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BMC Psychiatry

, 16:452

Mood disorders


BackgroundBipolar disorder patients frequently present recurrent episodes and often experience subsyndromal symptoms, cognitive impairment and difficulties in functioning, with a low quality of life, illness relapses and recurrent hospitalization. Early diagnosis and appropriate intervention may play a role in preventing neuroprogression in this disorder. New technologies represent an opportunity to develop standardized psychological treatments using internet-based tools that overcome some of the limitations of face-to-face treatments, in that they are readily accessible and the timing of therapy can be tailored to user needs and availability. However, although many psychological programs are offered through the web and mobile devices for bipolar disorder, there is a lack of high quality evidence concerning their efficacy and effectiveness due to the great variability in measures and methodology used.

MethodsThis clinical trial is a simple-blind randomized trial within a European project to compare an internet-based intervention with treatment as usual. Bipolar disorder patients are to be included and randomly assigned to one of two groups: 1 the experimental group tele-care support and 2 the control group. Participants in both groups will be evaluated at baseline pre-treatment and post-treatment.

DiscussionThis study describes the design of a clinical trial based on psychoeducation intervention that may have a significant impact on both prognosis and treatment in bipolar disorder. Specifically, bringing different services together service aggregation, it is hoped that the approach proposed will significantly increase the impact of information and communication technologies on access and adherence to treatment, quality of the service, patient safety, patient and professional satisfaction, and quality of life of patients.

Trial registrationNCT02924415. Retrospectively registered 27 September 2016

KeywordsBipolar disorder Psychoeducation Telemedicine AbbreviationsBDI-IIBeck depression inventory

BHSBeck hopelessness scale

BPTMBipolar patient treatment management

DSM-IV-TRDiagnostic and statistical manual of mental disorders

FI-STARThe future internet social and technological alignment research

STAIState-trait anxiety inventory

Electronic supplementary materialThe online version of this article doi:10.1186-s12888-016-1159-0 contains supplementary material, which is available to authorized users.

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Autor: Itxaso González-Ortega - Amaia Ugarte - Sonia Ruiz de Azúa - Nuria Núñez - Marta Zubia - Sara Ponce - Patricia Casla -


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