Final published version, 2.39 MB, PDF document
Available under license: CC BY-NC-ND: Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License
Research output: Thesis › Doctoral Thesis
Research output: Thesis › Doctoral Thesis
}
TY - BOOK
T1 - Links between participant demographic and clinical characteristics and patterns of usage in research trials of self-management psychoeducation interventions for bipolar disorder.
AU - Baker, Russell
PY - 2022/8/8
Y1 - 2022/8/8
N2 - Bipolar Disorder (BD) is a complex mood disorder that is often treatedpharmacologically to reduce patient symptoms and the risk of relapse.Medication though is only partially effective, with most individuals continuing toexperience on-going symptoms. This has resulted in interest in the benefits ofpsychological approaches delivered as adjuncts to pharmacotherapies.Psychoeducation (PE) is an example of a psychological approach which hasbeen demonstrated to be effective in BD, reducing the number of patientrelapses, with positive outcomes being linked to increased levels ofintervention usage. However, individuals with BD have been demonstrated tohave high rates of intervention non-usage. This study investigated participantdemographic and clinical characteristics, to discover if they correlated withusage levels in PE interventions for BD when delivered by digital or face-tofacemodalities.A quantitative systematic literature review of 39 studies examined the clinicaland demographic characteristics of participants in adjunctive PE interventionsfor BD. This was to determine if these characteristics differed between usersof individual, group and online delivery modalities. An empirical study,consisting of a secondary analysis of 3 studies, delivered by two online andone group modality was also conducted. Measures of demographic andclinical characteristics were extracted and used to examine predictors of PEintervention usage for BD via the number of sessions attended.The literature review showed that numbers of female participants in PEinterventions were significantly higher than males across all deliverymodalities. In the online studies, higher levels of regular commitments due towork, family and other responsibilities, were significantly associated withgreater intervention usage. In the empirical study, increased usage of groupPE was linked to increasing age and higher levels of education. No significantcorrelations were observed in the online studies.
AB - Bipolar Disorder (BD) is a complex mood disorder that is often treatedpharmacologically to reduce patient symptoms and the risk of relapse.Medication though is only partially effective, with most individuals continuing toexperience on-going symptoms. This has resulted in interest in the benefits ofpsychological approaches delivered as adjuncts to pharmacotherapies.Psychoeducation (PE) is an example of a psychological approach which hasbeen demonstrated to be effective in BD, reducing the number of patientrelapses, with positive outcomes being linked to increased levels ofintervention usage. However, individuals with BD have been demonstrated tohave high rates of intervention non-usage. This study investigated participantdemographic and clinical characteristics, to discover if they correlated withusage levels in PE interventions for BD when delivered by digital or face-tofacemodalities.A quantitative systematic literature review of 39 studies examined the clinicaland demographic characteristics of participants in adjunctive PE interventionsfor BD. This was to determine if these characteristics differed between usersof individual, group and online delivery modalities. An empirical study,consisting of a secondary analysis of 3 studies, delivered by two online andone group modality was also conducted. Measures of demographic andclinical characteristics were extracted and used to examine predictors of PEintervention usage for BD via the number of sessions attended.The literature review showed that numbers of female participants in PEinterventions were significantly higher than males across all deliverymodalities. In the online studies, higher levels of regular commitments due towork, family and other responsibilities, were significantly associated withgreater intervention usage. In the empirical study, increased usage of groupPE was linked to increasing age and higher levels of education. No significantcorrelations were observed in the online studies.
U2 - 10.17635/lancaster/thesis/1716
DO - 10.17635/lancaster/thesis/1716
M3 - Doctoral Thesis
PB - Lancaster University
ER -