Bipolar Disorder Clinical Trial
Official title:
The Effects of Mindfulness on Disrupted Sleep in Bipolar Disorder
Verified date | June 2016 |
Source | Massachusetts General Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | United States: Institutional Review Board |
Study type | Interventional |
The investigators propose to investigate the efficacy of a brief (4-session) Body Scan (BS) meditation intervention for individuals with bipolar I disorder with insomnia (i.e. difficulties falling or staying asleep). The investigators will compare the Body Scan intervention with a 4-session brief supportive psychotherapy (SP) intervention. The investigators hypothesize that the Body Scan will improve objective sleep quantity and quality.
Status | Completed |
Enrollment | 48 |
Est. completion date | February 2016 |
Est. primary completion date | February 2016 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years to 65 Years |
Eligibility |
Inclusion Criteria: - Men and women age 18-65 - DSM-IV diagnosis of bipolar I or II disorder - HAM-D-17 score < 17 (i.e. low or no depressive symptoms) - YMRS score < 8 (i.e. no or low manic symptoms) - Optimized, stable maintenance pharmacotherapy at maximum tolerated dosages in accordance with the revised Texas Implementation of Medication Algorithm - DSM-IV insomnia A and B criteria are met (i.e. difficulty initiating or maintaining sleep, for at least 1 month) as operationally defined by: 1. Insomnia Severity Index score of > 15 (moderate clinical insomnia) 2. M1 derived average actigraphic total sleep time < 6 hours, and < 40% average total sleep time in high frequency coupling, as measured with the M1 device over 5 days pre-randomization, corresponding to < 1SD below the mean of the M1 normative comparison sample of healthy control participants. Exclusion Criteria: - DSM-IV bipolar I disorder subtype rapid cycling - DSM-IV manic or mixed episode in the past 2 months - DSM-IV major depressive episode in the past 2 months - Psychotropic medication not in accordance with the revised Texas Implementation of Medication Algorithm - Pregnancy - Medical illness or non-psychiatric medical treatment that is the likely cause of the sleep disturbance or interferes with study participation - Neurologic disorder, previous ECT, or history of head trauma (i.e. known structural brain lesion) - Current or past history of selected DSM-IV Axis I disorders other than bipolar disorder including: organic mental disorder, substance abuse within the past 12 months and/or history of substance abuse for > 1 year; past or current substance dependence (including alcohol), schizophrenia, delusional disorder, psychotic disorders not otherwise specified - Axis I disorder that needs to be the primary focus of treatment (e.g. current DSM-IV anxiety disorder that disrupts sleep) - Sleep apnea, restless leg syndrome, or narcolepsy - Concurrent psychotherapy to BS or SP. |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
United States | Massachusetts General Hospital | Boston | Massachusetts |
Lead Sponsor | Collaborator |
---|---|
Massachusetts General Hospital | The Depressive and Bipolar Disorder Alternative Treatment Foundation |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Total Sleep Time (TST) | 8 weeks | No | |
Secondary | Young Mania Rating Scale (YMRS) | Young Mania Rating Scale is an 11-item, clinician-rated measure that assesses the presence and severity of patient's current symptoms of mania. | 20 weeks | No |
Secondary | Hamilton Depression Rating Inventory (HAM-D 17). | The HAM-D 17 is an established clinician-rated outcome measure in treatment trials for depression. | 20 weeks | No |
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