EVALUATION OF COMPARATIVE STUDY TO ASSESS THE EFFICACY OF INTERPERSONAL AND SOCIAL RHYTHM THERAPY IN BIPOLAR AFFECTIVE DISORDER PATIENTS
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Keywords
Rhythm, Therapy, Bipolar disorder, IPSRT, Efficacy
Abstract
Introduction: Bipolar disorder is one of the most burdensome mental disorders, associated with high levels of morbidity and disability in the person who frequently exhibits recurrences caused by factors such as drug noncompliance, stressful life events, and disruptions in social rhythm. Along with medicine, successful treatment of bipolar affective disorder (BPAD) should focus on social rhythm stabilisation, interpersonal relationship stabilisation, and understanding and addressing the patient's stresses. IPSRT affects a person's social rhythm and interrelationship and can be used as a supportive tool in BPAD patients.
Aim and Objective: To study the efficacy of interpersonal and social rhythm therapy in bipolar affective disorder patients.
Material and Methods: This was a comparative prospective study carried out in the Department of Psychiatry at a tertiary care centre for a period of 12 months i.e, July 2023 to July 2024 on 44 BPAD patients which were divided into two groups, experimental (IPSRT + pharmacotherapy) and control group (Pharmacotherapy alone). In the IPSRT sessions, the study was focused on the patient’s disruptions in social routines, interpersonal problems, and social role transitions which had been associated with affective episodes. The efficacy of IPSRT was measured by comparison of mean scores at baseline & then at 3-month using the Hamilton Depression Rating Scale (HAM-D), Young Mania Rating Scale (YMRS), and Global Assessment of functioning (GAF).
Results: In the present study it was observed that there was a considerable improvement in the HAMD-17, YMRS, and GAF scores in both the experimental and the control group, however on comparison at baseline and then at 3 months p-value of HAMD-17(0.0020), YMRS (<0.0001) and GAF(0.0002) in experimental group was more significant as compared to that of HAMD-17 (0.0052), YMRS (0.0013) and GAF (0.005) of the control group. In those patients who received IPSRT, their social and circadian rhythm were regularized as well as their interpersonal relationships improved.
Conclusion: IPSRT may be used as an add-on therapy in conjunction with medicine to help patients reduce psychopathology. It also addresses interpersonal and social relationship impairments in Bipolar patients.
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Nasir Mahmood
Professor and Head, Department of Psychiatry, Rama Medical College Hospital and Research Centre, Uttar Pradesh, India
Mohd Afzal
Assistant Professor, Department of Psychiatry, Madhav Prasad Tripathi Medical College, Siddharthnagar, India
Amit Kumar
Assistant Professor, Department of Psychiatry, Dr. Sonelal Patel Autonomous State Medical College, Pratapgarh, India
Vivek Kumar
Assistant Professor, Department of Psychiatry, Dr. Bhimrao Ramji Ambedkar Government Medical College, Kannauj, Uttar Pradesh, India
Ramis Khan
Assistant Professor, Department of Pathology, KMC Medical College and Hospital, Maharajganj, India.