Michael E. Thase, MD 迈克尔酶，医学博士 Bipolar affective disorder is commonly thought of as the most "biological" form of mood disorder and, perhaps for this reason, the role of psychotherapy historically has received relatively short shrift. [1] However, several factors came together in the 1990s that fueled a renewed interest in examining the role of psychotherapy in bipolar affective disorder, particularly if used in combination with pharmacotherapy. [1-3] Perhaps of greatest importance, there was a recognition that even medications with well-established preventive efficacy, such as lithium salts, often failed to protect patients from relapse and recurrence. [4,5] Other research established that psychosocial risk factors, including inadequate social support, adverse life events, and medication nonadherence, were often linked to the relapse risk. [6-8] It was proposed that psychosocial interventions that targeted these risk factors could have the potential to complement the effects of pharmacotherapy.双相情感障碍通常认为是最“生物”形式的心境障碍，或许由于这个原因，心理治疗作用的历史已收到不理会相对较短。 [ 1 ]然而，几个因素共同在20世纪90年代引发新的兴趣在审查中的作用心理双相情感障碍，尤其是如果结合使用药物治疗。 [ 1-3 ]也许最重要的，有一种认识，甚至药物与公认的预防效果，如锂盐，往往未能保护病人的复发和复发。 [ 4,5 ]其他研究确定，心理社会危险因素，包括不健全的社会支持，不良生活事件，药品nonadherence并，往往是联系在一起的复发风险。 [ 6-8 ]它有人提议，心理干预，有针对性，这些危险因素有潜力，以补充药物的影响。 Although development of even more effective and better-tolerated pharmacotherapies remained a high public health priority, the time is ripe to evaluate the utility of focused forms of psychotherapy in combination with the existing standard medications.虽然发展更有效和更不能容忍pharmacotherapies仍然是一个很高公共卫生的优先事项，现在时机已经成熟，评估的效用集中形式的心理治疗结合现有的标准药物。
It was not necessary to develop psychotherapies for bipolar disorder from scratch.这是没有必要制订心理治疗的躁郁症从零开始。 Drawing upon research conducted in patients with schizophrenia, therapies focusing on improving family support and psychoeducation were available. [9-11] Likewise, in the area of nonbipolar depression, there were well-developed, procedurally specified interventions that focused on cognitive, behavioral, and interpersonal aspects of depression. [12,13] Thus, in relatively short order, manuals for psychoeducational, [14] family-dyadic, [15] cognitive-behavioral, [16] and interpersonal [17] models of treatment for bipolar affective disorder were developed.借鉴进行研究精神分裂症患者，治疗重点是改善家庭支持和psychoeducation都已经具备。 [ 9-11 ]同样，在该地区的nonbipolar抑郁症，有相当发达，在程序上指定的干预，侧重于认知，行为，和人际关系方面的抑郁症。 [ 12,13 ]因此，在相对较短的秩序，手册，教育心理， [ 14 ]家庭配对， [ 15 ]认知行为， [ 16 ]和人际关系[ 17 ]模型的治疗双相情感制定了混乱。 A number of studies evaluating these therapies now have been completed and, in the following sections, the evidence pertaining to each of these models will be examined.一些研究评估这些疗法目前已经完成，并在下面的部分，有关的证据逐一向这些车型将予以审查。
