyzed data using SPSS-27 software with the Mann–Whitney U test. The findings revealed a significant difference between the experimental and control groups in terms of depression and emotional instability in the pre-test, post-test, and follow-up. IPSRT had a positive effect on reducing depression and emotional instability (p<.05). The results of this study showed the efficacy of IPSRT on depression and emotional instability in patients with bipolar type 1. Thus, this method can be used as an interventional and therapeutic method to reduce depression and emotional instability in bipolar type 1 patients.
Type of Study: Research |
Subject:
Special
Received: 2022/10/19 | Revised: 2026/05/13 | Accepted: 2023/06/19 | Published: 2023/10/15
Received: 2022/10/19 | Revised: 2026/05/13 | Accepted: 2023/06/19 | Published: 2023/10/15
References
1. Arnbjerg, C. J., Rurangwa, N. U., Musoni-Rwililiza, E., Gishoma, D., Carlsson, J., & Kallestrup, P. (2022). Intervention trials for adults with bipolar disorder in low-income and lower-middle-income countries: A systematic review. Journal of Affective Disorders, 311, 256-266. doi: 10.1016/j.jad.2022.05.097 [DOI:10.1016/j.jad.2022.05.097] [PMID]
2. Aydın, E., Ozdogan, M., Ustundag, M., Ceyhun, H., & Esin, I. (2021). Functioning, dysfunctional attitudes and neurocognitive functions in euthymic patients with bipolar disorder type 1. Psychiatry and Behavioral Sciences, 11(3), 157. doi: 10.5455/PBS.20210214012334 [DOI:10.5455/PBS.20210214012334]
3. Bech, P., Allerup, P., Larsen, E. R., Csillag, C., & Licht, R. W. (2014). The Hamilton Depression Scale (HAM-D) and the Montgomery-Åsberg Depression Scale (MADRS). A psychometric re-analysis of the European Genome-Based Therapeutic Drugs for Depression Study using Rasch analysis. Psychiatry Research, 217(3), 226-232. doi: 10.1016/j.psychres.2014.03.024 [DOI:10.1016/j.psychres.2014.03.024] [PMID]
4. Bonfils, K. A., & Novick, D. M. (2021). Application of Interpersonal and Social Rhythm Therapy (IPSRT) for Depression Associated With Schizophrenia Spectrum Disorders. American Journal of Psychotherapy, 74(3), 127-134. doi: 10.1176/appi.psychotherapy.20200024 [DOI:10.1176/appi.psychotherapy.20200024] [PMID]
5. Bouwkamp, C. G., de Kruiff, M. E., van Troost, T. M., Snippe, D., Blom, M. J., de Winter, R. F. P., & Judith Haffmans, P. M. (2013). Interpersonal and Social Rhythm Group Therapy for Patients with Bipolar Disorder. International Journal of Group Psychotherapy, 63(1), 97-115. doi: 10.1521/ijgp.2013.63.1.97 [DOI:10.1521/ijgp.2013.63.1.97] [PMID]
6. Douglas, K. M., Inder, M. L., Crowe, M. T., Jordan, J., Carlye, D., Lacey, C., … Porter, R. J. (2022). Randomised controlled trial of Interpersonal and Social Rhythm Therapy and group-based Cognitive Remediation versus Interpersonal and Social Rhythm Therapy alone for mood disorders: Study protocol. BMC Psychiatry, 22(1), 115. doi: 10.1186/s12888-022-03747-z [DOI:10.1186/s12888-022-03747-z] [PMID] [PMCID]
