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Trial registered on ANZCTR
Registration number
ACTRN12610000414011
Ethics application status
Approved
Date submitted
21/05/2010
Date registered
25/05/2010
Date last updated
10/12/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
Mindfulness-based Cognitive Therapy for Bipolar Disorder
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Scientific title
A randomised controlled trial of mindfulness-based cognitive therapy versus treatment as usual for bipolar disorder and comorbid anxiety
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Secondary ID [1]
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NA
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Universal Trial Number (UTN)
U1111-1115-0862
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Bipolar disorder and co-morbid anxiety
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Condition category
Condition code
Mental Health
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0
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Other mental health disorders
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Mental Health
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0
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Anxiety
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Patients allocated to the Mindfulness-Based Cognitive Therapy (MBCT) program would receive 8 weekly sessions of group therapy based on the MBCT treatment manual developed by Segal et al (2000). Modules include an explanation of mindfulness meditation from a cognitive perspective and a series of meditation practices including a breathing meditation, a body scan meditation and mindfulness of walking. Sessions are administered by a psychologist and last approximately 2 hours. Participants allocated to this condition also receive written education material about bipolar disorder on a weekly basis for 8 weeks.
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Intervention code [1]
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Behaviour
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Intervention code [2]
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Treatment: Other
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Comparator / control treatment
Treatment as usual (TAU) (Standard Care). The TAU group will receive their usual care from their usual practitioner but will also receive written educational material about bipolar illness on a weekly basis for 8 weeks. The material will have the same content as those given to the MBCT condition.
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Control group
Active
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Outcomes
Primary outcome [1]
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Mean Montgomery Asberg Depression Rating Scale scores < 10
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Assessment method [1]
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Timepoint [1]
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Baseline, Post, 3 month, 6 month, 9 month and 12 month follow up
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Primary outcome [2]
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Mean Young Mania Rating Scale scores <7
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Assessment method [2]
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Timepoint [2]
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Baseline, Post, 3 month, 6 month, 9 month and 12 month follow up
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Secondary outcome [1]
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State-Trait Anxiety Inventory < 55
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Assessment method [1]
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Timepoint [1]
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Baseline, Post, 3 month, 6 month, 9 month and 12 month follow up
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Secondary outcome [2]
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The World Health Organization (WHO) Composite International Diagnostic Interview (CIDI) - No anxiety disorder diagnoses met in the past 12 months
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Assessment method [2]
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Timepoint [2]
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Baseline, 12 month follow up
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Eligibility
Key inclusion criteria
(i) lifetime Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV) diagnosis of bipolar I or II disorder, (ii) able to be maintained on a mood stabilizing medication for the duration of treatment, (iii) be at least 18 years of age, (iv) at least secondary school education, (v) be able to provide informed consent, (vi) be fluent in written and spoken English, (vii) be currently under the care of a General medical Practitioner or psychiatrist who would review medication as necessary, (viii) have experienced at least one bipolar disorder episode (hypo/mania, depression, mixed episode) over the past 18 months, and (ix) have a lifetime incidence of at least 3 bipolar episodes.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
(i) currently experiencing a bipolar episode (either depressed or (hypo)manic - patients would be required to be reassessed for the study once their symptoms had remitted), (ii) diagnosis of schizophrenia or schizoaffective disorder, current substance abuse disorder, organic brain syndrome, antisocial or borderline personality disorder, (iii) concurrent significant medical condition impeding ability to participate, and (iv) receiving formalised psychological therapy while in treatment phase of the study.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Central randomisation via computer. An independent researcher not involved with the trial or participants will conduct the randomisation.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer sequence generation
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
24/07/2008
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Actual
24/07/2008
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Date of last participant enrolment
Anticipated
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Actual
5/05/2010
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
120
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Accrual to date
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Final
103
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Australian Rotary Health Research Fund
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Address [1]
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PO Box 3455
Parramatta, NSW 2124
Australia
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Country [1]
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Australia
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Primary sponsor type
University
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Name
University of NSW
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Address
School of Psychiatry
Black Dog Institute
Hospital Rd
Randwick NSW 2031
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Country
Australia
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Secondary sponsor category [1]
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Charities/Societies/Foundations
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Name [1]
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Black Dog Institute
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Address [1]
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Black Dog Institute
Hospital Rd
Randwick NSW 2031
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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University of NSW - Human Research Ethics Committee
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Ethics committee address [1]
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Ethics Secretariat, UNSW Research Services Rupert Myers Building, Level 3 The University of New South Wales NSW 2052
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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01/02/2008
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Approval date [1]
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26/02/2008
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Ethics approval number [1]
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HREC08039
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Summary
Brief summary
Treatments that target the risk factors for relapse in bipolar disorder are vital if a better prognosis for this disorder is to be achieved. This study will investigate a novel approach to preventing relapse (mindfulness-based cognitive therapy). A randomised controlled trial will be conducted comparing two groups; Mindfulness based Cognitive Therapy and Treatment as Usual (which will include the addition of bipolar education material).
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Trial website
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Trial related presentations / publications
International Society for Bipolar Disorders 2010, Sao Paulo Brazil Mindfulness in Bipolar Disorder Tania Perich, Vijaya Manicavasgar, Philip Mitchell, Jillian Ball The Australasian Society for Psychiatric Research Conference 2008 Mindfulness Based Cognitive Therapy for Bipolar Disorder; Authors – Vijaya Manicavasagar, Tania Perich, Philip Mitchell, Jillian Ball and Justine Corry.
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Vijaya Manicavasagar
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Address
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Black Dog Institute
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Country
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Australia
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Phone
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0293828503
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Tania Perich
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Address
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Black Dog Institute
Hospital Rd
Randwick NSW 2031
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Country
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Australia
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Phone
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612 9382 9266
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Tania Perich
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Address
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Black Dog Institute
Hospital Rd
Randwick NSW 2031
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Country
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Australia
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Phone
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+61 2 9382 3841
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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