Health Condition 1: F30- Manic episode Health Condition 2: F31- Bipolar disorder
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Diagnosis of Bipolar type I disorder (6A60) with current episode manic according to the International Classification of Diseases, Eleventh Revision (ICD-11) (WHO, 2019). 2. The age of onset of mania less than 18 years of age belonging to either sex. 3. The current age of the patient is between 10 to 20 years of age. 4. Written informed assent/consent on behalf of participant, parents, guardians or caregivers as applicable.
Exclusion criteria
Exclusion criteria: 1. Presence of comorbid other psychiatric or neurological disorders. 2. History of major medical illness. 3. History of epilepsy, sustained brain damage or any neurological procedures. 4. Subjects who have received ECT/rTMS in the past two months. 5. Developmental delay or mental retardation. 6. Any contraindication to undergo fMRI, TMS or HD-tDCS 7. Mixed episodes of depression and mania measured as a score of more than six on HAM-D
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement of symptoms of young onset mania, as measured by YMRS Score and severity of illness, as measured by CGI scores after receiving adjunctive precision-based HD-tDCS.Timepoint: Primary outcomes are assessed 2 and 6 weeks after intervention. | — |
Secondary
| Measure | Time frame |
|---|---|
| Improvement of functional connectivity, as measured by neuroimaging and enhancement of cortical inhibition as measured by cortical inhibition paradigms in young onset mania after receiving adjunctive precision-based HD-tDCS.Timepoint: Secondary outcomes are assessed 2 and 6 weeks after intervention. | — |
Countries
India
Contacts
CENTRAL INSTITUTE OF PSYCHIATRY, RANCHI