Basic Principles of Interpersonal Social Rhythm Therapy in Bipolar Disorder

Year 2014, Volume: 6 Issue: 4, 438 - 446, 06.11.2014

Gökben Hızlı Sayar Eylem Özten Barış Önen Ünsalver

https://doi.org/10.5455/cap.20140115123942

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

References

• Gitlin MJ, Swendsen J, Heller T, Hammen C. Relapse and impairment in bipolar disorder. Am J Psychiatry 1995; 152:1635– 16
• Nusslock R, Abramson LY, Harmon-Jones E, Alloy LB, Coan JA. Psychosocial interventions for bipolar disorder: Perspective from the behavioral approach system (BAS) dysregulation theory. Clin Psychol (New York) 2009; 16:449-469.
• Scott J, Colom F, Vieta E. A meta-analysis of relapse rates with adjunctive psychological therapies compared to usual psychiatric treatment for bipolar disorders. Int J Neuropsychopharmacol 2007; 10:123-129.
• Miklowitz DJ, Otto MW, Frank E, Reilly-Harrington NA, Kogan JN, Sachs GS et al. Intensive psychosocial intervention enhances functioning in patients with bipolar depression: results from a 9-month randomized controlled trial. Am J Psychiatry 2007; 164:1340–1347.
• Prasko J, Ociskova M, Kamaradova D, Sedlackova Z, Cerna M, Mainerova B et al. Bipolar affective disorder and psychoeducation. NeuroEndocrinol Lett 2013; 34:83-96.
• Frank E, Kupfer DJ, Thase ME, Mallinger AG, Swartz HA, Fagiolini AM et al. Two-year outcomes for interpersonal and social rhythm therapy in individuals with bipolar I disorder. Arch Gen Psychiatry 2005; 62:996–1004.
• Selvi Y, Beşiroğlu L, Aydın A. Kronobiyoloji ve duygudurum bozuklukları Psikiyatride Güncel Yaklaşımlar 2011; 3:368-386. McClung CA. How might circadian rhythms control mood? let me count the ways. Biol Psychiatry 2013; 74:242–249.
• Lee HJ, Son GH, Geum D. Circadian rhythm hypotheses of mixed features, antidepressant treatment resistance, and manic switching in bipolar disorder. Psychiatry Investig 2013; 10:225-232.
• Juruena MF, Cleare AJ, Pariante CM. The hypothalamic pituitary adrenal axis, glucocorticoid receptor function and relevance to depression. Rev Bras Psiquiatr 2004; 26:189–201.
• Easton A, Arbuzova J, Turek FW. The circadian Clock mutation increases exploratory activity and escape-seeking behavior. Genes Brain Behav 2003; 2:11–19.
• McCarthy MJ, Nievergelt CM, Kelsoe JR, Welsh DK. A survey of genomic studies supports association of circadian clock genes with bipolar disorder spectrum illnesses and lithium response. PLoS One 2012; 7:e32091.
• Abe M, Herzog ED, Block GD. Lithium lengthens the circadian period of individual suprachiasmatic nucleus neurons. Neuroreport 2000; 11:3261–3264.
• Bunney BG, Bunney WE. Mechanisms of rapid antidepressant effects of sleep deprivation therapy: clock genes and circadian rhythms. Biol Psychiatry 2013; 73:1164–1171.
• Tuunainen A, Kripke DF, Endo T. Light therapy for non-seasonal depression. Cochrane Database Syst Rev 2004; 2:CD004050.
• Sit D, Wisner KL, Hanusa BH, Stull S, Terman M. Light therapy for bipolar disorder: a case series in women. Bipolar Disord 2007; 9:918–927.
• Shen GH, Alloy LB, Abramson LY, Sylvia LG. Social rhythm regularity and the onset of affective episodes in bipolar spectrum individuals. Bipolar Disord 2008; 10:520-9.
• Ehlers CL, Frank E, Kupfer DJ. Social zeitgebers and biological rhythms. A unified approach to understanding the etiology of depression. Arch Gen Psychiatry 1988; 45:948–952.
• Sylvia LG, Alloy LB, Hafner JA, Gauger MC, Verdon K, Abramson LY. Life events and social rhythms in bipolar spectrum disorders: a prospective study. Behav Ther 2009; 40:131-141.
• Çakır S, Özerdem A. İki uçlu bozuklukta psikoterapötik ve psikososyal sağaltımlar: sistematik bir gözden geçirme. Turk Psikiyatri Derg 2010; 21:143-154.
• Goodwin GM. Evidence-based guidelines for treating bipolar disorder: recommendations from the British Association for Psychopharmacology. J Psychopharmacol 2003; 17:149–173.
• Rogojanski J, Carney CE, Monson CM. Interpersonal factors in insomnia: a model for integrating bed partners into cognitive behavioral therapy for insomnia. Sleep Med Rev 2013; 17:55-64.
• Frank E, Swartz HA, Kupfer DJ. Interpersonal and social rhythm therapy: managing the chaos of bipolar disorder. Biol Psychiatry 2000; 48:593–604.
