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:: Volume 28, Issue 2 (Scientific Journal of Kurdistan University of Medical Sciences 2023) ::
SJKU 2023, 28(2): 76-89 Back to browse issues page
Effectiveness of Home-Care Approach onTreatment Outcomes in Newly Discharged Bipolar-I-patients: A Randomized Control Trial Study
Fateh Sohrabi1 , Golnia Saed2 , Marzeyeh Moqadam 3, Narges Shams-alizadeh4 , Sara Modaresi5
1- Ph.D. Candidate of Clinical Psychology, Shahid Beheshti University of Medical Science, Tehran, Iran
2- M.Sc. of Clinical psychology, Kurdistan University of Medical Sciences, Sanandaj, Iran. ORCID
3- MD. Assistant professor, Neuroscience Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran. , dr.m.moghadam@gmail.com
4- MD. Associated Professor, Neuroscience Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran.
5- M.Sc. of Clinical psychology, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Abstract:   (979 Views)
Background and aim: Home-Visit is a recently growing approach for patients with chronic mental health problems. This study aimed to investigate the effectiveness of this approach in some therapeutic factors in the patients with BID.
Material and Methods: In this randomized control trial study, among bipolar I patients discharged from Ghods Psychiatric Hospital in Sanandaj, those who met our inclusion criteria, after informed consent, randomly assigned into intervention and control groups. The evaluators were unaware of the patients' groups. The intervention group received 1-year intervention of home-care services, whereas the control group doesn't receive any intervention, except for their pharmacological treatment. Hamilton-Depression-Rating Scale and Young-Mania-Rating-Scale were used to record possible changes during the steps of our study (before, 6-months and 12-months after intervention). Data were analyzed using SPSS.
Results: Our study included 26 patients (19 men, 7 women). 13 assigned to intervention group (Mean age= 36.15, SD=15.04), and 13 assigned to control group (Mean age=34.92, SD=5.15), which did not show any significant difference at the baseline (T=.279, p= .783). The results implied that the intervention group had significant decrease in all of the three variables, including frequency of hospitalization (p=0/001), mania (p=0/002), and depression (p=0/006), compared to the control group. These changes remained the same during the one year follow-up period.
Conclusion: Results showed that home-visit was effective in, decreasing the severity of the symptoms, frequency and length of hospital stay in BID patients. It seems possible that increased length of interventions can lead to better outcomes.
 
Keywords: Bipolar-I disorder, Home-care, Severity of symptom, Hospitalization.
Full-Text [PDF 926 kb]   (287 Downloads)    
Type of Study: Original Research | Subject: Psychiatric
Received: 2022/02/24 | Accepted: 2022/08/31 | Published: 2023/05/28
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Sohrabi F, Saed G, Moqadam M, Shams-alizadeh N, modaresi S. Effectiveness of Home-Care Approach onTreatment Outcomes in Newly Discharged Bipolar-I-patients: A Randomized Control Trial Study. SJKU 2023; 28 (2) :76-89
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Volume 28, Issue 2 (Scientific Journal of Kurdistan University of Medical Sciences 2023) Back to browse issues page
مجله علمی دانشگاه علوم پزشکی کردستان Scientific Journal of Kurdistan University of Medical Sciences
مجله علمی دانشگاه علوم پزشکی کردستان Scientific Journal of Kurdistan University of Medical Sciences
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