Effect of group problem-solving skills training on the severity of aggression in patients with bipolar I disorder
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Evidence-Based Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
Department of Midwifery, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
Student Research Committee, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
Maliheh Eshaghzadeh   

Department of Midwifery, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
Submission date: 2020-12-10
Final revision date: 2021-02-01
Acceptance date: 2021-02-01
Online publication date: 2021-07-05
Psychological interventions can help prevent patients’ problems by increasing insight.

This study was aimed to determine the effect of problem-solving skills training on the severity of aggression in patients with bipolar I disorder.

Material and methods:
In this randomized controlled trial, we enrolled 60 patients with bipolar I disorder admitted to Ibn Sina Psychiatric Hospital in Mashhad during 2018. The patients were assigned to the two groups of intervention (n = 30) and control (n = 30). In addition to pharmacological therapy, the intervention group attended six 45-minute problem-solving group training sessions, while the control group received medication alone. The data collection instrument was the Buss and Perry aggression questionnaire (BPAQ), which was filled out before and a month after the intervention.

Results and discussion:
In the pre-intervention phase, there was no significant difference in the mean score of aggression between the problem-solving skills training and control groups (119 ± 5.6 vs. 120.5 ± 8.5; P = 0.222); while, the total score of aggression after the intervention was significantly different between two groups (86.9 ± 5.5 vs. 120.2 ± 5.8; P <0.001).

Problem-solving skills training can reduce the severity of aggression in patients with bipolar disorder. It is recommended that these skills used in individual and family care for patients with bipolar I disorder.

We appreciate all the professors of Mashhad School of Nursing and Midwifery, the officials of Ibn Sina Hospital in Mashhad, and the patients who cooperated with us in this study.
None declared.
The authors declare that there are no conflicts of interests regarding the publication of this article.
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