Bipolar Disorder
Conditions
Keywords
Manic-depressive psychosis, Depression, bipolar
Brief summary
This study will evaluate the effectiveness of interpersonal and social rhythm therapy (IPSRT) versus clinical status and symptom response therapy (CSSRT) in reinforcing the treatment of bipolar disorder in individuals who are currently undergoing medication treatment for the disorder.
Detailed description
Bipolar disorder is a serious medical illness that causes shifts in a person's mood, energy, and ability to function. These changes are drastic, and can result in damaged relationships, poor job or school performance, and suicide. Bipolar disorder is also known as manic-depressive disorder because it is characterized by episodes of mania and depression. Some signs and symptoms of a manic episode include the following: increased energy, activity, and restlessness; excessively high, overly good mood; and extreme irritability. Some signs and symptoms of a depressive episode include the following: sad, anxious, or empty mood; feelings of hopelessness or pessimism; and feelings of guilt, worthlessness, or helplessness. Bipolar disorder is most effectively treated using a strategy that combines medication and psychosocial treatment. This study will evaluate the effectiveness of IPSRT versus CSSRT in reinforcing the treatment of bipolar disorder in individuals who are currently undergoing maintenance medication treatment for the disorder. Participants in this open-label study will be randomly assigned to one of two treatment strategies: IPSRT or CSSRT. All participants will attend study visits once a week until they have been stable for 4 weeks (acute phase). At this point, they will attend study visits every other week for 12 weeks (continuation phase), and then once a month for 18 months or until another depressive or mixed episode occurs (maintenance phase). Participants who experience a recurrence will be treated with medication and the type of therapy they were assigned upon study entry (IPSRT or CSSRT). These participants will continue to be followed for a period of time equivalent to their remainder of time in the study had they not experienced a recurrence. Outcomes will be measured at Week 12 of the continuation phase and Week 18 of the maintenance phase.
Interventions
BEHAVIORALClinical Status and Symptom Response Therapy (CSSRT)
Sponsors
University of Pittsburgh
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Diagnosis of bipolar disorder * Currently in the third episode of mania or major depression * History of one other episode of major depression within 5 years prior to study entry
Exclusion criteria
* Currently in the first episode of mania or schizo-affective disorder (manic type) * Rapid cycling drug or alcohol abuse * Unstable medical illness * Pregnant * Index episode caused by medically prescribed drugs
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to stabilization in the acute phase and time to recurrence in the maintenance phase | — |
Secondary
| Measure | Time frame |
|---|---|
| Measured at Week 12 of the continuation phase and Week 18 of the maintenance phase: Somatic Symptoms Checklist | — |
Countries
United States
Outcome results
None listed