7. Frank, E. (2007). Interpersonal and social rhythm therapy: A means of improving depression and preventing relapse in bipolar disorder. Journal of Clinical Psychology, 63(5), 463-473. doi: 10.1002/jclp.20371 [DOI:10.1002/jclp.20371] [PMID]
8. Frank, E., Hlastala, S., Ritenour, A., Houck, P., Xin Ming Tu, Monk, T. H., … & Kupfer, D. J. (1997). Inducing lifestyle regularity in recovering bipolar disorder patients: Results from the maintenance therapies in bipolar disorder protocol. Biological Psychiatry, 41(12), 1165-1173. doi: 10.1016/S0006-3223(96)00241-7 [DOI:10.1016/S0006-3223(96)00241-7] [PMID]
9. Frank, E., Kupfer, D. J., Thase, M. E., Mallinger, A. G., Swartz, H. A., Fagiolini, A. M., … & Monk, T. (2005). Two-Year Outcomes for Interpersonal and Social Rhythm Therapy in Individuals With Bipolar I Disorder. Archives of General Psychiatry, 62(9), 996. doi: 10.1001/archpsyc.62.9.996 [DOI:10.1001/archpsyc.62.9.996] [PMID]
10. Frank, E., Soreca, I., Swartz, H. A., Fagiolini, A. M., Mallinger, A. G., Thase, M. E., … Kupfer, D. J. (2008). The Role of Interpersonal and Social Rhythm Therapy in Improving Occupational Functioning in Patients with Bipolar I Disorder. American Journal of Psychiatry, 165(12), 1559-1565. doi: 10.1176/appi.ajp.2008.07121953 [DOI:10.1176/appi.ajp.2008.07121953] [PMID] [PMCID]
11. Frank, E., Swartz, H. A., & Boland, E. (2007). Interpersonal and social rhythm therapy: An intervention addressing rhythm dysregulation in bipolar disorder. Dialogues in Clinical Neuroscience, 9(3), 325-332. doi: 10.31887/DCNS.2007.9.3/efrank [DOI:10.31887/DCNS.2007.9.3/efrank] [PMID] [PMCID]
12. Frank, E., Swartz, H. A., & Kupfer, D. J. (2000). Interpersonal and social rhythm therapy: Managing the chaos of bipolar disorder. Biological Psychiatry, 48(6), 593-604. doi: 10.1016/S0006-3223(00)00969-0 [DOI:10.1016/S0006-3223(00)00969-0] [PMID]
13. Goldstein, T. R., Fersch-Podrat, R., Axelson, D. A., Gilbert, A., Hlastala, S. A., Birmaher, B., & Frank, E. (2014). Early intervention for adolescents at high risk for the development of bipolar disorder: Pilot study of Interpersonal and Social Rhythm Therapy (IPSRT). Psychotherapy, 51(1), 180-189. doi: 10.1037/a0034396 [DOI:10.1037/a0034396] [PMID]
14. Goldstein, T. R., Merranko, J., Krantz, M., Garcia, M., Franzen, P., Levenson, J., … Frank, E. (2018). Early intervention for adolescents at-risk for bipolar disorder: A pilot randomized trial of Interpersonal and Social Rhythm Therapy (IPSRT). Journal of Affective Disorders, 235, 348-356. doi: 10.1016/j.jad.2018.04.049 [DOI:10.1016/j.jad.2018.04.049] [PMID] [PMCID]
15. Gratz, K. L., & Roemer, L. (2004). Multidimensional Assessment of Emotion Regulation and Dysregulation: Development, Factor Structure, and Initial Validation of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41-54. doi: 10.1023/B:JOBA.0000007455.08539.94 [DOI:10.1023/B:JOBA.0000007455.08539.94] [PMCID]
