Interpersonal and Social Rhythm Therapy for Adolescents With Bipolar Disorder

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00576355
Recruitment Status : Completed
First Posted : December 19, 2007
Last Update Posted : June 20, 2012
National Institute of Mental Health (NIMH)
Information provided by (Responsible Party):
University of Washington

Brief Summary:
This study will evaluate the effectiveness of interpersonal and social rhythm therapy in treating adolescents with a bipolar spectrum disorder

Condition or disease Intervention/treatment Phase
Bipolar Disorder Behavioral: Interpersonal and Social Rhythm Therapy for Adolescents (IPSRT-A) Behavioral: Treatment As Usual (TAU) Not Applicable

Detailed Description:

Bipolar disorder is a brain disorder that causes dramatic changes in a person's mood and energy. Bipolar spectrum disorders, including bipolar I, II, and not-otherwise-specified (NOS) disorders, usually form in late adolescence or early adulthood and require treatment for the rest of a person's life. People with a bipolar spectrum disorder undergo periods of extreme happiness and extreme sadness, known as episodes of mania and depression. Psychotherapy has proven an effective adjunct treatment to medications for people with bipolar disorder. Interpersonal and social rhythm therapy (IPSRT) is a specific type of psychotherapy that focuses on improving problems in interpersonal relationships that are related to a person's symptoms. Researchers believe that IPSRT helps people have more regular patterns of sleep, eating, and other activities that act to set a person's biological clock. This study will specifically adapt IPSRT to the developmental needs of adolescents and will determine the effectiveness of this approach in treating adolescents with a bipolar spectrum disorder.

Participants in this study will be randomly assigned to receive interpersonal and social rhythm therapy for adolescents (IPSRT-A) or treatment as usual (TAU). Participants assigned to IPSRT-A will take part in 18 sessions of IPSRT over a 20-week period. Beginning with the first session, participants will meet with a therapist weekly for 16 weeks and then every other week for 4 weeks. Each IPSRT session will last about 45 to 60 minutes, and parents will be asked to accompany the child to 2 to 4 of these sessions. During IPSRT sessions, the therapist will talk with participants about their relationships and how they relate to symptoms; work with participants to help improve understanding of how their social and sleep routines relate to symptoms; and teach participants about bipolar disorder. Participants assigned to TAU will be given educational information about bipolar disorder and its treatment. They will then be referred to a mental health provider for usual care treatment.

All participants and parents will complete questionnaires about symptoms every 4 weeks during the study. Follow-up assessments will occur at the end of treatment and again at Months 3 and 6 post-treatment. These assessments will last between 60 and 90 minutes and will include completing an interview and questionnaires. Participants will also be asked for permission to obtain grade point average (GPA) and attendance records from their schools.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 36 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Adjunctive Psychotherapy for Teens With Bipolar Disorder
Study Start Date : December 2007
Actual Primary Completion Date : August 2010
Actual Study Completion Date : August 2010

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Bipolar Disorder

Arm Intervention/treatment
Active Comparator: 2
Participants will receive treatment as usual
Behavioral: Treatment As Usual (TAU)
TAU includes the offering of educational information about bipolar disorder and referral to a mental health provider.

Experimental: 1
Participants will receive interpersonal and social rhythm therapy for adolescents
Behavioral: Interpersonal and Social Rhythm Therapy for Adolescents (IPSRT-A)
IPSRT-A involves 20 weeks of individual therapy, incorporating informed psychological, behavioral, and practical strategies adapted to the developmental needs of adolescents.

Primary Outcome Measures :
  1. Brief Psychiatric Rating Scale for Children [ Time Frame: Measured at pretreatment, every 4 weeks during treatment, post-treatment, and 3 and 6 month follow-ups ]

Secondary Outcome Measures :
  1. Mania Rating Scale (MRS), Beck Depression Inventory (BDI),Child Behavior Checklist (CBCL), Youth Self-Report Form (YSR), Social Adjustment Scale for Adolescents (SAS-SR-A), Conflict Behavior Questionnaire (CBQ) [ Time Frame: Measured at pretreatment, post-treatment, 6 month follow-up, and various other times throughout study ]

Information from the National Library of Medicine

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Ages Eligible for Study:   12 Years to 19 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • DSM-IV diagnosis of bipolar spectrum disorder: type I, type II, or NOS
  • Currently meets DSM-IV criteria for a depressed, manic, hypomanic, or mixed episode
  • Youth assent/parental consent to outpatient psychotherapy for treatment of bipolar disorder
  • Adequate access to transportation or close proximity in order to participate in therapy

Exclusion Criteria:

  • DSM-IV diagnosis of schizophrenia, schizophreniform, or schizoaffective disorders
  • Developmentally delayed
  • Actively psychotic, suicidal, homicidal, or engages in repeated parasuicidal behaviors
  • History of chronic suicidality (e.g., more than three suicidal gestures in the year prior to study entry)
  • Neurological or other medical disorder that could potentially cause or complicate presenting psychiatric symptoms
  • Meets current DSM-IV criteria for drug or alcohol abuse or dependence
  • Life circumstances that would prohibit ability to participate, including absence of shelter or impending jail/prison for more than 2 weeks during study
  • Parent/legal guardian refusal to participate with the adolescent

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00576355

United States, Washington
Seattle Children's Hospital
Seattle, Washington, United States, 98105
Sponsors and Collaborators
University of Washington
National Institute of Mental Health (NIMH)
Principal Investigator: Stefanie Hlastala, PhD University of Washington, Children's Hospital and Regional Medical Center

Responsible Party: University of Washington Identifier: NCT00576355     History of Changes
Other Study ID Numbers: K23MH070570 ( U.S. NIH Grant/Contract )
K23MH070570 ( U.S. NIH Grant/Contract )
5K23MH070570-03 ( U.S. NIH Grant/Contract )
First Posted: December 19, 2007    Key Record Dates
Last Update Posted: June 20, 2012
Last Verified: June 2012

Keywords provided by University of Washington:
Interpersonal Therapy
Interpersonal and Social Rhythm Therapy

Additional relevant MeSH terms:
Bipolar Disorder
Pathologic Processes
Bipolar and Related Disorders
Mental Disorders