Clinical trial NCT05693389: Efficacy of Acceptance and Commitment Therapy on Impulsivity and Suicidality Among Clients With Bipolar Disorders
Official title: The Efficacy of Acceptance and Commitment Therapy on Impulsivity and Suicidality Among Clients With Bipolar Disorders: A Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Bipolar Disorder
Keywords: Acceptance and commitment therapy
Bipolar disorders
Impulsivity
Suicidality
Lead sponsor: Alexandria University
Sponsor class: OTHER
First posted: 2023-01-23
Enrollment: 50
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: 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.


Eligibility criteria: 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

Primary outcomes:
measure: Impulsivity
timeFrame: up to 16 weeks
measure: Suicide Ideation
timeFrame: up to 16 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Alexandria
country: Egypt
facility: Faculty of Nursing
Study officials:
References:
citation: Strasser ES, Haffner P, Fiebig J, Quinlivan E, Adli M, Stamm TJ. Behavioral measures and self-report of impulsivity in bipolar disorder: no association between Stroop test and Barratt Impulsiveness Scale. Int J Bipolar Disord. 2016 Dec;4(1):16. doi: 10.1186/s40345-016-0057-1. Epub 2016 Aug 17.
citation: Shahed, H., Ghadam, H., Taghva, A., Ebrahimi, M. R., Donyavi, V., & Ghasemzadeh, M. R. (2020). Effectiveness of Acceptance and Commitment Therapy in Reducing Symptoms of Anxiety , Depression , and Suicidal Ideation in Iranian Veterans Referred to a Military Psychiatric Hospital.
citation: Pankowski S, Adler M, Andersson G, Lindefors N, Svanborg C. Group acceptance and commitment therapy (ACT) for bipolar disorder and co-existing anxiety - an open pilot study. Cogn Behav Ther. 2017 Mar;46(2):114-128. doi: 10.1080/16506073.2016.1231218. Epub 2016 Sep 19.
citation: Bteich G, Berbiche D, Khazaal Y. Validation of the short Arabic UPPS-P Impulsive Behavior Scale. BMC Psychiatry. 2017 Jul 6;17(1):244. doi: 10.1186/s12888-017-1407-y.
citation: Beck AT, Steer RA, Ranieri WF. Scale for Suicide Ideation: psychometric properties of a self-report version. J Clin Psychol. 1988 Jul;44(4):499-505. doi: 10.1002/1097-4679(198807)44:43.0.co;2-6.