Early cognitive behavioural psychotherapy in subjects at high risk for bipolar affective disorders

Organizational Data

DRKS-ID:
DRKS00000444
Recruitment Status:
Recruiting planned
Date of registration in DRKS:
2010-06-16
Last update in DRKS:
2010-06-16
Registration type:
Prospective

Acronym/abbreviation of the study

No Entry

URL of the study

No Entry

Brief summary in lay language

Bipolar (manic-depressive) affective disorders are serious psychiatric disorders with enormous impact for the patients and substantial consequences for relatives and the society. Frequently the disease is recognised late with delayed adequate treatment. Patients usually get ill in adolescence or early adulthood, frequently first symptoms are experienced already before that. Compared to the situation in somatic medicine there has been relatively little research into early identification and intervention in patients at risk for bipolar disorders. The aim of the multicentre randomised clinical trial EarlyCBT is to assess the effects of early CBT treatment in subjects at risk for the development of biplar disorders. The duration of the study is 3 years, each participant is followed at least for 18 months. Treatment is provided once a week for the first 14 weeks (sesssions á 90 minutes). Study participants will be randomised to the two arms of the study. One part of the participants attends group sessions of specific cognitive behavioural therapy. Among other things they learn specific techniques to manage stress and early signs of bipolar disorders. The other part of participants attend unstructured group neetings. The study primarly assesses wether early CBT is superior to the control in influencing psychosocial functioning and affective symptomatology. The study will be conducted in five german study centres. An international expert panel supports and accompanies the study.

Brief summary in scientific language

Bipolar affective disorders are serious psychiatric disorders with enormous impact for the patients and substantial consequences for relatives and the society. Frequently the disease is recognised late with delayed adequate treatment. Patients usually get ill in adolescence or early adulthood, frequently first symptoms are experienced already before that. Compared to the situation in somatic medicine there has been relatively little research into early identification and intervention in patients at risk for bipolar disorders. The aim of the multicentre randomised clinical trial EarlyCBT is to assess the effects of early CBT treatment in subjects at risk for the development of biplar disorders. The duration of the study is 3 years, each participant is followed at least for 18 months. Treatment is provided once a week for the first 14 weeks (sesssions á 90 minutes). Study participants will be randomised to the two arms of the study. One part of the participants attends group sessions of specific cognitive behavioural therapy. Among other things they learn specific techniques to manage stress and early signs of bipolar disorders. The other part of participants attend unstructured group neetings. Study participants, rater and stastistician are blinded. The study primarly assesses wether early CBT is superior to the control in influencing psychosocial functioning and affective symptomatology. The study will be conducted in five german study centres. An international expert panel supports and accompanies the study.

Health condition or problem studied

ICD10:
F31 - Bipolar affective disorder
Healthy volunteers:
No Entry

Interventions, Observational Groups

Arm 1:
cognitive behavioural therapy in group setting 14 sessions á 90 minutes, once a week, adapted manual for risk population (content among ohters psychoeducation, stress management, mindfulness, cognitive habits)
Arm 2:
unstructured group setting, again once a week 90 minutes for 14 weeks, study participants stimulate discussios/topics, group leader does involve himself only very limited, interaction will be assessed using recordings of the sessions

Endpoints

Primary outcome:
(1) psychosocial funtioning (at end of intervention, week 14; SIS) (2) affective symptomatology at end of intervention (at end of intervention, week 14; HAMD, YMRS, EPIMaP, BPSS-P)
Secondary outcome:
(1) stress management (at week 7, 14, 24, 52, 78 using ABF, TICS, SRS, UBV, FERUS) (2) conversion to bipolar disorders

Study Design

Purpose:
Prevention
Allocation:
Randomized controlled study
Control:
  • Active control (effective treatment of control group)
Phase:
N/A
Study type:
Interventional
Mechanism of allocation concealment:
No Entry
Blinding:
Yes
Assignment:
Parallel
Sequence generation:
No Entry
Who is blinded:
No Entry

Recruitment

Recruitment Status:
Recruiting planned
Reason if recruiting stopped or withdrawn:
No Entry

