IDEAS home Printed from https://ideas.repec.org/a/sae/socpsy/v62y2016i4p334-344.html
   My bibliography  Save this article

Do people with bipolar disorders have access to psychosocial treatments? A survey in Italy

Author

Listed:
  • Angelo Barbato
  • Martine Vallarino
  • Filippo Rapisarda
  • Antonio Lora
  • Alberto Parabiaghi
  • Barbara D’Avanzo
  • Alain Lesage

Abstract

Background: Several guidelines consider psychosocial treatments an essential component of clinical management of bipolar disorders in addition to drug therapy. However, to what extent such interventions are available in everyday practice to the average patient attending mental health services is not known. Aims: This study aims to investigate access of people with bipolar disorders to psychosocial treatments in a community-based care system. Method: Information on care delivery and service utilization were retrieved from the psychiatric database of Lombardy, Italy, covering a population of 9,743,000, for all adults who had at least one contact in 2009 with psychiatric services. Rates of patients with a diagnosis of bipolar disorder who had access to individual psychotherapy, couple/family therapy, group psychotherapy and family interventions were calculated and compared to patients with schizophrenia and depression. Results: A total of 8,899 subjects with bipolar disorder had been in contact with psychiatric services, corresponding to a treated annual prevalence rate of 1.1‰. More than 80% of patients were treated in community settings. Rates of patients receiving structured psychosocial treatments ranged from 0.7% for couple/family therapy to 6.1% for individual psychotherapy. No differences with patients with schizophrenia and depression were found. Patients with schizophrenia received more interventions labeled as rehabilitation. Conclusion: Few people with bipolar disorders had access to psychosocial treatments. Even in a well-developed system of community care, offer of psychosocial interventions for bipolar disorders is inadequate. This issue should be a target for future research on dissemination and implementation strategies.

