Nursing Discussion 4

Nursing Discussion 4

Interpersonal and Social Rhythm Therapy (IPSRT) is a psychosocial approach created to deal with circadian dysregulation in persons with Bipolar disorder. IPSRT is founded on the tenets of interpersonal psychotherapy, social rhythm therapy, and psychoeducation (Crowe et al., 2020). It focuses on the four major elements of interpersonal psychotherapy (transition role, grief, role of conflict, and interpersonal deficits) along with approaches to enhance the circadian and social rhythms (Sadock et al., 2018). Furthermore, IPSRT was mainly established to help Bipolar patients handle stressful life events, alleviate the disruptions of circadian and social rhythms and improve their treatment adherence.

The effectiveness of IPSRT on the health outcomes of Bipolar patients has been examined in a few studies. IPSRT was found to be connected with better outcomes in terms of reducing  Bipolar manic symptoms compared to Bipolar patients on medication only (Crowe et al., 2020). Besides, IPSRT was connected with a prolonged euthymic period compared to patients on pharmacotherapy only. Studies have found IPSRT to effectively reduce the clinical symptoms of Bipolar patients and improve their affective morbidity index. Steardo et al. (2020) found that IPSRT improves manic, depressive, and anxiety symptoms in Bipolar patients better than the usual care with antimanic drugs alone. Besides, the improvement in the psychopathological burden sustains after six months. The positive impact of IPRST on each symptom domain can be attributed to several factors, including the strong connection between the improvement of circadian rhythms and symptomatic improvement in Bipolar patients (Steardo et al., 2020). IPSRT lowers patients’ anxiety levels by enabling patients to deal with their interpersonal deficits and improve their emotional dysregulation, rather than just managing affective symptoms.

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References

Crowe, M., Porter, R., Inder, M., Carlyle, D., Luty, S., Lacey, C., & Frampton, C. (2020). Clinical effectiveness trial of adjunctive interpersonal and social rhythm therapy for patients with bipolar disorder. American Journal of Psychotherapy, 73(3), 107-114. https://doi.org/10.1176/appi.psychotherapy.20190035

Sadock, B. J., Sadock, V. A., & Pedro, R. (2018). Kaplan and Sadock’s comprehensive textbook of psychiatry (2 volume set) (10th ed.). Lippincott Williams & Wilkins.

Steardo, L., Jr, Luciano, M., Sampogna, G., Zinno, F., Saviano, P., Staltari, F., Segura Garcia, C., De Fazio, P., & Fiorillo, A. (2020). Efficacy of the interpersonal and social rhythm therapy (IPSRT) in patients with bipolar disorder: results from a real-world, controlled trial. Annals of general psychiatry, 19, 15. https://doi.org/10.1186/s12991-020-00266-7

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Questions: What were the findings of initial studies examining the effectiveness of Interpersonal and Social Rhythm Therapy (IPSRT) in the treatment of Bipolar Disorder?