Recruitment Locations

Recruitment countries:
  • Germany
Number of study centers:
Multicenter study
Recruitment location(s):
No Entry

Recruitment period and number of participants

Planned study start date:
2010-10-01
Actual study start date:
No Entry
Planned study completion date:
No Entry
Actual Study Completion Date:
No Entry
Target Sample Size:
100
Final Sample Size:
No Entry

Inclusion Criteria

Sex:
All
Minimum Age:
15 Years
Maximum Age:
30 Years
Additional Inclusion Criteria:
positive family history of affective or schizoaffective disorders psychosocial impairment affective symptomatology

Exclusion Criteria

History of manic episode of at least 4 days, psychosis of at least 7 days, main symptomatology must not be present solely within the context of personality disorder or cyclothymia, organic brain disorder, acute suicidality, severe unstable medical condition, intakte of psychotropic medication apart from execptions

Addresses

Primary Sponsor

Address:
Klinik und Poliklinik für Psychiatrie und Psychotherapie Universitätsklinikum Carl Gustav Carus TU Dresden
Prof. Dr. med. Dr. rer. nat. Michael Bauer
Fetscherstraße 74
01307 Dresden
Germany
Telephone:
0351-458-2760
Fax:
0351-458-4324
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry
Investigator Sponsored/Initiated Trial (IST/IIT):
Yes

Secondary Sponsor

Address:
Klinik und Poliklinik für Psychiatrie und Psychotherapie Universitätsklinikum Carl Gustav Carus TU Dresden
Prof. Dr. med. Andrea Pfennig
Fetscherstraße 74
01307 Dresden
Germany
Telephone:
0351-458-3946
Fax:
0351-458-4324
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry

Contact for Scientific Queries

Address:
Klinik und Poliklinik für Psychiatrie und Psychotherapie Universitätsklinikum Carl Gustav Carus TU Dresden
Prof. Dr. med. Andrea Pfennig
Fetscherstraße 74
01307 Dresden
Germany
Telephone:
0351-458-3946
Fax:
0351-458-4324
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry

Contact for Public Queries

Address:
Klinik und Poliklinik für Psychiatrie und Psychotherapie Universitätsklinikum Carl Gustav Carus TU Dresden
Prof. Dr. med. Andrea Pfennig
Fetscherstraße 74
01307 Dresden
Germany
Telephone:
0351-458-3946
Fax:
0351-458-4324
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry

Sources of Monetary or Material Support

Public funding institutions financed by tax money/Government funding body (German Research Foundation (DFG), Federal Ministry of Education and Research (BMBF), etc.)

Address:
DFG
Kennedyallee 40
53175 Bonn
Germany
Telephone:
No Entry
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry

Ethics Committee

Address Ethics Committee

Address:
Ethikkommission an der TU Dresden
Fetscherstr. 74
01307 Dresden
Germany
Telephone:
+49-351-4582992
Fax:
+49-351-4584369
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry

Vote of leading Ethics Committee

Vote of leading Ethics Committee
Date of ethics committee application:
2010-02-04
Ethics committee number:
EK 60022010
Vote of the Ethics Committee:
Approved
Date of the vote:
2010-03-31

Further identification numbers

Other primary registry ID:
No Entry
EudraCT Number:
No Entry
UTN (Universal Trial Number):
No Entry
EUDAMED Number:
No Entry

IPD - Individual Participant Data

Do you plan to make participant-related data (IPD) available to other researchers in an anonymized form?:
No Entry
IPD Sharing Plan:
No Entry

Study protocol and other study documents

Study protocols:
No Entry
Study abstract:
No Entry
Other study documents:
No Entry
Background literature:
No Entry
Related DRKS studies:
No Entry

Publication of study results

Planned publication:
No Entry
Publikationen/Studienergebnisse:
No Entry
Date of first publication of study results:
No Entry
DRKS entry published for the first time with results:
No Entry

Basic reporting

Basic Reporting / Results tables:
No Entry
Brief summary of results:
No Entry