Suggested Citation

  • Angelo Barbato & Martine Vallarino & Filippo Rapisarda & Antonio Lora & Alberto Parabiaghi & Barbara D’Avanzo & Alain Lesage, 2016. "Do people with bipolar disorders have access to psychosocial treatments? A survey in Italy," International Journal of Social Psychiatry, , vol. 62(4), pages 334-344, June.
    • Handle: RePEc:sae:socpsy:v:62:y:2016:i:4:p:334-344
    DOI: 10.1177/0020764016631368
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0020764016631368
    Download Restriction: no
    File URL: https://libkey.io/10.1177/0020764016631368?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Sukanta Saha & David Chant & Joy Welham & John McGrath, 2005. "A Systematic Review of the Prevalence of Schizophrenia," PLOS Medicine, Public Library of Science, vol. 2(5), pages 1-1, May.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ling Wang & Xi-Wang Fan & Xu-Dong Zhao & Bing-Gen Zhu & Hong-Yun Qin, 2020. "Correlation Analysis of the Quality of Family Functioning and Subjective Quality of Life in Rehabilitation Patients Living with Schizophrenia in the Community," IJERPH, MDPI, vol. 17(7), pages 1-9, April.
    2. Huichen Gao & Shijuan Wang, 2022. "The Intellectual Structure of Research on Rural-to-Urban Migrants: A Bibliometric Analysis," IJERPH, MDPI, vol. 19(15), pages 1-19, August.
    3. Ó Gráda, Cormac & Lee, Chihua & Lumey, L. H., 2023. "How Much Schizophrenia Do Famines Cause?," MPRA Paper 119448, University Library of Munich, Germany.
    4. Nathan T. Pearson & James H. Berry, 2019. "Cannabis and Psychosis Through the Lens of DSM-5," IJERPH, MDPI, vol. 16(21), pages 1-14, October.
    5. Ary Gadelha & Vanessa Kiyomi Ota & Jose Paya Cano & Maria Isabel Melaragno & Marilia A C Smith & Jair de Jesus Mari & Rodrigo A Bressan & Sintia Iole Belangero & Gerome Breen, 2012. "Linkage Replication for Chromosomal Region 13q32 in Schizophrenia: Evidence from a Brazilian Pilot Study on Early Onset Schizophrenia Families," PLOS ONE, Public Library of Science, vol. 7(12), pages 1-6, December.
    6. Song, Shige & Wang, Wei & Hu, Peifeng, 2009. "Famine, death, and madness: Schizophrenia in early adulthood after prenatal exposure to the Chinese Great Leap Forward Famine," Social Science & Medicine, Elsevier, vol. 68(7), pages 1315-1321, April.
    7. Valeria Latorre & Antonio Messeni Petruzzelli & Antonio Emmanuele Uva & Carlo Ranaudo & Domenico Semisa, 2022. "Unveiling the actual cost of Schizophrenia: An Activity‐Based Costing (ABC) approach," International Journal of Health Planning and Management, Wiley Blackwell, vol. 37(3), pages 1366-1380, May.
    8. Marziyeh Khoshgoftar & Anahita Khodabakhshi-Koolaee & Mohammad Reza Sheikhi, 2022. "Analysis of the early mother-child relationship in schizophrenic patients," International Journal of Social Psychiatry, , vol. 68(3), pages 548-554, May.
    9. Vandad Sharifi & Ali Sajjadifar & Homayoun Amini, 2008. "Psychotic-Like Ideations Among a Group of Young Normal Subjects in Iran," International Journal of Social Psychiatry, , vol. 54(5), pages 390-394, September.
    10. Ming Li & Hui Zhang & Xiong-jian Luo & Lei Gao & Xue-bin Qi & Pierre-Antoine Gourraud & Bing Su, 2013. "Meta-Analysis Indicates That the European GWAS-Identified Risk SNP rs1344706 within ZNF804A Is Not Associated with Schizophrenia in Han Chinese Population," PLOS ONE, Public Library of Science, vol. 8(6), pages 1-8, June.
    11. Wessel A. C. Burger & Vi Pham & Ziva Vuckovic & Alexander S. Powers & Jesse I. Mobbs & Yianni Laloudakis & Alisa Glukhova & Denise Wootten & Andrew B. Tobin & Patrick M. Sexton & Steven M. Paul & Chri, 2023. "Xanomeline displays concomitant orthosteric and allosteric binding modes at the M4 mAChR," Nature Communications, Nature, vol. 14(1), pages 1-11, December.
    12. Emma Facer-Irwin & Nigel J Blackwood & Annie Bird & Hannah Dickson & Daniel McGlade & Filipa Alves-Costa & Deirdre MacManus, 2019. "PTSD in prison settings: A systematic review and meta-analysis of comorbid mental disorders and problematic behaviours," PLOS ONE, Public Library of Science, vol. 14(9), pages 1-28, September.
    13. Kayla A Chase & Benjamin Feiner & Marcia J Ramaker & Edward Hu & Cherise Rosen & Rajiv P Sharma, 2019. "Examining the effects of the histone methyltransferase inhibitor BIX-01294 on histone modifications and gene expression in both a clinical population and mouse models," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-17, June.
    14. Panayiotis D Ziakas & Rachana Thapa & Louis B Rice & Eleftherios Mylonakis, 2013. "Trends and Significance of VRE Colonization in the ICU: A Meta-Analysis of Published Studies," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-1, September.
    15. Nadja Razavi & Kay Jann & Thomas Koenig & Mara Kottlow & Martinus Hauf & Werner Strik & Thomas Dierks, 2013. "Shifted Coupling of EEG Driving Frequencies and fMRI Resting State Networks in Schizophrenia Spectrum Disorders," PLOS ONE, Public Library of Science, vol. 8(10), pages 1-11, October.
    16. Jiahui Ma & Lailai Yan & Tongjun Guo & Siyu Yang & Chen Guo & Yaqiong Liu & Qing Xie & Jingyu Wang, 2019. "Association of Typical Toxic Heavy Metals with Schizophrenia," IJERPH, MDPI, vol. 16(21), pages 1-12, October.
    17. Claire Lin & Xiaoyu Zhang & Huajie Jin, 2023. "The Societal Cost of Schizophrenia: An Updated Systematic Review of Cost-of-Illness Studies," PharmacoEconomics, Springer, vol. 41(2), pages 139-153, February.
    18. Grzegorz Witkowski & Piotr Januszko & Michał Skalski & Anna Mach & Zbigniew Maciej Wawrzyniak & Ewa Poleszak & Bogdan Ciszek & Maria Radziwoń-Zaleska, 2023. "Factors Contributing to Risk of Persistence of Positive and Negative Symptoms in Schizophrenia during Hospitalization," IJERPH, MDPI, vol. 20(5), pages 1-13, March.
    19. Gianluca Ursini & Pasquale Di Carlo & Sreya Mukherjee & Qiang Chen & Shizhong Han & Jiyoung Kim & Maya Deyssenroth & Carmen J. Marsit & Jia Chen & Ke Hao & Giovanna Punzi & Daniel R. Weinberger, 2023. "Prioritization of potential causative genes for schizophrenia in placenta," Nature Communications, Nature, vol. 14(1), pages 1-17, December.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:socpsy:v:62:y:2016:i:4:p:334-344. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.