Participants in both groups showed baseline to endpoint reductions in mood symptoms and improvements in functionality, quality of life and medication adherence.
The MoodSwings-Plus group showed a greater number of within-group changes on symptoms and functioning in depression and mania, quality of life, and social support, across both poles of the illness.
MoodSwings-Plus was superior to MoodSwings in improvement on symptoms of mania and scores at 12 months (p=0.02) but not on the incidence of recurrence.
The investigators note the limitations of this study: there was no attention control group and therefore it could not demonstrate efficacy of the two active arms. There was notable (81%) attrition by 12 months from baseline.
The study suggests that both CBT and psychoeducation delivered online may have utility in the management of bipolar disorder. They are feasible, readily accepted, and associated with improvement.