{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T06:19:31Z","timestamp":1753683571975},"reference-count":35,"publisher":"Consortium Erudit","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["smq"],"abstract":"<jats:p>Le trouble bipolaire II (BP II) est une pathologie psychiatrique fr\u00e9quente, r\u00e9currente et d\u00e9bilitante. Pourtant, peu d\u2019\u00e9tudes ont \u00e9valu\u00e9 quelles \u00e9taient les meilleures approches pour le traitement de cette maladie. La psychoth\u00e9rapie interpersonnelle et des rythmes sociaux (PTIRS) [Interpersonal and Social Rythm Therapy] a d\u00e9montr\u00e9 une utilit\u00e9 dans le traitement du trouble bipolaire I, en association avec la m\u00e9dication. Contrairement au trouble BP I, le trouble BP II est caract\u00e9ris\u00e9 par des \u00e9pisodes att\u00e9nu\u00e9s, non psychotiques, de manie (hypomanie), de sorte qu\u2019il ne semble pas y avoir de contre-indications \u00e0 l\u2019emploi de la PTIRS en monoth\u00e9rapie. Cette approche combine une approche comportementale visant \u00e0 augmenter la r\u00e9gularit\u00e9 des routines quotidiennes, avec une psychoth\u00e9rapie interpersonnelle qui aide les patients \u00e0 mieux g\u00e9rer les multiples probl\u00e8mes psychosociaux associ\u00e9s \u00e0 cette pathologie chronique. Une description est faite des conceptions th\u00e9oriques sous-tendant l\u2019utilisation de la PTIRS dans le trouble bipolaire. Une br\u00e8ve description du trouble BP II est faite. Plusieurs modifications sont apparues n\u00e9cessaires, dans notre exp\u00e9rience, pour adapter la PTIRS au traitement du trouble BP II (en comparaison avec le trouble BP I), en raison des caract\u00e9ristiques cliniques particuli\u00e8res de cette population, notamment l\u2019instabilit\u00e9 du tableau clinique, la difficult\u00e9 \u00e0 rep\u00e9rer le type d\u2019\u00e9pisode en cours parce que les sympt\u00f4mes sont souvent mixtes (intrication entre sympt\u00f4mes d\u2019activation et de d\u00e9pression), et \u00e9galement en raison du chevauchement symptomatique ou de la comorbidit\u00e9 avec le trouble de personnalit\u00e9 borderline. Il existe \u00e9galement une comorbidit\u00e9 fr\u00e9quente avec le trouble d\u2019abus ou de d\u00e9pendance aux substances psychoactives. Des vignettes tir\u00e9es de notre exp\u00e9rience clinique tentent d\u2019illustrer diverses probl\u00e9matiques courantes rencontr\u00e9es dans la th\u00e9rapie de cette population, et qui sont reli\u00e9es aux caract\u00e9ristiques ci-haut mentionn\u00e9es du trouble BP II. La PTIRS appara\u00eet \u00eatre un ajout important et int\u00e9ressant aux approches de traitement du trouble BP II parce qu\u2019elle tient compte des divers aspects de cette pathologie\u00a0; cette approche nous est apparue efficace dans cette \u00e9tude pr\u00e9liminaire et nous sommes d\u2019avis que des \u00e9tudes syst\u00e9matiques ult\u00e9rieures sont requises et permettront d\u2019\u00e9valuer de fa\u00e7on plus formelle son efficacit\u00e9 dans le traitement du trouble bipolaire II.