Bipolar Disorder Clinical Trial
Official title:
CBT for Mood-Driven, Problematic, Impulsive Behaviours in Bipolar Disorder: A Case Series Evaluation
The goal of this case series is to explore whether a talking therapy, specifically Cognitive Behavioural Therapy (CBT) is acceptable and feasible in the management of mood-driven impulsive behaviours in people with bipolar disorder (BD). The main questions it aims to answer are: - Whether CBT Is a feasible intervention for participants with BD who report mood-driven, problematic impulsive behaviours. - Whether CBT for mood-driven, problematic impulsive behaviours (CBT-PIB) is acceptable to service users with BD and therapists. - Whether clinical outcomes are consistent with the potential for this novel intervention to offer clinical benefit to participants with BD. The study also hopes to: - conduct a preliminary examination of the safety of CBT-PIB and the research procedures. - gather information on the potential mechanisms of action of CBT-PIB and, - gather information on the types of mood-driven impulsive behaviours individuals with BD may seek support for. Participants will: - be offered up to 12 individual sessions of CBT focusing on mood-driven impulsive behaviours. - be asked to complete a battery of self-report measures (5) when they enter the study and at the start and end of treatment. - be asked to track mood and impulsive behaviours by completing a brief set of measures (3) weekly during the two-week baseline phase, the intervention phase and the 2-week post-intervention phase. - be asked to complete a survey on the acceptability of the intervention and - be invited to an optional semi-structured interview on their research experience.
Status | Recruiting |
Enrollment | 10 |
Est. completion date | June 24, 2024 |
Est. primary completion date | June 10, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - meeting diagnostic criteria for Bipolar I or II Disorder (SCID-5- Structured clinical interview for depression ) - able to identify at least one impulsive, problematic behaviour to target during the intervention; - participants will require working knowledge of written and spoken English, sufficient to be able to make use of therapy and to be able complete research assessments without the need of a translator. Exclusion Criteria: - major depressive episode (identified through SCID-DSM-5); - current experience of mania; - current/past learning disability (IQ of less than 70 with impairment of social and adaptive functioning) - organic brain change or substance dependence (drugs and alcohol) that would compromise ability to use therapy; - current marked risk to self (i.e. self-harm or suicide) that we deem could not be appropriately managed in by the therapy site; - currently lacking capacity to give informed consent; - currently receiving other psychosocial therapy for impulsivity or bipolar disorder; - current engagement in another psychological intervention addressing bipolar disorder or impulsivity; - presence of another area of difficulty that the therapist and client believe should be the primary focus of intervention (for example, Post-Traumatic Stress Disorder, psychosis). |
Country | Name | City | State |
---|---|---|---|
United Kingdom | AccEPT Clinic | Exeter | Devon |
Lead Sponsor | Collaborator |
---|---|
University of Exeter | Devon Partnership NHS Trust, Somerset NHS Foundation Trust, Southern Health NHS Foundation Trust |
United Kingdom,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Overall acceptability and feasibility of the CBT protocol measured by the Client Satisfaction Questionnaire CBT-PIB | qualitative and quantitative feedback from participants | Post-intervention at week 16 | |
Primary | rates of clinically significant and reliable change in mood measured by the Patient health questionnaire (PHQ-9) | used to monitor the severity of depression and response to treatment | Through study completion, an average of 18 weeks | |
Primary | rates of clinically significant and reliable change in symptoms of mania measured by the Altman Self-Rating Mania Scale | scale that assesses the presence and severity of manic or hypomanic symptoms | Through study completion, an average of 18 weeks | |
Primary | Changes in management of impulsivity measured by the Visual Analogue Scale | Visual scale measuring the severity and impact of general and behavioural impulsivity | Through study completion, an average of 18 weeks | |
Primary | Number of participants with intervention-related adverse events assessed by the adverse events form | qualitative form eliciting adverse events | Through study completion, an average of 18 weeks | |
Secondary | rates of clinically significant and reliable change in general daily functioning as measured by the Work and Social Adjustment Scale | scale assesses changes in the impact of a person's mental health difficulties on their ability to function in terms of work, home management, social leisure, private leisure and personal or family relationships. | At baseline, 2 weeks and 14 weeks | |
Secondary | rates of clinically significant and reliable change in quality of life as measured by the Brief Quality of Life in Bipolar Disorder | self-report measure of changes in disorder-specific quality of life | At baseline, 2 weeks and 14 weeks | |
Secondary | rates of clinically significant and reliable change in symptoms of anxiety as measured by the General Anxiety Disorder Assessment (GAD7) | scale measuring changes in symptoms of anxiety | At baseline, in 2 weeks and in 14 weeks | |
Secondary | rates of clinically significant and reliable change in overall wellbeing as measured by the Warwick-Edinburgh Mental Well-being Scale | scale measuring changes in positive features of mental health | At baseline, in 2 weeks and in 14 weeks | |
Secondary | rates of clinically significant and reliable change in impulsivity measured by the Short Urgency, Premeditation (lack of), Perseverance (lack of), Sensation Seeking, Positive Urgency, Impulsive Behavior Scale | Scale measuring changes in 5 domains of impulsive behaviour | At baseline, in 2 weeks and in 14 weeks |
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