Actively Recruiting

Phase Not Applicable
Age: 18Years - 65Years
All Genders
ID06365021

Acceptance and Commitment Therapy for Individuals With Syndromic and Subsyndromic Depression in Bipolar Mood Disorder: A Controlled and Randomized Clinical Trial

Led by Beny Lafer · Updated on 2025-04-03

42

Participants Needed

1

Research Sites

52 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating Acceptance and Commitment Therapy (ACT) as a psychotherapeutic treatment for adults with Bipolar Disorder who have depressive symptoms. The study aims to assess ACT's effects on reducing depression, improving quality of life, functionality, sleep quality, and psychological flexibility in this population. This trial addresses a gap in research on ACT for Bipolar Disorder, comparing it with Psychoeducation Therapy alongside usual pharmacological treatments. Participants will be randomly assigned to one of two groups. The clinical group will receive 12 weekly group sessions of ACT, each lasting about 2 hours, over three months, in addition to their regular medication. The control group will receive 3 weekly group sessions of Psychoeducation Therapy, also alongside their usual drug treatment. Both therapies are tailored specifically for Bipolar Disorder and cover its main aspects. Participants will undergo mood assessments every two weeks during treatment and every four weeks during a 12-week follow-up. Other outcomes like quality of life, functionality, sleep, and psychological flexibility will be measured at the start, end of treatment, and at 6, 9, and 12 months follow-up. Medication changes will be monitored throughout. The total participation duration spans over a year, with evaluations to compare the effectiveness of ACT against Psychoeducation.

CONDITIONS

Brief Title

ACT for Syndromic and Subsyndromic Depression in Bipolar Disorder

Who Can Participate

Age: 18Years - 65Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosis of Bipolar Disorder type I or II according to DSM V
  • Presence of depressive symptoms with MADRS score greater than 12
  • Not currently undergoing psychotherapy
  • Ability to attend in-person group therapy sessions
  • Signing the informed consent form
Not Eligible

You will not qualify if you...

  • Having an organic mental disorder
  • Presence of manic or hypomanic symptoms with YMRS score greater than 12
  • Currently undergoing psychotherapy and unable to pause during the study
  • Major medication change in the last 30 days

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person) for initial screening and psychiatric evaluation

Outpatient Treatment

Duration - 1 to 3 months depending on assigned therapy

Participants undergo either 12 weekly Acceptance and Commitment Therapy sessions over 3 months or 3 Psychoeducation sessions within 1 month, while continuing their usual pharmacological treatment.

Weekly visits for ACT group and 3 group sessions for Psychoeducation group

Follow-up

Duration - Up to 12 months after treatment completion

After treatment ends, participants are followed up with assessments at 6, 9, and 12 months to monitor mood, quality of life, functionality, sleep, and psychological flexibility.

3 follow-up visits at 6, 9, and 12 months

Trial Site Locations

Total: 1 location

1

Tatiana Cohab Khafif

São Paulo, São Paulo, Brazil, 01231010

Actively Recruiting

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Research Team

B

Beny Lafer, MD PhD

T

Tatiana C Khafif, Master's degree

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Frequently Asked Questions

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