<\/jats:p>","DOI":"10.7202\/019673ar","type":"journal-article","created":{"date-parts":[[2012,7,17]],"date-time":"2012-07-17T18:03:35Z","timestamp":1342548215000},"page":"151-184","source":"Crossref","is-referenced-by-count":3,"title":["Psychoth\u00e9rapie interpersonnelle et des rythmes sociaux (PTIRS) dans le trouble bipolaire II\u00a0: structure du traitement et exemples cliniques"],"prefix":"10.7202","volume":"33","author":[{"given":"Holly A.","family":"Swartz","sequence":"first","affiliation":[{"name":"M.D., Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh, Pittsburgh, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ellen","family":"Frank","sequence":"additional","affiliation":[{"name":"Ph.D., Department of Psychiatry, University of Pittsburgh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debra","family":"Frankel","sequence":"additional","affiliation":[{"name":"L.C.S.W., Department of Psychiatry, University of Pittsburgh"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4194","published-online":{"date-parts":[[2009,1,15]]},"reference":[{"key":"rb1","doi-asserted-by":"publisher","unstructured":"Akiskal, H.\u00a0S., 2002, Classification, diagnosis and boundaries of bipolar disorder\u00a0: A review, in Maj, M., Akiskal, H.S., Lopez-Ibor, J.J., eds., Evidence and Experience in Psychiatry\u00a0: Bipolar Disorder, John Wiley and Sons Ltd, Chichester, England 1-52.","DOI":"10.1002\/047084650X.ch1"},{"key":"rb2","doi-asserted-by":"publisher","unstructured":"Akiskal, H.\u00a0S., Bourgeois, M.\u00a0L., Angst, J., 2000, Re-evaluating the prevalence of and diagnostic composition within the broad clinical spectrum of bipolar disorders, Journal of Affective Disorders, 59, 1, S5-S30.","DOI":"10.1016\/S0165-0327(00)00203-2"},{"key":"rb3","unstructured":"American Psychiatric Association, 1994, Diagnostic and Statistical Manual of Mental Disorders, 4th ed., American Psychiatric Association, Washington, DC."},{"key":"rb4","doi-asserted-by":"publisher","unstructured":"Angst, J., 1998, The emerging epidemiology of hypomania and bipolar II disorder, Journal of Affective Disorders, 50, 143-151.","DOI":"10.1016\/S0165-0327(98)00142-6"},{"key":"rb5","doi-asserted-by":"publisher","unstructured":"Angst, J., Gamma, A., Benazzi, F., 2003, Toward a re-definition of subthreshold bipolarity\u00a0: epidemiology and proposed criteria for Bipolar-II, minor bipolar disorders and hypomania, Journal of Affective Disorders, 73, 133-146.","DOI":"10.1016\/S0165-0327(02)00322-1"},{"key":"rb6","doi-asserted-by":"publisher","unstructured":"Angst, J., Gamma, A., Endrass, J., 2006, Is the association of alcohol use disorders with major depressive disorder a consequence of undiagnosed Bipolar-II disorder\u00a0?, European Archives of Psychiatry and Clinical Neuroscience, 256, 452-457.","DOI":"10.1007\/s00406-006-0673-3"},{"key":"rb7","doi-asserted-by":"publisher","unstructured":"Barbini, B., Colombo, C., Benedetti, F., 1998, The unipolar-bipolar dichotomy and the response to sleep deprivation, Psychiatry Research, 79, 43-50.","DOI":"10.1016\/S0165-1781(98)00020-1"},{"key":"rb8","doi-asserted-by":"publisher","unstructured":"Benazzi, F., 2001a, The clinical picture of bipolar II outpatient depression in private practice, Psychopathology, 34, 81-84.","DOI":"10.1159\/000049285"},{"key":"rb9","doi-asserted-by":"publisher","unstructured":"Benazzi, F., 2001b, Course and outcome of bipolar II disorder\u00a0: A retrospective study, Psychiatry and Clinical Neurosciences, 55, 67-70.","DOI":"10.1046\/j.1440-1819.2001.00786.x"},{"key":"rb10","doi-asserted-by":"publisher","unstructured":"Benazzi, F., 2001c, Factor analysis of the Montgomery Asberg Depression Rating Scale in 251 bipolar II and 306 unipolar depressed outpatients, Progress in Neuro-Psychopharmacology and Biological Psychiatry, 25, 1369-1376.","DOI":"10.1016\/S0278-5846(01)00190-7"},{"key":"rb11","doi-asserted-by":"crossref","unstructured":"Benazzi, F., 2001d, Is the minimum duration of hypomania in Bipolar II disorder 4 days\u00a0? 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