Cognitive Remediation on Patients With Bipolar Disorder and Memory Complaints

NCT ID: NCT02988518

Last Updated: 2016-12-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

41 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-07-31

Study Completion Date

2017-11-30

Brief Summary

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Bipolar disorder is a major health concern. Intercritical periods are marked with residual symptoms, both thymic and cognitive, which affects quality of life of patients, but also the quality of observance. The implementation of cognitive remediation programs could be interesting. The aim of this study is to evaluate the overall performance on euthymic bipolar patients with memory complaints included in the program named "COGMED", targeting the working memory.

The impact of this program on compliance, quality of life, and memory complaints will be evaluated.

The investigator will measure whether there is a correlation between working memory and overall performances.

Finally, the investigator will try to achieve a profile of bipolar patients in whom the Cogmed program is particularly effective on a plan of overall performance.

Detailed Description

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Patients with bipolar disorder and memory complaints will be recruited.

Two visits :

1. at baseline (V0) : the investigator evaluate bipolar disorder, treatment, mood, quality of life, global functioning, and memory complaints. Patients also have a neuropsychological assessment. The COGMED program is proposed to patients with memory complaints and explain by the investigator
2. 4-6 weeks after the end of the program (11-13 weeks after V1) : the same evaluation is realized to compare score before and after the program of cognitive remediation.

Between the two visits the patient will benefit of COGMED program, at home, during 5 weeks.

COGMED is a remediation cognitive program, based on working memory, consisting on daily exercises at home on a computer.

Conditions

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Patient With Bipolar Disorder Euthymic Status Wirh Memory Complaints

Keywords

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Psychiatry Bipolar disorder Memory complaints Global functioning Cognitive remediation Working memory

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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COGMED program

Cognitive remediation using COGMED program on bipolar euthymic patients with memory complaints

Group Type EXPERIMENTAL

COGMED program

Intervention Type BEHAVIORAL

Patient should connect on his computer at home, 5 times a week, for 5 weeks. Every day, the patient has to do 8 exercises for a total duration of 30 to 45 minutes.

In total, the patient will have to complete 25 sessions. The difficulty level of the proposed items adjust automatically to the patient's maximum capacity to compel him to provide a cognitive effort. A progression index assesses the progress made by the patient.

Every week, the investigator will call the patient for 10 minutes in order to gather the patient's feelings, his difficulties, provide some advice and encourage him.

The investigator will have to analyze the results of curves available for each event, as well as the patient's progress index.

Interventions

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COGMED program

Patient should connect on his computer at home, 5 times a week, for 5 weeks. Every day, the patient has to do 8 exercises for a total duration of 30 to 45 minutes.

In total, the patient will have to complete 25 sessions. The difficulty level of the proposed items adjust automatically to the patient's maximum capacity to compel him to provide a cognitive effort. A progression index assesses the progress made by the patient.

Every week, the investigator will call the patient for 10 minutes in order to gather the patient's feelings, his difficulties, provide some advice and encourage him.

The investigator will have to analyze the results of curves available for each event, as well as the patient's progress index.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Being diagnosed bipolar according to the Diagnostic and Statistical Manual of Mental Disorders - IV (DSM-IV) criteria
* Memory complaints or overall performance alterations according to the memory scale (MEM III Wechsler memory scale - third edition)
* Being euthymic at the inclusion according to Montgomery-Asberg Depression Rating Scale (MADRS \< 12) and Young Mania Rating Scale (YMRS \< 6)
* Not being treated with electroconvulsive therapy for the last year
* Not having drug-dependance or drug-abuse for the last six months
* Having a computer with internet and a cellphone at home
* Having signed informed consent
* Able to understand nature, aims and methodology of the study

Exclusion Criteria

* Patient on protective measures (guardianship or trusteeship)
* Deprived of liberty subject (judicial or administrative decision)
Minimum Eligible Age

18 Months

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Montpellier

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Montpellier University Hospital

Montpellier, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Emilie OLIE, MD PhD

Role: CONTACT

Phone: +33 4 67 33 85 81

Email: [email protected]

Facility Contacts

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Catherine GENTY, MD

Role: primary

Other Identifiers

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2014-A00825-42

Identifier Type: OTHER

Identifier Source: secondary_id

UF 9418

Identifier Type: -

Identifier Source: org_study_id