학술논문

Evidence-based guidelines for treating bipolar disorder: Revised third edition recommendations from the British Association for Psychopharmacology
Document Type
article
Source
Journal of Psychopharmacology. 30(6)
Subject
Biomedical and Clinical Sciences
Clinical Research
Clinical Trials and Supportive Activities
Prevention
Mental health
Antidepressive Agents
Bipolar Disorder
Combined Modality Therapy
Consensus
Diagnosis
Differential
Evidence-Based Medicine
Humans
Medication Adherence
Patient Education as Topic
Practice Guidelines as Topic
Psychopharmacology
Secondary Prevention
Bipolar disorder
treatment
evidence-based guidelines
antipsychotics
antidepressants
mood stabilizers
lithium
psychoeducation
cognitive behaviour therapy
Medical and Health Sciences
Psychology and Cognitive Sciences
Psychiatry
Biomedical and clinical sciences
Health sciences
Language
Abstract
The British Association for Psychopharmacology guidelines specify the scope and targets of treatment for bipolar disorder. The third version is based explicitly on the available evidence and presented, like previous Clinical Practice Guidelines, as recommendations to aid clinical decision making for practitioners: it may also serve as a source of information for patients and carers, and assist audit. The recommendations are presented together with a more detailed review of the corresponding evidence. A consensus meeting, involving experts in bipolar disorder and its treatment, reviewed key areas and considered the strength of evidence and clinical implications. The guidelines were drawn up after extensive feedback from these participants. The best evidence from randomized controlled trials and, where available, observational studies employing quasi-experimental designs was used to evaluate treatment options. The strength of recommendations has been described using the GRADE approach. The guidelines cover the diagnosis of bipolar disorder, clinical management, and strategies for the use of medicines in short-term treatment of episodes, relapse prevention and stopping treatment. The use of medication is integrated with a coherent approach to psychoeducation and behaviour change.