Cognitive-Behavioral therapy to change cognitive distortions among adolescents with Bipolar II Disorder

Mhd. Ricky Darusman; Diana Savitri  Hidayati

doi:10.22219/procedia.v12i2.29892

Authors

Mhd. Ricky Darusman Universitas Islam Negeri Ar-Raniry Banda Aceh
Diana Savitri Hidayati Universitas Muhammadiyah Malang

DOI:

https://doi.org/10.22219/procedia.v12i2.29892

Keywords:

Adolescents, bipolar II, mood, cognitive-behavioral therapy

Abstract

Bipolar II disorder is a mood disorder characterized by extreme changes between the hypomanic period and depressive period. Hypomanic is a period that takes at least four days where a person experiences a high mood, excited, energetic, and impulsive conditions. However, hypomania does not reach the level of severe manic as in bipolar I. Meanwhile, the depressive period is characterized by feelings of sadness, hopelessness, loss of interest in activities involvement, and other depressive symptoms. Individuals with bipolar II experience significant mood swings between hypomania and depression. The purpose of this study is to see the effectiveness of cognitive behavioral therapy by reducing the symptoms of bipolar II disorder among adolescents. The subject of the study is a 16-year-old female. The assessment method used clinical interviews, observations, and psychological test tools. The intervention used cognitive-behavioral therapy. The results of the study have showed that there is a decrease in cognitive distortion and awareness in recognizing the mood changes to anticipate more extreme mood swings.

Gangguan bipolar II merupakan gangguan mood yang ditandai dengan perubahan ekstrim antara periode hipomanik dan periode depresi. Hipomanik adalah suatu periode yang memakan waktu setidaknya empat hari di mana seseorang mengalami kondisi suasana hati yang tinggi, bersemangat, energik, dan impulsif. Namun hipomania tidak mencapai tingkat manik yang parah seperti pada bipolar I. Sedangkan masa depresi ditandai dengan perasaan sedih, putus asa, kehilangan minat untuk terlibat dalam aktivitas, dan gejala depresi lainnya. Individu dengan bipolar II mengalami perubahan suasana hati yang signifikan antara hipomania dan depresi. Tujuan penelitian ini adalah untuk melihat efektivitas terapi perilaku kognitif dengan mengurangi gejala gangguan bipolar II pada remaja. Subjek penelitian adalah seorang perempuan berusia 16 tahun. Metode penilaian menggunakan wawancara klinis, observasi, dan alat tes psikologi. Intervensinya menggunakan terapi kognitif-perilaku. Hasil penelitian menunjukkan adanya penurunan distorsi kognitif dan kesadaran dalam mengenali perubahan suasana hati untuk mengantisipasi perubahan suasana hati yang lebih ekstrim.

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References

Alloy L. B., Titone, M. K., Ng, T. H., & Bart, C. P. (2020). Stress in Bipolar Disorder. In K. L. Harkness & E. P. Hayden (Eds.), The Oxford Handbook of Stress and Mental Health. Oxford Library of Psychology.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorder (5th editio). https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425596

Clark, D. A. (2013). Cognitive restructuring. In S. G. Hofmann (Ed.), The Wiley Handbook of Cognitive Behavioral Therapy (pp. 21–36). Wiley-Blackwell. https://doi.org/https://doi.org/10.1108/rr-04-2014-0105

Clark, D. A. (2014). Cognitive restructuring. The Wiley Handbook of Cognitive Behavioral Therapy, 1, 1–22. https://doi.org/https://doi.org/10.1002/9781118528563.wbcbt02

Clark, D. A., & Beck, A. T. (2012). The anxiety and worry workbook the cognitive behavioral solution. The Guilford Press. https://www.guilford.com/books/The-Anxiety-and-Worry-Workbook/Clark-Beck/9781462546169

Cormier, W. H., & Cormier, L. S. (1985). Interviewing strategies for helpers: Fundamental skill cognitive behavioral interventions. Brooks/Cole Publishing Company.

Dobson, D., & Dobson, K. S. (2018). Evidence-Based practice of cognitive behavioral therapy (Second edition). The Guilford Press.

