Pilot study of a culturally adapted psychoeducation (CaPE) intervention for bipolar disorder in Pakistan.
BACKGROUND
Despite the use of maintenance medication, recurrence rates in bipolar affective disorder (BPAD) are high. To date, there are no clinical trials that have investigated the use of psychological interventions in bipolar disorder in Pakistan.


OBJECTIVE
The purpose of the study was to assess the feasibility and acceptability of a culturally adapted bipolar psychoeducation programme (CaPE) in Pakistan.


METHODS
Thirty-four euthymic bipolar I and II outpatients were randomized to either 12 weekly sessions of individual psychoeducation plus Treatment As Usual (Intervention) or Treatment As Usual (TAU) (Control). Outcomes were assessed using the Young Mania Rating Scale (YMRS), Beck Depression Inventory (BDI), EuroQoL (EQ-5D), Bipolar Knowledge and Attitudes and Questionnaire (BKAQ), and a self-reported measure of medication adherence (Morisky Medication Adherence Scale-4 items, MMAS-4). Effect sizes were derived from baseline adjusted standardized regression coefficients.


RESULTS
Retention in the study was good, 80% of patients in the TAU follow-up assessment and 100% of patients in the CaPE group attended all 12 sessions. Patient satisfaction was higher in the CaPE group relative to control (ES = 1.41). Further, there were large effect sizes shown for CaPE versus TAU for medication adherence (MMAS-4: ES = 0.81), knowledge and attitudes towards bipolar (BKAQ: ES = 0.68), mania (YMRS: ES = 1.18), depression (BDI: ES = 1.17) and quality of life measures (EQ-5D: ES ⇒ 0.88).


CONCLUSIONS
Culturally adapted psychoeducation intervention is acceptable and feasible, and can be effective in improving mood symptoms and knowledge and attitudes to BPAD when compared with TAU. Larger scale studies are needed to confirm our findings.


BACKGROUND
Clinicaltrials.gov identifier NCT02210390.
Camden and Islington NHS Foundation Trust, St Pancras Hospital, 4 St Pancras Way, London, NW1 0PE, UK. Ishrat-h@doctors.net.uk.
Muhammad Ishrat
MI
Husain
Pakistan Institute of Living and Learning, Karachi, Sindh, Pakistan.
Imran B
IB
Chaudhry
Department of Psychiatry, Dow University of Health Sciences, Karachi, Pakistan.
Raza R
RR
Rahman
Department of Psychiatry, Abbasi Shaheed Hospital, Karachi, Pakistan.
Munir M
MM
Hamirani
Pakistan Institute of Living and Learning, Karachi, Sindh, Pakistan.
Nasir
N
Mehmood
University of Manchester, Oxford Road, Manchester, UK.
Peter M
PM
Haddad
Centre for Affective Disorders, Institute of PsychiatryPsychology and Neuroscience, King's College London, London, UK.
John
J
Hodsoll
Centre for Affective Disorders, Institute of PsychiatryPsychology and Neuroscience, King's College London, London, UK.
Allan H
AH
Young
Department of Psychiatry, Queens' University, Kingston, ON, Canada.
Farooq
F
Naeem
University of Manchester, Oxford Road, Manchester, UK.
Nusrat
N
Husain
Bipolar disorder; Cultural psychiatry; Pakistan; Psychoeducation