{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T21:24:39Z","timestamp":1789680279102,"version":"4.0.1"},"reference-count":34,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2021,5,10]],"date-time":"2021-05-10T00:00:00Z","timestamp":1620604800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Although pharmacotherapy is considered the first-line treatment for bipolar disorders (BD), adjunctive psychoeducation has proven its effectiveness in improving self-management of the disease and reducing relapse rates. Few studies have evaluated the effect of brief group psychoeducation on pragmatic variables, such as the number of hospitalizations. The aim of the present study was to assess the mid-term effect of a four-session group psychoeducation on course-related variables in BD. Thirty-two individuals with BD were included in the study. Sixteen were exposed to psychoeducation and were matched to sixteen nonexposed individuals who received their usual treatment. Both groups were compared on insight, treatment adherence, change in the number of hospitalizations and visits to the emergency services, occurrence rate after intervention, and time to the first psychiatric hospitalization and the first urgent attendance. There was a significant reduction in the mean number of hospitalizations and urgent attendances in the exposed group in comparison to the nonexposed group. The first urgent attendance was significantly sooner in the nonexposed cohort. There were no differences between groups in any of the other variables. This intervention has shown benefits for pragmatic variables of the disease course and may be a feasible and cost-effective intervention to routinely implement in the management of BD.<\/jats:p>","DOI":"10.3390\/ijerph18095019","type":"journal-article","created":{"date-parts":[[2021,5,10]],"date-time":"2021-05-10T05:30:08Z","timestamp":1620624608000},"page":"5019","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["A Real-World Study of the Association between a Brief Group Psychoeducation and the Course of Bipolar Disorder"],"prefix":"10.3390","volume":"18","author":[{"given":"Elisabet","family":"Casellas","sequence":"first","affiliation":[{"name":"Sant Pau Biomedical Research Institute (IIB-Sant Pau), Department of Psychiatry, Hospital de la Santa Creu i Sant Pau, 08041 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatriz","family":"Ravent\u00f3s","sequence":"additional","affiliation":[{"name":"Centre de Salut Mental D\u2019adults (CSMA) de Sarria-Sant Gervasi, Associaci\u00f3 Centre D\u2019higiene Mental Les Corts, Grup CHM Salut Mental, 08029 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"Pi\u00f1eiro-R\u00edos","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Hospital Universitari M\u00fatua de Terrassa, 08221 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena","family":"Navarro-Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Institut de Neuropsiquiatria I Addiccions (INAD), Parc de Salut Mar, 08003 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maite","family":"Castill\u00f3n-Espezel","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Consorci Sanitari de Matar\u00f3, 08304 Matar\u00f3, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2007-9516","authenticated-orcid":false,"given":"Maria J.","family":"Portella","sequence":"additional","affiliation":[{"name":"Sant Pau Biomedical Research Institute (IIB-Sant Pau), Department of Psychiatry, Hospital de la Santa Creu i Sant Pau, 08041 Barcelona, Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Salud Mental (CIBERSAM), 28029 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3917-0854","authenticated-orcid":false,"given":"Ana","family":"Mart\u00edn-Blanco","sequence":"additional","affiliation":[{"name":"Sant Pau Biomedical Research Institute (IIB-Sant Pau), Department of Psychiatry, Hospital de la Santa Creu i Sant Pau, 08041 Barcelona, Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Salud Mental (CIBERSAM), 28029 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,5,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1111\/j.1399-5618.2011.00969.x","article-title":"Health-related quality of life in bipolar disorder","volume":"14","author":"IsHak","year":"2012","journal-title":"Bipolar Disord."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1185\/030079903125002801","article-title":"A systematic review evaluating health-related quality of life, work impairment, and healthcare costs and utilization in bipolar disorder","volume":"20","author":"Dean","year":"2004","journal-title":"Curr. 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