{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:31:59Z","timestamp":1787841119997,"version":"build-2784847793"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Bipolar disorder is fundamentally linked to a range of interpersonal issues, which significantly contribute to symptom exacerbation, recurrence, and even the risk of suicide. The present study aimed to investigate the effectiveness of group-based Interpersonal and Social Rhythm Therapy (IPSRT) on mania, suicidal behaviors, and social adjustment in patients with bipolar disorder.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n This quasi-experimental study included a pre-test, post-test, and a 3-month follow-up period, with a control group conducted in 2023\u20132024. Participants received two individual therapy sessions, six group sessions, and 12 weeks of telephone-based therapy. The sample consisted of 20 patients with bipolar disorder and a history of suicide attempts who were randomly assigned to either the experimental (n = 10) or control group (n = 10). The instruments used included the Young Mania Rating Scale, the Suicidal Behaviors Questionnaire-Revised (SBQ-R), and the Social Adjustment Scale. Data were then analyzed using SPSS-25. In descriptive statistics, the section reported frequency, standard deviation, and mean. The inferential statistics section reported an analysis of variance with repeated measures.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The findings indicated that IPSRT led to significant improvements in suicidal ideation and social adjustment among the participants (\n P<\/jats:italic>\n < 0.01). The between-group effect sizes for suicidal thoughts and social adjustment were 0.61 and 0.29, respectively. Furthermore, while the therapy resulted in improvements in mania symptoms in the experimental group, the between-group effect size for mania was 0.14, which was not statistically significant (\n P<\/jats:italic>\n = 0.11).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n The results of this study support the positive effect of IPSRT in improving suicidal thoughts and social adjustment in patients with bipolar disorder and a history of suicide attempts.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jehp.jehp_1330_24","type":"journal-article","created":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T19:00:20Z","timestamp":1774983620000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Examining the effectiveness of group-based interpersonal and social rhythm therapy (IPSRT) as an adjunctive treatment for patients with bipolar disorder: A quasi-experimental study"],"prefix":"10.4103","volume":"15","author":[{"given":"Maryam","family":"Mazaheri","sequence":"first","affiliation":[{"name":"Department of Clinical Psychology, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammadreza","family":"Pirmoradi","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Banafsheh","family":"Gharraee","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hojjatollah","family":"Farahani","sequence":"additional","affiliation":[{"name":"Department of Psychology, Faculty of Humanities, Tarbiat Modares University, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazem","family":"Malakouti","sequence":"additional","affiliation":[{"name":"Geriatric Mental Health Research Center, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,3]]},"reference":[{"key":"R2-20260331","doi-asserted-by":"crossref","first-page":"1559","DOI":"10.1176\/appi.ajp.2008.07121953","article-title":"The role of interpersonal and social rhythm therapy in improving occupational functioning in patients with bipolar I 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