Comparison of cognitive analytic therapy, cognitive therapy and medication on emotional instability, impulsivity and social instability in bipolar II disorder. (English)

Introduction: The purpose of this study was to compare cognitive analytic therapy [CAT] with medication, cognitive therapy [CT] with medication and medication alone on reduction of emotional instability, impulsivity and social instability in bipolar II disorder. Method: In this study, 48 enrollees were randomly assigned to 3 groups of bipolar mood disorder (BMD) II patients based on the three styles of therapy: 16 patients were assigned to cognitive analytic therapy with medication, 16 patients to cognitive therapy with medication and 16 patients medication alone. All of the patients completed "Psychological File Questionnaire" that assesses traps, dilemmas and snags before and after treatment. Results: The findings of this study show significant differences between three groups of therapy. Considering traps, dilemmas and snags, cognitive analytic therapy with medication is significantly more effective than the two other groups. The reduction in medication only group was not significant. Conclusion: The results of this study show the significant effects of cognitive analytic therapy with medication on reduction of traps, dilemmas, and snags in bipolar II patients as compared to other groups. Consequently, it is expected that emotional instability, impulsivity and social instability reduce significantly in this group. Such an effect was not found in medication only group. [ABSTRACT FROM AUTHOR]

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