• Monk TH, Flaherty JF, Frank E, Hoskinson K, Kupfer DJ. The social rhythm metric: an instrument to quantify the daily rhythms of life. J Nerv Ment Dis 1990; 178:120–126.
• Buysse DJ. Insomnia. JAMA 2013; 309:706-716.
• Hollender MH, Goldin ML. Funeral mania. J Nerv Ment Dis 1978; 166:890-892.
• Carta MG. Social change and increasing of bipolar disorders: an evolutionary model. Clin Pract Epidemiol Ment Health 2013; 9:103-109.
• Boland EM, Bender RE, Alloy LB, Conner BT, LaBelle DR, Abramson LY. Life events and social rhythms in bipolar spectrum disorders: An examination of social rhythm sensitivity. J Affect Disord 2012; 139: 264–272.
• Beck AT, Rush AJ, Shaw BF, Emery G. Cognitive Therapy of Depression. New York, Guilford Press, 1979.
• Jacobson NS, Dobson KS, Truax PA, Addis ME, Koerner K, Gollan JK et al. A component analysis of cognitive-behavioral treatment for depression. J Consult Clin Psychol 1996; 64:295–304.
• Oral E, Özcan H, Güleç M, Selvi Y, Aydın A. Psychotropic medications affecting biological rhythm. Journal of Mood Disorders 2011; 1:169-177.
• Swartz HA, Frank E, Shear MK, Thase ME, Fleming MAD, Scott AM. A pilot study of brief interpersonal psychotherapy for depression among women. Psychiatr Serv 2004; 55:448–450.
• Frank E, Swartz HA, Boland E. Interpersonal and social rhythm therapy: an intervention addressing rhythm dysregulation in bipolar disorder. Dialogues Clin Neurosci 2007; 9:325-332.
• Miklowitz DJ, Otto MW. Psychosocial interventions for bipolar disorder: a review of literature and introduction of the systematic treatment enhancement program. Psychopharmacol Bull 2007; 40:116-131.
• Hoberg AA, Vickers KS, Ericksen J, Bauer G, Kung S, Stone R et al. Feasibility evaluation of an interpersonal and social rhythm therapy group delivery model. Arch Psychiatr Nurs 2013; 27:271-277.
• Bouwkamp CG, de Kruiff ME, van Troost TM, Snippe D, Blom MJ, de Winter RF et al. Interpersonal and social rhythm group therapy for patients with bipolar disorder. Int J Group Psychother 2013; 63:97-115.
• Hlastala SA, Kotler JS, McClellan JM, McCauley EA. Interpersonal and social rhythm therapy for adolescents with bipolar disorder: treatment development and results from an open trial. Depress Anxiety 2010; 27:457-464.
• Goldstein TR, Fersch-Podrat R, Axelson DA, Gilbert A, Hlastala SA, Birmaher B et al. Early intervention for adolescents at high risk for the development of bipolar disorder: Pilot study of interpersonal and social rhythm therapy (IPSRT). Psychotherapy (Chic) 2014; 51:180-189.
• Frank E, Soreca I, Swartz HA, Fagiolini AM, Mallinger AG, Thase ME et al. The role of interpersonal and social rhythm therapy in improving occupational functioning in patients with bipolar I disorder. Am J Psychiatry 2008; 165:1559-1565. Swartz HA, Frank E, Cheng Y. A randomized pilot study of psychotherapy and quetiapine for the acute treatment of bipolar II depression. Bipolar Disord 2012; 14:211-216.
• Miklowitz DJ, Otto MW, Frank E, Reilly-Harrington NA, Wisniewski SR, Kogan JN et al. Psychosocial treatments for bipolar depression: a 1-year randomized trial from the Systematic Treatment Enhancement Program. Arch Gen Psychiatry 2007; 64:419-426.
• Lieberman DZ, Swayze S, Goodwin FK. An automated internet application to help patients with bipolar disorder track social rhythm stabilization. Psychiatr Serv 2011; 62:1267-1269.
• Yan WS, Li YH, Xiao L, Zhu N, Bechara A, Sui N. Working memory and affective decision-making in addiction: A neurocognitive comparison between heroin addicts, pathological gamblers and healthy controls. Drug Alcohol Depend 2014; 134:194-200. Gökben Hızlı Sayar, Yrd.Doç.Dr., Üsküdar Üniversitesi, İstanbul; Eylem Özten,Yrd.Doç.Dr., Üsküdar Üniversitesi, İstanbul; Barış Önen Ünsalver, Yrd.Doç.Dr., Üsküdar Üniversitesi, İstanbul. Yazışma Adresi/Correspondence: Gökben Hızlı Sayar, Üsküdar Üniversitesi, NPİstanbul Hastanesi, İstanbul, Turkey. E-mail: [e-mail] Yazarlar bu makale ile ilgili herhangi bir çıkar çatışması bildirmemiştir. The authors reported no conflict of interest related to this article. Çevrimiçi adresi / Available online at: www.cappsy.org/archives/vol6/no4/ Çevrimiçi yayım / Published online 15 Ocak/January 15, 2014; doi: 10.5455/cap.20140115123942