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Impact of Pregnancy and the Postpartum Period on Women With Bipolar Disorder
This study is currently recruiting participants.
Study NCT00320645   Information provided by National Institute of Mental Health (NIMH)
First Received: April 28, 2006   Last Updated: August 3, 2009   History of Changes

April 28, 2006
August 3, 2009
August 2005
 
 
 
Complete list of historical versions of study NCT00320645 on ClinicalTrials.gov Archive Site
 
 
 
Impact of Pregnancy and the Postpartum Period on Women With Bipolar Disorder
Bipolar Disorder in Pregnancy and the Postpartum Period: Predictors of Morbidity

This study will determine the risk factors for a depressive, manic, or hypomanic episode during pregnancy and the postpartum period in women with bipolar disorder.

Bipolar disorder is a serious medical illness that causes shifts in a person's mood, energy, and ability to function. In women, it is particularly prevalent during the childbearing years. It is estimated that 100,000 of the women who give birth each year have bipolar disorder. Very little is known, however, about the impact of pregnancy and the postpartum period on the disorder. Evidence-based guidelines are necessary for the management of bipolar disorder during and after pregnancy. In order to develop such guidelines, more information is needed about the clinical, psychosocial, and pharmacologic predictors of a bipolar disorder recurrence during pregnancy. This study will determine the risk factors for a depressive, manic, or hypomanic episode during pregnancy and the postpartum period in women with bipolar disorder.

Women interested in participating in this observational study will first attend a study visit to determine their eligibility for participation. At this visit, a complete medical and psychiatric history will be taken, as well as blood and urine samples. The visit will last approximately 2.5 hours. If eligible, participants will attend study visits monthly during pregnancy and every 6 weeks for 6 months postpartum. At each visit, which will last 45 to 60 minutes, participants will be interviewed by a study physician and a research assistant. Additionally, participants will fill out questionnaires about Bipolar disorder symptoms and treatment, life stressors, and any medications or substances that have been taken since their last visit. Participants who are not yet pregnant at the time of study entry will attend a study visit once every 3 months until conception. Upon becoming pregnant, they will follow the same study visit schedule as participants who were pregnant at the time of study entry. No treatment will be provided in this study. Participants will continue receiving treatment from their regular physicians throughout the study.

Phase I
Observational
Cohort, Other
Bipolar Disorder
 
 
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Recruiting
200
 
 

Inclusion Criteria:

  • Meets DSM-IV criteria for bipolar disorder of any type (1 or 2)
  • Currently pregnant and within 14 weeks gestation (as measured by date of last menstrual period) or planning to become pregnant
  • No mood abnormalities at the time of conception
  • Currently being treated by a psychiatrist, physician, or mental health clinician

Exclusion Criteria:

  • Actively suicidal or homicidal
  • Any serious medical illness
Female
18 Years to 45 Years
Yes
Contact: Adele C. Viguera, MD, MPH aviguera@partners.org
Contact: Lee S Cohen, MD lcohen2@partners.org
United States
 
NCT00320645
Adele C. Viguera, MD, MPH, Massachusetts General Hospital
R01 MH071762, DATR A2-AID, 2005-P-001167
National Institute of Mental Health (NIMH)
 
Principal Investigator: Adele C. Viguera, MD, MPH Massachusetts General Hospital
National Institute of Mental Health (NIMH)
August 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP