Practice Guidelines for Bipolar Disorder by the JSMD (Japanese Society of Mood Disorders)

Tadafumi Kato; Kazuyoshi Ogasawara; Keisuke Motomura; Masaki Kato; Teruaki Tanaka; Yoshikazu Takaesu; Shintaro Nio; Taro Kishi; Mirai So; Kiyotaka Nemoto; Eiji Suzuki; Koichiro Watanabe; Koji Matsuo; JSMD Bipolar Disorder Guidelines Revision Working Group; JSMD Bipolar Disorder Committee; JSMD Guidelines Committee

doi:10.1111/pcn.13724

Practice Guidelines for Bipolar Disorder by the JSMD (Japanese Society of Mood Disorders)

Psychiatry Clin Neurosci. 2024 Nov;78(11):633-645. doi: 10.1111/pcn.13724. Epub 2024 Aug 28.

Authors

Collaborators

Koichiro Watanabe, Tadafumi Kato, Koji Matsuo, Hisashi Kamimura, Hiroshi Okai, Takaki Shimode, Kazuyoshi Ogasawara, Masato Kobayashi, Reo Kondo, Masaki Takahara, Keisuke Motomura, Tomifumi Miura, Teruaki Tanaka, Yasuya Nakato, Kuniyoshi Toyoshima, Shintaro Nio, Mitsuhiro Tada, Mirai So, Yoshie Sakai, Jun Sato, Nobuki Kitagawa, Atsuo Nakagawa, Kiyotaka Nemoto, Naomi Watanabe, Saya Kikuchi, Kenji Ito, Takaki Yasuda, Eiji Suzuki, Kazuo Yamada, Keisuke Usui, Ai Takahashi, Norio Watanabe, Masaki Kato, Junichi Iga, Aran Tajika, Hikaru Hori, Haruhiko Ogata, Yoshikazu Takaesu, Hiroyuki Toda, Masayasu Suzuki, Masahiro Takeshima, Yuichi Ezaki, Tomohiro Utsumi, Yumi Aoki, Masaya Ogasawara, Kazuo Yoshida, Shun Igarashi, Shuken Boku, Taku Maruki, Noriyuki Kaneko, Tetsufumi Kanazawa, Shinichi Imazu, Yuki Nishizawa, Marie Matsui, Yudai Fujiwara, Tato Kishi, Yuki Matsuda, Kenji Sakuma, Masakazu Hatano, Yasuhiko Hashimoto, Satoru Esumi, Itaru Miura, Nobumi Miyake, Kiyotaka Nemoto, Naomi Watanabe, Saya Kikuchi, Kenji Ito, Takaki Yasuda, Nobuko Kubota, Akihiro Hori, Kiyomi Takahashi, Jun Sato, Hatsue Numa, Yoshie Okada, Masahiro Kurosawa, Hiroaki Tanifuji, Tadafumi Kato, Takeshi Inoue, Nakao Iwata, Shuichi Ueno, Takashi Oka, Hiroaki Kawasaki, Hidetoshi Kuroki, Yoshie Sakai, Yuko Sugawara, Eiji Suzuki, Takeshi Terao, Hiroko Mizushima, Shigeru Morinobu, Kazuo Yamada, Koichiro Watanabe, Koji Matsuo, Kazuyoshi Ogasawara, Yoko Kimura, Mirai So, Teruaki Tanaka, Shintaro Nio, Keisuke Kimura, Go Akiyama, Tetsuro Ohmori, Norio Ozaki, Shigenobu Kanba, Kaoru Sakamoto, Osamu Shirakawa, Shigeto Yamawaki, Koichiro Watanabe, Go Akiyama, Makoto Uchiyama, Yutaka Ohno, Tetsuro Ohmori, Norio Ozaki, Tadafumi Kato, Shigenobu Kanba, Yoshihiro Kinoshita, Hidetoshi Kuroki, Takuya Saito, Nobuhiro Sugiyama, Takeshi Terao, Kazuyuki Nakagome, Toshihiko Nagata, Toshinori Nakamura, Soichiro Nomura, Ryota Hashimoto, Teruhiko Higuchi, Toshiaki Furukawa, Hiroko Mizushima, Masaru Mimura, Hitoshi Miyaoka, Nobutaka Motohashi, Kazuo Yamada, Shigeto Yamawaki

Affiliations

¹ Department of Psychiatry & Behavioral Science, Juntendo University Graduate School of Medicine, Tokyo, Japan.
² Center for Postgraduate Clinical Training and Career Development, Nagoya University Hospital, Nagoya, Japan.
³ Clinical Research Division, NHO Hizen Psychiatric Medical Center, Yoshinogari, Japan.
⁴ Department of Neuropsychiatry, Kansai Medical University, Hirakata, Japan.
⁵ Deparment of Psychiatry, KKR Sapporo Medical Center, Sapporo, Japan.
⁶ Department of Neuropsychiatry, Graduate school of Medicine, University of the Ryukyus, Nishihara, Japan.
⁷ Department of Psychiatry, Saiseikai Central Hospital, Tokyo, Japan.
⁸ Department of Psychiatry, Fujita Health University School of Medicine, Toyoake, Japan.
⁹ Department of Psychiatry, Tokyo Dental College, Tokyo, Japan.
¹⁰ Department of Psychiatry, Institute of Medicine, University of Tsukuba, Tsukuba, Japan.
¹¹ Division of Psychiatry, Tohoku Medical and Pharmaceutical University, Sendai, Japan.
¹² Department of Neuropsychiatry, Kyorin University Faculty of Medicine, Mitaka, Japan.
¹³ Department of Psychiatry, Faculty of Medicine, Saitama Medical University, Moroyama, Japan.

^# Contributed equally.

PMID: 39194164
DOI: 10.1111/pcn.13724

Abstract

The Japanese Society of Mood Disorders (JSMD) published treatment guidelines of bipolar disorder in 2011. The present guidelines incorporating new findings were developed to comply to the guidelines of the National Academy of Medicine (NAM) by utilizing systematic reviews and meta-analysis and taking patient and family opinions as well as insights from multiple professional fields into account. They support combination therapy using mood stabilizers and second-generation antipsychotics in many aspects. They also have limitations, including the grouping of mood stabilizers and second-generation antipsychotics when meta-analysis was performed despite their distinct properties, due to the scarcity of drug-specific evidence. Despite the limitations, these guidelines provide clinical decision support for psychiatrists in Japan.

Keywords: bipolar disorder; meta‐analysis; pharmacotherapy; psychosocial support; systematic review.

Publication types

Practice Guideline

MeSH terms

Antimanic Agents / therapeutic use
Antipsychotic Agents* / therapeutic use
Bipolar Disorder* / drug therapy
Bipolar Disorder* / therapy
Humans
Japan
Societies, Medical / standards

Substances

Antimanic Agents
Antipsychotic Agents