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Psychoeducation versus cognitive-behavioral therapy in bipolar disorder
ISRCTN ISRCTN36852818
ClinicalTrials.gov identifier
Public title Psychoeducation versus cognitive-behavioral therapy in bipolar disorder
Scientific title
Acronym N/A
Serial number at source MCT-55404
Study hypothesis To compare the impact of cognitive-behavioral therapy to that of properly structured psycho education on the ‘illness burden’ and functional outcome of bipolar disorder, in combination with pharmacotherapy
Lay summary
Ethics approval Centre for Addiction and Mental Health Research Ethics Board, Toronto, ON, July 9, 2001
Study design Randomised controlled trial
Countries of recruitment Canada
Disease/condition/study domain Bipolar Disorder
Participants - inclusion criteria 1. Bipolar I and II
2. Currently either in remission or subsyndromally ill (Ham-D-29 <14; CARS-M <12)
3. Age ≥18, either sex
4. Significant symptoms and/or episodes on at least 2 occasions in the past 3 years
5. Grade 6 education able to understand English, and Folstein Minimental Score Exam >26 to ensure cognitive ability to participate
6. On mood-stabilizing medication.
Participants - exclusion criteria 1. Substance dependence meeting DSM-IV criteria within the last 3 months
2. Acutely high suicidal or homicidal
3. Serious other medical conditions that would render pharmacotherapy or psychotherapy very difficult i.e. cancer, severe diabetes etc.
4. Severe antisocial or borderline personality disorder
Anticipated start date 01/04/2002
Anticipated end date 31/03/2005
Status of trial Completed
Patient information material
Target number of participants 210
Interventions Control group: 6 sessions of group psycho-education (topics include illness recognition, treatment approaches, and monitoring and coping strategies; based on manual by Bauer & McBride, 2002: Life Goals Phase I)
Experimental group: 20 sessions of individual Cognitive Behavioural Therapy for Bipolar Disorder (topics include limited psychoeducation, activity scheduling/behavioural interventions, cognitive techniques, including thought monitoring and challenges to dysfunctional assumptions and other coping techniques; based on manual by Lam et al., 1999: Cognitive Therapy for Bipolar Disorder

Trial details received: 12 Sept 2005
Primary outcome measure(s) Mania and depression
Secondary outcome measure(s) 1. Health care utilization
2. Social and occupational functioning scales
3. Quality of life
Sources of funding Canadian Institutes of Health Research (CIHR) (Canada) - http://www.cihr-irsc.gc.ca (ref: MCT-55404)
Trial website
Publications
Contact name Dr  Sagar V.  Parikh
  Address Toronto Western Hospital
  City/town Toronto
  Zip/Postcode M5T 2S8
  Country Canada
  Tel +1 416-603-5734
  Fax +1 416-603-5039
  Email sagar_parikh@camh.net
Sponsor University of Toronto (Canada)
  Address 27 King's College Circle
  City/town Toronto
  Zip/Postcode M5S 1A1
  Country Canada
Date applied 26/09/2005
Last edited 18/04/2008
Date ISRCTN assigned 26/09/2005
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