Study regarding Study regarding psychoeducation of bipolar psychoeducation of bipolar affective disorder patientsaffective disorder patients

Author:Lepădatu IoanaAuthor:Lepădatu Ioana

Coordinator:Nireșteanu AurelCoordinator:Nireșteanu Aurel

Lukacs EmeseLukacs Emese

DefinitionDefinition

Bipolar affective disorder is a chronic and Bipolar affective disorder is a chronic and complex mental illness,complex mental illness, characterized by mania characterized by mania and hipomania episodes,and hipomania episodes, alternating with periods alternating with periods of depression.of depression.

Ten percent of patients will end their life by Ten percent of patients will end their life by suicide.suicide. In general,In general, the first symptoms appear in the first symptoms appear in adolescence,adolescence, more specifically between 18 and 22 more specifically between 18 and 22 years of age.years of age.

BACKGROUND

BACKGROUNDBACKGROUND

Signs and symptomsSigns and symptoms

Depressive mood, inability to feel joy or pleasure, Depressive mood, inability to feel joy or pleasure, psychomotor slowing or agitation and negative psychomotor slowing or agitation and negative thoughts.thoughts.

Bipolar disorder is associated with interpersonal Bipolar disorder is associated with interpersonal stress, job difficulties, low work productivity, stress, job difficulties, low work productivity, physical and emotional well being.physical and emotional well being.

BACKGROUNDBACKGROUND

DiagnosisDiagnosis

Diagnosis is based on the self-reported Diagnosis is based on the self-reported experiences followed by secondary signs experiences followed by secondary signs observed by a psychiatrist.observed by a psychiatrist.

An initial assessment may include a physical An initial assessment may include a physical exam. There are no biological tests which exam. There are no biological tests which confirm bipolar disorder.confirm bipolar disorder.

To identify the efficiency of the psychoeducation as a To identify the efficiency of the psychoeducation as a control method in life.control method in life.

This research helps general practitioners to detect the This research helps general practitioners to detect the prodromic signs of the bipolar affective disorder early,prodromic signs of the bipolar affective disorder early, which definitely contributes to an earlier intervention to which definitely contributes to an earlier intervention to improve these people`s lives. improve these people`s lives.

To identify the knowledges of general practitioners To identify the knowledges of general practitioners about pshychoeducation of bipolar disorderabout pshychoeducation of bipolar disorder..

OBJECTIVES

METHOD METHOD

ParticipantsParticipants

35 general practitioners from T35 general practitioners from Tîîrgu-Murergu-Mureşş, , with bipolar affective disorder patientswith bipolar affective disorder patients

General practitioners were asked about the General practitioners were asked about the experience and level of training withexperience and level of training with this this patientspatients

The questionnaire included 13 questionsThe questionnaire included 13 questions Questionnaire responses were anonymousQuestionnaire responses were anonymous

Figure 1:Figure 1: Distribution of general practitioners in Distribution of general practitioners in psychoeducational programspsychoeducational programs

RESULTSRESULTS

89%

11%

Figure 2: General practitioners information about Figure 2: General practitioners information about bipolar affective disorderbipolar affective disorder

RESULTSRESULTS

91%

9%

Yes

No

RESULTSRESULTSFigure 3: Figure 3: General practitioners don`t General practitioners don`t

discontinue the medication of bipolar patientsdiscontinue the medication of bipolar patients

Figure 4: Figure 4: They send to psychiatristThey send to psychiatrist

Don’t discontinue the medication

100%

1

Figure 3

91%

9%

Send

Don’t send

Figure 4

Figure 5: Quality communication with psychiatristFigure 5: Quality communication with psychiatrist

RESULTSRESULTS

83%

17%

Good communication

Communication failure

RESULTSRESULTS

56%

12%

29%

3%3 months

6 months

Depends on case

Release reference for doctor

Figure 6: Contact with patients

RESULTSRESULTS

100%

Figure 7: All general practitioners are informed on relapse in bipolar affective disorder

RESULTSRESULTS

74%

17%9%

Recognize signs

Don`t recognize signs

Psychiatrist is responsible

Figure 8: Recognize signs of relapse

RESULTSRESULTS

83%

17%Discuss the risks of pregnancy

Send to psychiatrist

Figure 9: Management patients regarding family planning

Figure 10: General practitioners require participation in Figure 10: General practitioners require participation in psychoeducational programs about bipolar affective psychoeducational programs about bipolar affective

disorderdisorder

RESULTSRESULTSYes

100%

1

CONCLUSIONSCONCLUSIONS

We discovered that general practitioners We discovered that general practitioners are prepare and sufficiently well informed are prepare and sufficiently well informed for educated patients with bipolar affective for educated patients with bipolar affective disorder.disorder.

The implication of psychoeducation is The implication of psychoeducation is necessary because promoted significant necessary because promoted significant changes in patients lives.changes in patients lives.

..

CONCLUSIONSCONCLUSIONS

Psychoeducation helps patients to focus Psychoeducation helps patients to focus on the bipolar affective disorder in a more on the bipolar affective disorder in a more singular way and start to understand their singular way and start to understand their disease, personality and temperament.disease, personality and temperament.

Patients with bipolar affective disorder Patients with bipolar affective disorder started to led a normal life thanks to activity started to led a normal life thanks to activity of general practitionersof general practitioners..

THANK YOU!THANK YOU!