Illness Representations in Patients With Bipolar Disorders

NCT ID: NCT03595670

Last Updated: 2018-07-23

Basic Information

• Recruitment Status: UNKNOWN
• Total Enrollment: 200 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2018-04-11
• Study Completion Date: 2020-10-31

Brief Summary

Bipolar disorder is a serious and chronic illness representing a major health problem with high mortality rates. According to the self-regulation model , patients had some representations of their illness which are cognitive and emotional. Cognitive representations include the set of beliefs built around the illness, its consequences and treatment. Emotional representations are negative emotions generated by the presence of the illness. According to Leventhal et al. (1997), representations are linked to information extracts by patients from society, relatives, experiences. This model has been particularly studied in the context of somatic disorders, but Baines & Wittkowski (2013) shown that it may also be relevant in patients with mental disorders. In bipolar disorders, first results show that illness representations are related to relapses and to medication adherence. That's why, we think that this relevant to improve knowledges of the psychological processes that accompany the experience of bipolar disorders. To assess illness representation, we will use both qualitative and quantitative tools. These results could have direct application to clinical practice in psychosocial interventions.

Detailed Description

Bipolar disorder is a serious and chronic illness representing a major health problem with high mortality rates (Colom and Lam, 2005). According to the self-regulation model (Leventhal, Nerenz & Steel, 1986), patients had some representations of their illness which are cognitive and emotional. Cognitive representations include the set of beliefs built around the illness, its consequences and treatment. Emotional representations are negative emotions generated by the presence of the illness. According to Leventhal et al. (1997), representations are linked to information extracts by patients from society, relatives, experiences. This model has been particularly studied in the context of somatic disorders, but Baines & Wittkowski (2013) shown that it may also be relevant in patients with mental disorders. In bipolar disorders, first results show that illness representations are related to relapses (Lobban et al., 2013) and to medication adherence (Averous, Charbonnier, Lagouanelle-Simeoni, Prosperi & Dany, 2018). That's why, we think that this relevant to improve knowledges of the psychological processes that accompany the experience of bipolar disorders. To assess illness representation, we will use both qualitative and quantitative tools. These results could have direct application to clinical practice in psychosocial interventions.

Conditions

Bipolar Disorder

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Study Groups

experimental group

• Patients diagnosed bipolar in mania, depression or euthymic phases according DSM-IV critiera by psychiatrist

standardized questionnaires and interview will be performed

standardized questionnaires

Intervention Type: OTHER

standardized questionnaires concerning the perception

interview

Intervention Type: OTHER

Semi-directive interviews will be conducted. The purpose of this approach is to question the meaning of the disease (beliefs, representations), the psycho-social management of the disease, its inscription in the socio-cultural condition of the patients.

Interventions

standardized questionnaires

standardized questionnaires concerning the perception

Intervention Type: OTHER

interview

Semi-directive interviews will be conducted. The purpose of this approach is to question the meaning of the disease (beliefs, representations), the psycho-social management of the disease, its inscription in the socio-cultural condition of the patients.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Men or women whose is between 18 and 85 years
• Patients diagnosed bipolar in mania, depression or euthymic phases according DSM-IV critiera by psychiatrist
• Taking in charge in the framework of service Psychiatrie Secteur 5 - Hôpitaux Sud - Hôpital Sainte Marguerite de Marseille
• Patients agreeing to participate to study

Exclusion Criteria

• Minor patients or over 85 years old
• Patients not understanding French
• Patients with neurological or psychiatric disorders prohibiting their comprehension of the study
• Patients deprived of their liberty following a judicial or administrative decision
• Patients supported without their consent
• Patients under legal guardianship
• Patients treated in emergencies
• Patients refusing to participate in the study

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 85 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Assistance Publique Hopitaux De Marseille

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

EMILIE GARRIDO PRADALIE

Role: STUDY_DIRECTOR

APHM

Locations

Assistance Publique Des Hopitaux de Marseille

Marseille, PACA, France

Site Status: RECRUITING

Countries

France

Central Contacts

raoul BELZEAUX, MD

Role: CONTACT

raoul.belzeaux@ap-hm.fr

+33 491744082

Facility Contacts

RAOUL BELZEAUX, MD

Role: primary

RAOUL.belzeaux@ap-hm.fr

+33 4 91 74 40 82

Other Identifiers

2017-55

Identifier Type: -

Identifier Source: org_study_id