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Life Goals Collaborative Care for patients with bipolar disorder and cardiovascular disease risk.

Kilbourne AM, Goodrich DE, Lai Z, Clogston J, Waxmonsky J, Bauer MS. Life Goals Collaborative Care for patients with bipolar disorder and cardiovascular disease risk. Psychiatric services (Washington, D.C.). 2012 Dec 1; 63(12):1234-8.

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OBJECTIVE: This pilot study compared Life Goals Collaborative Care (LGCC) with enhanced treatment as usual in reducing cardiometabolic risk factors and improving outcomes for persons with bipolar disorder. METHODS: Participants were randomly assigned to LGCC (N = 34) or enhanced treatment as usual (N = 34). LGCC included four weekly self-management sessions and monthly telephone contacts for six months thereafter. Enhanced treatment as usual included wellness mailings. Outcomes were blood pressure, body mass index (BMI), quality of life, functioning, and symptoms. RESULTS: Compared with enhanced treatment as usual, LGCC was not associated with reductions in cardiometabolic risk factors in 12-month repeated-measures analyses. Among patients with a BMI of 30 or systolic blood pressure of 140, LGCC was associated with improvements in functioning (beta = -2.2 and beta = -3.8, respectively, p = .04) and reduced depressive symptoms (beta = -2.0 and -3.5, respectively, p = .04). CONCLUSIONS: Further research is needed to determine whether LGCC improves outcomes for patients with elevated cardiometabolic risk.

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