16. Guzman-Parra, J., Streit, F., Forstner, A. J., Strohmaier, J., González, M. J., Gil Flores, S., … Rietschel, M. (2021). Clinical and genetic differences between bipolar disorder type 1 and 2 in multiplex families. Translational Psychiatry, 11(1), 31. doi: 10.1038/s41398-020-01146-0 [DOI:10.1038/s41398-020-01146-0] [PMID] [PMCID]
17. Hamilton, M. (1960). A Rating Scale For Depression. Journal of Neurology, Neurosurgery & Psychiatry, 23(1), 56-62. doi: 10.1136/jnnp.23.1.56 [DOI:10.1136/jnnp.23.1.56] [PMID]
18. Hayes, S. C., Strosahl, K., Wilson, K. G., Bissett, R. T., Pistorello, J., Toarmino, D., … McCurry, S. M. (2004). Measuring experiential avoidance: A preliminary test of a working model. The Psychological Record, 54(4), 553-578. doi: 10.1007/BF03395492 [DOI:10.1007/BF03395492]
19. Haynes, P. L., Gengler, D., & Kelly, M. (2016). Social Rhythm Therapies for Mood Disorders: An Update. Current Psychiatry Reports, 18(8), 75. doi: 10.1007/s11920-016-0712-3 [DOI:10.1007/s11920-016-0712-3] [PMID] [PMCID]
20. Hlastala, S. A., Kotler, J. S., McClellan, J. M., & McCauley, E. A. (2010). Interpersonal and social rhythm therapy for adolescents with bipolar disorder: Treatment development and results from an open trial. Depression and Anxiety, 27(5), 457-464. doi: 10.1002/da.20668 [DOI:10.1002/da.20668] [PMID] [PMCID]
21. Kahawage, P., Bullock, B., Meyer, D., Gottlieb, J., Crowe, M., Swartz, H. A., … Murray, G. (2022). Social Rhythm Disruption is Associated with Greater Depressive Symptoms in People with Mood Disorders: Findings from a Multinational Online Survey During COVID-19. The Canadian Journal of Psychiatry, 070674372210979. doi: 10.1177/07067437221097905 [DOI:10.1177/07067437221097905] [PMID] [PMCID]
22. Kheirabadi, G. R., Maracy, M. R., Akbaripour, S., & Masaeli, N. (2012). Psychometric properties and diagnostic accuracy of the edinburgh postnatal depression scale in a sample of Iranian women. Iranian Journal of Medical Sciences, 37(1), 32-38.
23. Lam, C., & Chung, M.-H. (2021). A Meta-Analysis of the Effect of Interpersonal and Social Rhythm Therapy on Symptom and Functioning Improvement in Patients with Bipolar Disorders. Applied Research in Quality of Life, 16(1), 153-165. doi: 10.1007/s11482-019-09740-1 [DOI:10.1007/s11482-019-09740-1]
24. Lee, S. A., Choi, E. J., Jeon, J. Y., Han, S. H., Kim, H. W., Lee, G. H., … Yang, H. (2022). Aggression is more strongly associated with suicidality, independent of depression, than emotional instability and impulsivity in people with epilepsy. Epilepsy & Behavior, 129, 108613. doi: 10.1016/j.yebeh.2022.108613 [DOI:10.1016/j.yebeh.2022.108613] [PMID]
25. Lieverse, R., De Vries, R., Hoogendoorn, A. W., Smit, J. H., & Hoogendijk, W. J. G. (2013). Social Support and Social Rhythm Regularity in Elderly Patients with Major Depressive Disorder. The American Journal of Geriatric Psychiatry, 21(11), 1144-1153. doi: 10.1016/j.jagp.2013.01.052 [DOI:10.1016/j.jagp.2013.01.052] [PMID]
26. Mazaheri, M. (2015). Psychometric Properties of the Persian Version of the Difficulties in Emotion Regulation Scale) DERS-6 & DERS-5- Revised (in an Iranian Clinical Sample. Iranian Journal of Psychiatry, 10(2), 115-122.
