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A preliminary study of group therapy intervention for bipolar disorder based on the integrative cognitive model

Published online by Cambridge University Press:  19 October 2020

Zeynep Maçkalı Open the ORCID record for Zeynep Maçkalı [Opens in a new window] ,
Gülin Güneri ,
Arın Korkmaz  and
Sibel Çakır
Zeynep Maçkalı*
Affiliation:
Istanbul Bilgi University Psychology Department, Istanbul, Turkey
Gülin Güneri
Affiliation:
Istanbul Rumeli University Psychology Department, Istanbul, Turkey
Arın Korkmaz
Affiliation:
Cornell University, Ithaca, NY, USA
Sibel Çakır
Affiliation:
Bahçeşehir University Medical Faculty, Istanbul, Turkey
*
*Corresponding author. Email: [email protected]
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Abstract

The main aim of this research was to investigate the effect of the 8-week group therapy intervention based on the integrative cognitive model (ICM) of bipolar disorder. The sample was composed of 10 patients with bipolar I and bipolar II diagnoses. The group sessions were held once a week for 1.5 hours. For the quantitative measures, the group participants were assessed during pre-test, post-test and 3-month follow-up using the Turkish versions of the Beck Depression Inventory, the Hypomanic Attitudes and Positive Predictions Inventory, the Psychological Well-being Scale and the Satisfaction with Life Scale. Quantitative analyses revealed that a reliable change was seen only in pre-test and post-test depression scores. However, this change could not be maintained at 3-month follow-up. For the qualitative analyses, data collected during semi-structured interviews were used. The thematic analyses results showed that the 8-week ICM-based group therapy was found to help participants make sound observations about their behaviors, decrease their feelings of loneliness and increase self-acceptance, and acceptance of the role of mood swings in their lives. Moreover, the results showed that participants found the following activities very beneficial: describing their emotions, evaluating the intensity of their emotions, identifying their life goals, coping with interpersonal conflicts, evaluating resources and going over strengths. In conclusion, the 8-week ICM-based group therapy had a positive impact on participants’ self-awareness, self-acceptance and self-perception.

Key learning aims

  1. (1) To learn more about the integrative cognitive model and how it has been reconceptualized for group-based intervention.

  2. (2) To understand the structure and content of group CBT protocol for bipolar disorders based on the integrative cognitive model.

  3. (3) To consider possible advantages of group CBT for bipolar disorders during the recovery process.

Keywords

CBTgroup psychotherapypsychotherapy processqualitative methods
Type
Original Research
Information
the Cognitive Behaviour Therapist , Volume 13 , 2020 , e46
Copyright
© British Association for Behavioural and Cognitive Psychotherapies 2020

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References

Further reading

Mansell, W., Brawn, P., Griffiths, R., Silver, B., & Tai, S. J. (2015). Bipolar disorders and problematic mood swings. In The Complete CBT Guide For Depression And Low Mood (pp. 391–436). London, UK: Little Brown.Google Scholar
Mansell, W., Powell, S., Pedley, R., Thomas, N., & Jones, S. A. (2010). The process of recovery from bipolar I disorder: a qualitative analysis of personal accounts in relation to an integrative cognitive model. British Journal of Clinical Psychology, 49, 193–215.CrossRefGoogle Scholar
Mansell, W., Morrison, A. P., Reid, G., Lowens, I., & Tai, S. J. (2007). The interpretations of, and responses to, changes in internal states: an integrative cognitive model of mood swings and bipolar disorders. Behavioral and Cognitive Therapy, 35, 515–539.Google Scholar

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