Effectiveness of interpersonal social rhythm therapy applied to individuals with bipolar disorder: A systematic review

Effectiveness of interpersonal social rhythm therapy applied to individuals with bipolar disorder: A systematic review B ipolar disorder is a two-pronged disorder that is character- ized by mood swings that include extreme joy on the one side and deep depression on the other side.Bipolar disorder, which is a chronic, relapsing, and remitting disease, carries a high risk for suicidal behavior. [1,2]In the treatment of bipolar disorder, pharmacological agents such as mood stabilizers, second-generation antipsychotics, and antidepressants are used, as well as cognitive behavioral therapy, psychoeducation, family-focused therapy, and Interpersonal and Social Rhythm Therapy (IPSRT) interventions. [3,4]ifferent circadian rhythms (changes in mood, munchies, sleep, and energy level) are observed during the mania, de-pression, and recovery periods of bipolar disorder.For this reason, circadian rhythm abnormalities are gaining importance among the possible biomarkers of bipolar disorder. [5][6][7] There is a relationship between circadian rhythm and mood based on the "social zeitgeber theory." [5,8] Zeitgeber means sunrise and sunset. [9]In this context, while situations such as interpersonal relationships, life events, and social needs affect the "social zeitgeber" such as falling asleep and waking up time, it can also disrupt biological rhythms. [10,11]While circadian rhythm change causes cognitive and somatic complaints in healthy individuals, it may pre-dispose to bipolar disorder or it may trigger a new attack in diagnosed individuals. [7,9,10]jectives: This study was conducted to review the randomized controlled studies screened to evaluate the effectiveness of Interpersonal Relationship Social Rhythm Therapy in individuals with bipolar disorder and to systematically examine the data obtained from the studies.Methods: A total of 4136 studies published in 2005-2020 on the subject, which were searched in PubMed, Science Direct, EBSCHO Host, Google Academic, and Psychiatry Index databases with the combination of "interpersonal social rhythm therapy (IPSRT) and bipolar disorder, " "IPSRT and mood disorder, " "IPSRT and affective disorder, " "IPSRT and bipolar disorder, " "IPSRT and mood disorder, " "IPSRT and affective disorder" keywords between July-December 2022, were examined.A total of seven publications that met the inclusion criteria were included in the study and evaluated in terms of results.In the research, systematic review method was used.Results: When the studies included in the research were examined, it was seen that IPSRT applied to individuals with bipolar disorder was effective in preventing relapses and increasing functionality.Research findings also emphasize that programmed interventions other than IPSRT are effective in increasing the functionality of individuals with bipolar disorder and reducing relapses. Conclusion:As a result of this study, it is thought that the practice of social rhythm-based interventions by psychiatric nurses in individuals with bipolar disorder will increase the effectiveness of pharmacotherapy and the quality of nursing care, and it is considered that it will be important to conduct more research on this subject.