{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T19:19:31Z","timestamp":1761765571119},"reference-count":75,"publisher":"Consortium Erudit","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["smq"],"abstract":"Le trouble bipolaire est un trouble de l\u2019humeur relativement s\u00e9v\u00e8re, caract\u00e9ris\u00e9 par la r\u00e9currence d\u2019\u00e9pisodes thymiques maniaques et d\u00e9pressifs. Malgr\u00e9 les traitements stabilisateurs de l\u2019humeur une partie significative des patients exp\u00e9rimentent des rechutes thymiques, des sympt\u00f4mes intercritiques et une alt\u00e9ration du fonctionnement socioprofessionnel. De plus une partie des patients n\u2019adh\u00e8re pas aux traitements propos\u00e9s. Cet article propose une revue des traitements psycho\u00e9ducatifs et cognitivo comportementaux du trouble bipolaire (TCC). M\u00e9thode\u00a0: Les \u00e9tudes ont \u00e9t\u00e9 identifi\u00e9s via une recherche Medline recensant les \u00e9tudes publi\u00e9es entre 1971 et 2005. R\u00e9sultats\u00a0: Les traitements psycho\u00e9ducatifs tendent \u00e0 am\u00e9liorer les connaissances sur la maladie, l\u2019adh\u00e9rence au traitement, la capacit\u00e9 \u00e0 faire face aux prodromes des \u00e9pisodes maniaques et \u00e0 r\u00e9duire les risques de rechute maniaque. Les TCC tendent \u00e0 r\u00e9duire les sympt\u00f4mes d\u00e9pressifs, \u00e0 am\u00e9liorer l\u2019adh\u00e9sion aux traitements et \u00e0 r\u00e9duire les risques de rechute maniaque ou d\u00e9pressive. TCC et traitements psycho\u00e9ducatifs partagent le m\u00eame mod\u00e8le de la maladie. Il est donc difficile de d\u00e9partager clairement l\u2019impact de l\u2019une ou l\u2019autre des interventions. Enfin peu d\u2019\u00e9tudes ont cibl\u00e9 de mani\u00e8re sp\u00e9cifique les patients ayant une mauvaise adh\u00e9rence aux stabilisateurs de l\u2019humeur. Il serait important de d\u00e9velopper l\u00e0 des interventions plus sp\u00e9cifiques. Conclusion\u00a0: Les patients bipolaires semblent b\u00e9n\u00e9ficier des interventions psycho\u00e9ducatives et TCC en compl\u00e9ment de traitements pharmacologiques usuels. Des \u00e9tudes ult\u00e9rieures contr\u00f4lant notamment les aspects pharmacologiques, le degr\u00e9 d\u2019adh\u00e9sion au traitement et la s\u00e9v\u00e9rit\u00e9 du trouble pourraient rem\u00e9dier aux limitations des premi\u00e8res recherches.<\/jats:p>","DOI":"10.7202\/013689ar","type":"journal-article","created":{"date-parts":[[2012,7,18]],"date-time":"2012-07-18T01:05:32Z","timestamp":1342573532000},"page":"125-143","source":"Crossref","is-referenced-by-count":4,"title":["Psycho\u00e9ducation et traitements cognitifs et comportementaux du trouble bipolaire"],"prefix":"10.7202","volume":"31","author":[{"given":"Yasser","family":"Khazaal","sequence":"first","affiliation":[{"name":"M\u00e9decin, chef de clinique \u00e0 la Section des troubles anxieux et de l\u2019humeur au D\u00e9partement universitaire de psychiatrie adulte, Lausanne, Suisse"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Preisig","sequence":"additional","affiliation":[{"name":"M\u00e9decin adjoint agr\u00e9g\u00e9, \u00e0 la Section des troubles anxieux et de l\u2019humeur au D\u00e9partement universitaire de psychiatrie adulte, Lausanne, Suisse"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniele Fabio","family":"Zullino","sequence":"additional","affiliation":[{"name":"M\u00e9decin, chef de service de la Division d\u2019abus de sustances, H\u00f4pitaux universitaires de Gen\u00e8ve, Suisse"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4194","published-online":{"date-parts":[[2006,10,31]]},"reference":[{"doi-asserted-by":"publisher","unstructured":"Ball, J., Mitchell, P., Malhi, G., Skillecorn, A., Smith, M., 2003, Schema-focused cognitive therapy for bipolar disorder\u00a0: reducing vulnerability to relapse through attitudinal change, Australian and New Zealand Journal of Psychiatry, 37, 41-48.","key":"rb1","DOI":"10.1046\/j.1440-1614.2003.01098.x"},{"unstructured":"Bauer, M. 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