Integrated family and individual therapy for XXXX : results of a treatment development study.

@entity1 @entity162 @entity697 @entity308 @entity3935
BACKGROUND: Several studies have established the efficacy of psychosocial interventions as adjuncts to pharmacotherapy in the symptom maintenance of @entity162 . This study concerned a new psychosocial approach - integrated family and individual therapy (IFIT) - that synthesizes family psychoeducational sessions with individual sessions of interpersonal and social rhythm therapy. METHOD: Shortly after an @entity697 , 30 @entity162 @entity1 (DSM-IV criteria) were assigned to open treatment with IFIT (up to 50 weekly sessions of family and individual therapy) and mood-stabilizing medications in the context of a treatment development study. Their outcomes over 1 year were compared with the outcomes of 70 @entity1 from a previous trial who received standard community care, consisting of 2 family educational sessions, mood-stabilizing medications, and @entity3935 ( @entity3935 ). @entity1 in both samples were evaluated as to symptomatic functioning at entry into the project and then every 3 months for 1 year. RESULTS: @entity1 in IFIT had longer survival intervals (time without relapsing) than @entity1 in @entity3935 . They also showed greater reductions in @entity308 over 1 year of treatment relative to their baseline levels. The results could not be explained by group differences in baseline symptoms or pharmacologic treatment regimens. CONCLUSION: Combining family and individual therapy with medication may protect episodic @entity162 @entity1 from early relapse and @entity308 . Further examination of this integrative model within randomized controlled trials is warranted.
