A pilot study of a combined group and individual functional remediation program for patients with bipolar I disorder

• A more tailor-made approach to functional remediation for bipolar I disorder.
• Results indicate a high degree of participant satisfaction and a low drop-out rate.
• Improved functioning in the areas of autonomy and occupational functioning.
• Changes in functioning occurred independent from changes in depressive symptoms.

BackgroundBipolar disorder has been associated with a decrease in cognitive functioning affecting the functional outcome of patients independent of mood states. However, there have only been few attempts to investigate the effects of functional remediation for patients with bipolar disorder. The current study investigates the feasibility and effectiveness of a combined group and individual functional remediation program for bipolar disorder, including both patients and their caregivers.MethodsTwelve participants diagnosed with bipolar I disorder, and their caregivers, were treated with a combined group and individual functional remediation program. The feasibility of the program was evaluated by dropout rates and participants' evaluations of the program. The effectiveness of the program was explored through the assessment of functional outcome at baseline, immediately post-treatment, and follow-up three months later.ResultsThe results indicate a high degree of satisfaction and a low dropout rate with the current program. Assessment of outcomes suggests improved functioning in the areas of autonomy and occupational functioning, evolving from baseline to follow-up.LimitationsDue to a small sample size and the lack of a control group the results are preliminary.ConclusionsThis relatively brief intervention offers a more tailor-made approach to functional remediation and shows good feasibility, acceptability and improvement of functioning in patients with bipolar I disorder.