Clinical psychology & psychotherapy · 2026
Goal Pursuit-Focused CBT for Bipolar Disorder: A Four-Case Series.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Gragnani Andrea, Uvelli Allison, Saettoni Marco
Аннотация
BACKGROUND: BD is a chronic, cyclical condition marked by severe mood instability and significant impairment. Although pharmacological and psychotherapeutic interventions have demonstrated efficacy, challenges remain in preventing relapse and sustaining long-term euthymia. This study evaluates a CBT-based intervention designed to reduce symptom severity and recurrence by targeting three core maintenance factors: intolerance of anergic states, addiction to mania, and meta-emotional problems.
METHOD: Four individuals diagnosed with BD participated in a one-year CBT intervention tailored to address these key vulnerabilities. Assessments were conducted at baseline, post-treatment, and at 18- and 24-month follow-ups, measuring depression, mania, quality of life, and personality functioning. Changes were evaluated with RCI and repeated measures ANOVA.
RESULTS: All four patients showed a marked reduction in depressive symptoms at the end of treatment and at the 24-month follow-up, with a large effect size (η2 = 0.83). Improvements were also observed in the quality of life and maladaptive personality traits over time. Notably, euthymia was maintained throughout the follow-up period, with no recurrence of manic episodes or new affective cycles.
CONCLUSION: Despite limitations, these preliminary findings suggest that this three-goal CBT intervention targeting core maintenance factors in bipolar disorder may promote sustained clinical improvements, increase long-term stability, and reduce reliance on medication.
METHOD: Four individuals diagnosed with BD participated in a one-year CBT intervention tailored to address these key vulnerabilities. Assessments were conducted at baseline, post-treatment, and at 18- and 24-month follow-ups, measuring depression, mania, quality of life, and personality functioning. Changes were evaluated with RCI and repeated measures ANOVA.
RESULTS: All four patients showed a marked reduction in depressive symptoms at the end of treatment and at the 24-month follow-up, with a large effect size (η2 = 0.83). Improvements were also observed in the quality of life and maladaptive personality traits over time. Notably, euthymia was maintained throughout the follow-up period, with no recurrence of manic episodes or new affective cycles.
CONCLUSION: Despite limitations, these preliminary findings suggest that this three-goal CBT intervention targeting core maintenance factors in bipolar disorder may promote sustained clinical improvements, increase long-term stability, and reduce reliance on medication.