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Review: Training patients to recognise and manage early warning signs delays recurrence of bipolar disorder

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How effective are interventions aimed at training adults with bipolar disorder to recognise the early warning signs of recurrence?

Morriss RK, Faizal MA, Jones AP, et al. Interventions for helping people recognise early signs of recurrence in bipolar disorder. Cochrane Database Syst Rev 2007;1:CD004854.


Embedded ImageDesign:

Systematic review with meta-analysis.

Embedded ImageData sources:

The Cochrane Collaboration Depression, Anxiety and Neurosis Controlled Trials Registers (search date October 2005), UK National Research Register, hand searches of the journal Bipolar Disorders and reference lists, and contact with study authors.

Embedded ImageStudy selection and analysis:

The review included randomised controlled trials (RCTs) comparing training to recognise and manage early warning signs (EWS) of bipolar disorder recurrence plus treatment as usual (TAU) versus TAU alone or TAU plus another psychological therapy (control) in adults with a primary diagnosis of bipolar disorder (diagnosed using standard criteria, such as ICD-10, DSM-IV, or …

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  • Source of funding: Mersey Care NHS Trust.


  • Competing interests: None.