Basic Principles of Interpersonal Social Rhythm Therapy in Bipolar Disorder

Abstract

Interpersonal Social Rhythm Therapy is a psychotherapy modality that helps the patient recognize the relationship between disruptions in social rhythms and the onset of previous episodes of psychiatric disorders. It uses psychoeducation and behavioral techniques to maintain social rhythm and sleep/wake regularity. It is closely related to "social zeitgeber theory" that emphasizes the importance that social rhythm regularity may play in synchronization of circadian rhythms in individuals with or at risk for bipolar spectrum disorders. Interpersonal and social rhythm therapy have been shown to stabilize social rhythms and enhance course and outcome in bipolar disorder. This review focuses on the theoretical principles and the basic steps of interpersonal and social rhythm therapy as a psychotherapy approach in bipolar disorder. PubMed, Scopus, Google Scholar databases were searched without temporal restriction. Search terms included interpersonal social rhythm therapy, bipolar, mood disorders. Abstracts were reviewed for relevance, and randomized controlled trials of interpersonal and social rhythm therapy in bipolar disorder selected. These researches also summarized on the final part of this review.

Keywords

• bipolar, psychotherapy, social rhythm, circadian rhythm, sleep/wake regularity

Bipolar Bozuklukta Kişilerarası İlişkiler ve Sosyal Ritim Terapisinin Temel İlkeleri

Abstract

Kişilerarası İlişkiler ve Sosyal Ritim Terapisi hastanın sosyal ritmindeki aksamalar ile psikiyatrik bozukluğun geçmiş ataklarının başlangıcı arasındaki ilişkiyi fark edebilmesini kolaylaştıran bir psikoterapi yöntemidir. Bu terapi biçiminde, sosyal ritim ve uyku / uyanıklık düzeninin korunabilmesi için psikoeğitim ve davranışsal teknikler kullanılır. Kişilerarası İlişkiler ve Sosyal Ritim Terapisi bipolar spektrum bozuklukları olan ya da risk taşıyan bireylerde, sosyal ritim düzeninin, sirkadyen ritim senkronizasyonunda rol oynadığını vurgulayan "sosyal zeitgeber teorisi" ile yakından ilgilidir. Kişilerarası İlişkiler ve Sosyal Ritim Terapisi'nin sosyal ritimleri koruduğu ve bipolar bozukluğun gidişatında olumlu etkiye sahip olduğu gösterilmiştir. Bu gözden geçirme yazısında bipolar bozuklukta Kişilerarası İlişkiler ve Sosyal Ritim Terapisi uygulamasının teorik ilkeleri ve temel adımları üzerinde durulacaktır. Ayrıca PubMed, Scopus, Google Scholar veritabanlarının geçmişe yönelik zaman kısıtlaması olmadan, "social rhythm therapy, bipolar, mood disorders" kelimeleri için aranması sonucu ulaşılan yazılardan, bipolar bozuklukta Kişilerarası İlişkiler ve Sosyal Ritim Terapisi'ni inceleyen randomize kontrollü çalışmaların sonuçları bu gözden geçirme yazısında özetlenecektir.

Keywords

• bipolar, psikoterapi, sosyal ritim, sirkadyen ritim, uyku / uyanıklık düzeni

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