Duggal, H. S. (2019). Self-management of Depression: Beyond the medical model. The Permanente Journal: Departement of Psychiatry, 23, 18–26. https://doi.org/https://doi.org/10.7812/TPP/18-295

Eliason, M. (2023). The financial situation before and after first-time psychiatric in-patient diagnosis of schizophrenia spectrum, bipolar, and major depressive disorder. Economics & Human Biology, 49, 101231. https://doi.org/10.1016/j.ehb.2023.101231

Fovet, T., Geoffroy, P. A., Vaiva, G., Adins, C., Thomas, P., & Amad, A. (2015). Individuals with bipolar disorder and their relationship with the criminal justice system: A critical review. Psychiatric Services, 66(4), 348–353. https://doi.org/10.1176/appi.ps.201400104

Gergel, T., & Owen, G. S. (2015). Fluctuating capacity and advance decision-making in Bipolar Affective Disorder — Self-binding directives and self-determination. International Journal of Law and Psychiatry, 40, 92–101. lhttps://doi.org/10.1016/j.ijlp.2015.04.004

Grande, I., Berk, M., Birmaher, B., & Vieta, E. (2016). Bipolar disorder. The Lancet, 387(10027), 1561–1572. https://doi.org/10.1016/S0140-6736(15)00241-X

Indayani, F. (2016). Terapi kognitif untuk menurunkan tingkat depresi. Procedia: Studi Kasus Dan Intervensi Psikologi, 4(2). https://doi.org/https://doi.org/10.22219/procedia.v4i2.16236

Kaess, M., Koenig, J., Bauer, S., Moessner, M., Fischer-Waldschmidt, G., Mattern, M., Herpertz, P. L., Resch, F., Brown, R., In-Albon, T., Koelch, M., Plener, P. L., Schmahl, C., Edinger, A., & Star Consutrium. (2019). Self-injury: Treatment, Assessment, Recovery (STAR): online intervention for adolescent nonsuicidal self-injury - study protocol for a randomized controlled trial. Trials, 20(1), 425. https://doi.org/https://doi.org/10.1186/s13063-019-3501-6

Kimura, Y., Hamatani, S., Matsumoto, K., & Shimizu, E. (2020). Cognitive behavioral therapy for three patients with Bipolar II Disorder during Depressive Episodes. Case Reports in Psychiatry, 2020, 1–9. https://doi.org/10.1155/2020/3892024

Lam, R. W. (2018). textitDepression (Third Edition). Oxford University Press.

LeMoult, J., & Gotlib, I. H. (2019). Depression: A cognitive perspective. Clinical Psychology Review, 69, 51–66. https://doi.org/10.1016/j.cpr.2018.06.008

Lewinsohn, P. M., Klein, D. N., & Seeley, J. R. (1995). Bipolar disorders in a community sample of older adolescents: prevalence, phenomenology, comorbidity, and course. Journal of the American Academy of Child and Adolescent Psychiatry, 34(4), 454–463. https://pubmed.ncbi.nlm.nih.gov/7751259/

McIntyre, R. S., Berk, M., Brietzke, E., Goldstein, B. I., López-Jaramillo, C., Kessing, L. V., Malhi, G. S., Nierenberg, A. A., Rosenblat, J. D., Majeed, A., Vieta, E., Vinberg, M., Young, A. H., & Mansur, R. B. (2020). Bipolar disorders. The Lancet, 396(10265), 1841–1856. https://doi.org/10.1016/S0140-6736(20)31544-0

Merikangas, K. R., Akiskal, H. S., Angst, J., Greenberg, P. E., Hirschfeld, R. M. A., Petukhova, M., & Kessler, R. C. (2007). Lifetime and 12-month prevalence of bipolar spectrum disorder in the national comorbidity survey replication. Archives of General Psychiatry, 64(5), 543. https://doi.org/10.1001/archpsyc.64.5.543

Miller, T. H. (2016). Bipolar Disorder. Primary Care: Clinics in Office Practice, 43(2), 269–284. https://doi.org/10.1016/j.pop.2016.02.003

Miziou, S., Tsitsipa, E., Moysidou, S., Karavelas, V., Dimelis, D., Polyzoidou, V., & Fountoulakis, K. N. (2015). Psychosocial treatment and interventions for bipolar disorder: a systematic review. Annals of General Psychiatry, 14(1), 19. https://doi.org/10.1186/s12991-015-0057-z

Nevid, J. S., Rathus, S. A., Greene, B., Yuniarti, K., Dwiasri, I. M., & Maulana, A. (2018). Psikologi abnormal di dunia yang terus berubah (A. Maulana, Ed.; 9th ed.). Erlangga.

