The participants in our study were all in current mood
episode. Scott & Colom (2008) have identified published
randomized controlled trials indicate differences in the
mental state of participants at the time of entry. Their
meta-analysis identified that subjects receiving adjunctive
therapy who had been euthymic for more than a year had
a significantly lower risk of relapse than those receiving
usual psychiatric treatment. This was not the case for those
subjects who commenced therapy at an early point in their
recovery or commenced therapy during an acute episode.
Miklowitz (2008) has suggested that mood state at entry
may moderate the effectiveness of certain therapies. Rizvi
& Zaretsky (2007) have also identified that the impact of
psychotherapy appears to be dependent on the severity of
the episode