Psychological Factors In The Treatment Of Bipolar Mood Disorders

Queensland University of Technology

Status: Completed

Conditions: Metacognitive Capacities

Treatments: Other: Metacognitive Reflection and Insight Therapy - Adapted

Study type: Interventional

Funder types: Other

Identifiers

NCT03266679

Ethics Approval No: 1700000591

Details and patient eligibility

About

The aim of this study is to trial an intervention targeting potential deficits in an individual's ability to form, and reflect upon, ideas about themselves and others (known as metacognitive capacities), specifically in relation to individuals diagnosed with a bipolar mood disorder (BMD).

The proposed research will adopt a mixed qualitative and quantitative design. Participants will be recruited through hospital outpatient groups (i.e., Metro South Addiction & Mental Health Services Woolloongabba Community Health Centre & Beenleigh Community Health Centre in Brisbane, Queensland), and, as necessary, local non government organisations (NGOs), psychiatrists, general practitioners, online support networks (SANE Australia, Black Dog Institute), community mental health services(such as MINDNET), and/or social media groups (Facebook, Twitter) supporting people who meet criteria for a BMD. The research will then use clinical interviews and quantitative (survey) methods to: (1) confirm diagnosis of participants; and (2) confirm deficits in metacognitive capacities of participants. Following this, the research will then involve the implementation of an adapted intervention across a course of 12 months, aimed at improving the metacognitive capacities of participants with a diagnosis of a BMD.

The research will provide an enriched understanding of a dimension of people with BMDs that has not been previously explored. The research will help with gaining an understanding of the metacognitive processes of people with BMDs, and inform more targeted psychological interventions.

Enrollment: 4 patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Diagnosed with a Bipolar Affective (mood) Disorder
• Medication has not been changed for at least the past one month
• No hospitalisations in the past month
• Able to provide informed consent

Exclusion criteria

• Diagnosed with an Intellectual Disability
• Diagnosed with Schizoaffective Disorder
• High risk of suicide; defined as current, daily suicidal ideation, or the presence of a current plan and intent to commit suicide

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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4 participants in 1 patient group

Patients receiving metacognition-based intervention

Other group

Description:

Case-Series Design - all participants receive the intervention - metacognition-based therapy (adapted version of Metacognitive Reflection and Insight Therapy developed by Lysaker \& Klion) - weekly for a period of 12 months. No control/comparison group.

Treatment:

Other: Metacognitive Reflection and Insight Therapy - Adapted