Efficacy of Acceptance and Commitment Therapy on Impulsivity and Suicidality Among Clients With Bipolar Disorders

Study Overview
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Brief Summary
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Psychiatric nurses face a huge challenge in predicting and preventing suicide behaviour in their patients with bipolar disorders, but it may also be one of the most accurate measures of how well their clinical care is working. In addition to, high impulsivity scores are associated with increased overall functional impairment, a higher number of episodes with early onset, and a higher number of past suicide attempts, as well as increased substance intake. Thus, this study aimed at evaluating the efficacy acceptance and commitment therapy on impulsivity and suicidality among bipolar clients. research hypnosis Clients who engaged in acceptance and commitment therapy had less impulsivity than the control group. Clients who engaged in acceptance and commitment therapy had less suicidality than the control group.

Official Title
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The Efficacy of Acceptance and Commitment Therapy on Impulsivity and Suicidality Among Clients With Bipolar Disorders: A Randomized Controlled Trial

Conditions
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Bipolar Disorder

Intervention / Treatment
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* Behavioral: acceptance and commitment therapy
* Other: routine hospital care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Clients had to be at least 18 years old able to converse intelligibly and meaningfully read and write have an illness that hadn't lasted more than 10 years to assure the client's functionality ready to take part in the study. Exclusion Criteria: Clients who demonstrated psychotic symptoms attended another group sessions were intoxicated or under the influence of alcohol had any comorbidity were excluded from this study

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: patients with bipolar disorder who will partaicpmg in acceptance and commitment therapy<br>patients with bipolar disorder who will participate in acceptance and commitment therapy | Behavioral: acceptance and commitment therapy<br>* ACT attempts to encourage psychological flexibility, acceptance of one's own experiences, and dedication to behaviours that are consistent with one's own values. ACT therapies focus on six key processes to improve psychological flexibility: engagement with the present moment, acceptance, defusion, self as context, values clarification, and committed action.<br>|
| Placebo Comparator: patients with bipolar disorder who will be under routine hospital care<br>patients with bipolar disorder who will be under routine hospital care | Other: routine hospital care<br>* the patients with bipolar disorders who receive routine pharmacological treatment<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Impulsivity | This questionnaire has 20 items that assess five aspects of impulsivity: positive eagerness, negative urgency, lack of perseverance, lack of premeditation, and sensation seeking. Each of the five aspects is evaluated using four items on a four-point Likert scales with anchors 1 (=Strongly agree) and 4 (=Strongly disagree). An elevated prevalence of impulsivity is reflected in higher scores.To create the Arabic S-UPPS-P, investigators had a professional translator translate the original S-UPPS-P's items from English into Arabic, and then back-translated into Arabic. | up to 16 weeks | 
| Suicide Ideation | BSSI is a 19-item scale that assesses the presence and intensity of suicidal thoughts in the week before examination. Each item is rated on an ordinal scale of 0 to 2, and the total score ranges from 0 to 38. Individuals respond to the first five things that are excerpted. If an individual replies positively to the fifth item (scores 1 and 2), he or she answers the remaining items; otherwise, the questionnaire is finished. There was no cut-off point utilised to classify the scores. As a result, for data analysis, investigators used overall scale scores.The more score increased, the more the client vulnerable to suicide. | up to 16 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Acceptance and commitment therapy, Bipolar disorders, Impulsivity, Suicidality