Nezu, A. M., McClure, K. S., & Nezu, C. M. (2015). The Assessment of Depression. In Treating Depression (pp. 24–51). Wiley. https://doi.org/10.1002/9781119114482.ch2

Novick, D. M., & Swartz, H. A. (2019). Evidence-Based psychotherapies for bipolar disorder. Focus, 17(3), 238–248. https://doi.org/10.1176/appi.focus.20190004

Oud, M., Mayo-Wilson, E., Braidwood, R., Schulte, P., Jones, S. H., Morriss, R., Kupka, R., Cuijpers, P., & Kendall, T. (2016). Psychological interventions for adults with bipolar disorder: systematic review and meta-analysis. British Journal of Psychiatry, 208(3), 213–222. https://doi.org/10.1192/bjp.bp.114.157123

Paramitayani, E. (2022). Cognitive Behavior Therapy untuk mengurangi perilaku melukai diri pada kasus depresi. Procedia: Studi Kasus Dan Intervensi Psikologi, 10(2), 38–42. https://doi.org/DOI:10.22219/procedia.v10i2.19223

Richardson, T., Jansen, M., & Fitch, C. (2018). Financial difficulties in bipolar disorder part 1: longitudinal relationships with mental health. Journal of Mental Health, 27(6), 595–601. https://doi.org/10.1080/09638237.2018.1521920

Rowland, T. A., & Marwaha, S. (2018). Epidemiology and risk factors for bipolar disorder. Therapeutic Advances in Psychopharmacology, 8(9), 251–269. https://doi.org/10.1177/2045125318769235

Rudd, M. D., Bryan, C. J., Wertenberger, E. G., Peterson, A. L., Young-McCaughan, S., Mintz, J., Williams, S. R., Arne, K. A., Breitbach, J., Delano, K., Wilkinson, E., & Bruce, T. O. (2015). Brief cognitive-behavioral therapy effects on post-treatment suicide attempts in a military sample: Results of a randomized clinical trial with 2-year follow-up. American Journal of Psychiatry, 172(5), 441–449. https://doi.org/10.1176/appi.ajp.2014.14070843

Scott, J., Paykel, E., Morriss, R., Bentall, R., Kinderman, P., Johnson, T., Abbott, R., & Hayhurst, H. (2006). Cognitive–behavioural therapy for severe and recurrent bipolar disorders. British Journal of Psychiatry, 188(4), 313–320. https://doi.org/10.1192/bjp.188.4.313

Shapero, B. G., Weiss, R. B., Burke, T. A., Boland, E. M., Abramson, L. Y., & Alloy, L. B. (2017). Kindling of life stress in bipolar disorder: Effects of early adversity. Behavior Therapy, 48(3), 322–334. https://doi.org/10.1016/j.beth.2016.12.003

Singgih, D. G. (2011). Konseling dan psikoterapi. Lobri.

Vieta, E., Berk, M., Schulze, T. G., Carvalho, A. F., Suppes, T., Calabrese, J. R., Gao, K., Miskowiak, K. W., & Grande, I. (2018). Bipolar disorders. Nature Reviews Disease Primers, 4(1), 18008. https://doi.org/10.1038/nrdp.2018.8

Vieta, E., Salagre, E., Grande, I., Carvalho, A. F., Fernandes, B. S., Berk, M., Birmaher, B., Tohen, M., & Suppes, T. (2018). Early intervention in bipolar disorder. American Journal of Psychiatry, 175(5), 411–426. https://doi.org/10.1176/appi.ajp.2017.17090972

Wong, N. C. H., Lookadoo, K. L., & Nisbett, G. S. (2017). “I’m Demi and I Have Bipolar Disorder”: Effect of parasocial contact on reducing stigma toward people with bipolar disorder. Communication Studies, 68(3), 314–333. https://doi.org/10.1080/10510974.2017.1331928

Yosioanto, H., Satiningsih, & Karimah, A. (2013). Studi kualitatif cognitive behaviour therapy pada bipolar disorder. Jurnal Penelitian Psikologi, 1(2).