CBT for Problematic Impulsive Behaviours in Bipolar Disorder: A Case Series / CBT-PIB

Summary

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.

Conditions

• Impulsivity
• Bipolar Disorder
• Hypomania
• Bipolar I Disorder
• Bipolar II Disorder
• Bipolar Affective Disorder
• Impulsive Behavior

Interventions

BEHAVIORAL

Cognitive Behavioural Therapy for Problematic Impulsive Behaviours

Up to 12 sessions of Cognitive Behavioural Therapy adapted to focus on mood-driven impulsivity in adults with bipolar disorder.

Sponsors & Collaborators

• Southern Health NHS Foundation Trust

  collaborator OTHER

• Somerset NHS Foundation Trust

  collaborator OTHER

• Devon Partnership NHS Trust

  collaborator OTHER_GOV

• University of Exeter

  lead OTHER

Principal Investigators

• Jan Freeman, MSc · University of Exeter

Study Design

Allocation

NA

Purpose

TREATMENT

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2023-08-17

Primary Completion

2026-09-10

Completion

2027-01-24

Countries

• United Kingdom

Study Locations