27. Mohammadyfar, M. A., Azizpour, M., Najafi, M., & Nooripour, R. (2018). Comparison of audio-visual short-term and active memory in multiple sclerosis patients and non-patients regarding their depression, stress and anxiety level. Nordic Psychology, 70(2), 115-128. doi: 10.1080/19012276.2017. 1362989 [DOI:10.1080/19012276.2017.1362989]
28. Nooripour, R., Afrooz, G., Rahmani, S., Hosseinian, S., Tavalaei, S., & Alikhani, M. (2016). Effectiveness of Psychodrama on Aggression of Female Addicts with Bipolar Personality. Journal of Addiction & Prevention, 4(1), 204-209. [DOI:10.13188/2330-2178.1000025]
29. Parker, D. A., Trotti, R. L., McDowell, J. E., Keedy, S. K., Hill, S. K., Gershon, E. S., … Clementz, B. A. (2021). Auditory Oddball Responses Across the Schizophrenia-Bipolar Spectrum and Their Relationship to Cognitive and Clinical Features. American Journal of Psychiatry, 178(10), 952-964. doi: 10.1176/appi.ajp.2021.20071043 [DOI:10.1176/appi.ajp.2021.20071043] [PMID] [PMCID]
30. Rantala, M. J., Luoto, S., Borráz-León, J. I., & Krams, I. (2021). Bipolar disorder: An evolutionary psychoneuroimmunological approach. Neuroscience & Biobehavioral Reviews, 122, 28-37. doi: 10.1016/ j.neubiorev.2020.12.031 [DOI:10.1016/j.neubiorev.2020.12.031] [PMID]
31. Richter, G. M., Wunsch, C., Schneider, B., Düx, M., Klar, E., Seelos, R., & Kauffmann, G. W. (1998). Hydro-CT in the detection and staging of pancreatic carcinoma. Der Radiologe, 38(4), 279-286. doi: 10.1007/s001170050355 [DOI:10.1007/s001170050355] [PMID]
32. Sankar, A., Panchal, P., Goldman, D. A., Colic, L., Villa, L. M., Kim, J. A., … Blumberg, H. P. (2021). Telehealth Social Rhythm Therapy to Reduce Mood Symptoms and Suicide Risk Among Adolescents and Young Adults With Bipolar Disorder. American Journal of Psychotherapy, 74(4), 172-177. doi: 10.1176/appi.psychotherapy.20210011 [DOI:10.1176/appi.psychotherapy.20210011] [PMID] [PMCID]
33. Spector, P. E., Fox, S., Penney, L. M., Bruursema, K., Goh, A., & Kessler, S. (2006). The dimensionality of counterproductivity: Are all counterproductive behaviors created equal? Journal of Vocational Behavior, 68(3), 446-460. doi: 10.1016/j.jvb.2005.10.005 [DOI:10.1016/j.jvb.2005.10.005]
34. Swartz, H. A., Frank, E., O'Toole, K., Newman, N., Kiderman, H., Carlson, S., … Ghinassi, F. (2011). Implementing Interpersonal and Social Rhythm Therapy for Mood Disorders Across a Continuum of Care. Psychiatric Services, 62(11), 1377-1380. doi: 10.1176/ps.62.11.pss6211_1377 [DOI:10.1176/ps.62.11.pss6211_1377] [PMID] [PMCID]
35. Timmerby, N., Andersen, J. H., Søndergaard, S., Østergaard, S. D., & Bech, P. (2017). A Systematic Review of the Clinimetric Properties of the 6-Item Version of the Hamilton Depression Rating Scale (HAM-D). Psychotherapy and Psychosomatics, 86(3), 141-149. doi: 10.1159/000457131 [DOI:10.1159/000457131] [PMID]
36. Walker, M. P., & van der Helm, E. (2009). Overnight therapy? The role of sleep in emotional brain processing. Psychological Bulletin, 135(5), 731-748. doi: 10.1037/a0016570 [DOI:10.1037/a0016570] [PMID] [PMCID]
37. Xiong, J., Lipsitz, O., Chen-Li, D., Rosenblat, J. D., Rodrigues, N. B., Carvalho, I., … McIntyre, R. S. (2021). The acute antisuicidal effects of single-dose intravenous ketamine and intranasal esketamine in individuals with major depression and bipolar disorders: A systematic review and meta-analysis. Journal of Psychiatric Research, 134, 57-68. doi: 10.1016/j.jpsychires.2020.12.038 [DOI:10.1016/j.jpsychires.2020.12.038] [PMID]
38. Zacks, J. M., Speer, N. K., Swallow, K. M., Braver, T. S., & Reynolds, J. R. (2007). Event perception: A mind-brain perspective. Psychological Bulletin, 133(2), 273-293. doi: 10.1037/0033-2909.133.2.273 [DOI:10.1037/0033-2909.133.2.273] [PMID] [PMCID]
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