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

NCT ID: NCT05693389

Last Updated: 2023-01-23

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

COMPLETED

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-09-15

Study Completion Date

2022-12-20

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.

Detailed Description

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Conditions

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Bipolar Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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patients with bipolar disorder who will partaicpmg in acceptance and commitment therapy

patients with bipolar disorder who will participate in acceptance and commitment therapy

Group Type ACTIVE_COMPARATOR

acceptance and commitment therapy

Intervention Type BEHAVIORAL

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.

patients with bipolar disorder who will be under routine hospital care

patients with bipolar disorder who will be under routine hospital care

Group Type PLACEBO_COMPARATOR

routine hospital care

Intervention Type OTHER

the patients with bipolar disorders who receive routine pharmacological treatment

Interventions

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acceptance and commitment therapy

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.

Intervention Type BEHAVIORAL

routine hospital care

the patients with bipolar disorders who receive routine pharmacological treatment

Intervention Type OTHER

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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Alexandria University

OTHER

Sponsor Role lead

Responsible Party

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ayman el-ashry

lecturer at psychiatric nursing and mental health

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Faculty of Nursing

Alexandria, , Egypt

Site Status

Countries

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Egypt

References

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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.

Reference Type BACKGROUND
PMID: 27530736 (View on PubMed)

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.

Reference Type BACKGROUND

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.

Reference Type BACKGROUND
PMID: 27647353 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 28683772 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 3170753 (View on PubMed)

El-Sayed MM, Elhay ESA, Taha SM, Khedr MA, Mansour FSA, El-Ashry AM. Efficacy of acceptance and commitment therapy on impulsivity and suicidality among clients with bipolar disorders: a randomized control trial. BMC Nurs. 2023 Aug 17;22(1):271. doi: 10.1186/s12912-023-01443-1.

Reference Type DERIVED
PMID: 37592290 (View on PubMed)

Other Identifiers

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IRB00013620/64/9/2022

Identifier Type: -

Identifier Source: org_study_id

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