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

Sponsor

Alexandria University (Other)

Overall Status

Completed

CT.gov ID

NCT05693389

Collaborator

(none)

Enrollment

Location

Arms

3.2

Actual Duration (Months)

15.9

Patients Per Site Per Month

Study Details

Study Description

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.

Condition or Disease	Intervention/Treatment	Phase
Bipolar Disorder	Behavioral: acceptance and commitment therapy Other: routine hospital care	N/A

Study Design

Study Type:

Interventional

Actual Enrollment :

50 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

None (Open Label)

Primary Purpose:

Supportive Care

Official Title:

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

Actual Study Start Date :

Sep 15, 2022

Actual Primary Completion Date :

Nov 15, 2022

Actual Study Completion Date :

Dec 20, 2022

Arms and Interventions

Arm	Intervention/Treatment
Active Comparator: patients with bipolar disorder who will partaicpmg in acceptance and commitment therapy patients with bipolar disorder who will participate in acceptance and commitment therapy	Behavioral: 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.
Placebo Comparator: patients with bipolar disorder who will be under routine hospital care patients with bipolar disorder who will be under routine hospital care	Other: routine hospital care the patients with bipolar disorders who receive routine pharmacological treatment

Arm

Intervention/Treatment

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

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

Behavioral: 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.

Placebo Comparator: patients with bipolar disorder who will be under routine hospital care

patients with bipolar disorder who will be under routine hospital care

Other: routine hospital care

the patients with bipolar disorders who receive routine pharmacological treatment

Outcome Measures

Primary Outcome Measures

Impulsivity [up to 16 weeks]
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.
Suicide Ideation [up to 16 weeks]
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.

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

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.