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Cognitive therapy reduced relapses and number of days in bipolar episodes in DSM-IV bipolar I disorder
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 Q In patients with DSM-IV bipolar I disorder, is medication plus cognitive therapy (CT) more effective than medication alone for reducing relapses and number of days in bipolar episodes?

METHODS

Embedded ImageDesign:

randomised controlled trial.

Embedded ImageAllocation:

concealed.*

Embedded ImageBlinding:

blinded (outcome assessors).*

Embedded ImageFollow up period:

30 months.

Embedded ImageSetting:

Institute of Psychiatry, King’s College, London, UK.

Embedded ImagePatients:

103 patients (mean age 44 y, 56% women) who met DSM-IV criteria for bipolar I disorder. Patients were also required to have had ⩾2 episodes in the last 2 years or 3 episodes in the last 5 years. Actively suicidal or patients with a current substance use disorder were …

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