Bipolar Trial

(Kellet, S & Evans, M) CATBiD: A phase one randomised controlled study of Cognitive Analytic Therapy for Bipolar Affective Disorder

Bipolar disorder is a severe and enduring mental disorder with a lifetime prevalence estimated at about 1% for which there is little clear evidence of the efficacy of psychological treatments.

This pilot project evaluated the acceptability of cognitive analytic therapy(CAT) as a treatment for patients with bipolar disorder as well as various secondary outcomes. The evidence for its efficacy in reducing relapse, service use and symptoms are presented.

Study design was a randomised controlled trial. Participants in the active treatment arm of the trial received treatment as usual (TAU) plus 24 weekly sessions of CAT followed by four review sessions( at 1, 2, 3 and 6 months post therapy). Participants in the control arm of the trial (TAU) received usual care from their clinical team consisting of psychiatric outpatient appointments and community team support when required.
Primary outcome measures included: total number of CAT sessions completed and acceptability of the therapy using qualitative methodology. Secondary outcome measures include: no of relapses, use of community and inpatient mental health services . and a variety of symptom measures (BDI,MADRS-Depression, Bech Rafaelson Mania Rating scale, CORE, Personality Structure Questionnaire) and a measure of work and social adjustment (WSAS).
The electronic health record system (AMIGOS ) was used to review number and length of any admissions to inpatient wards, crisis resolution and Home Treatment teams or Assertive Outreach Teams. This record was also used to gauge the number of community team and outpatient appointments.

The results of the acceptability of CAT as a potential treatment for Bipolar disorder together with results from secondary outcome measures was presented at the ICATA conference and is now in the review stage with the Psychotherapy Research Journal.

ACAT Calendar for November
55th November 2018
CPD Event: The 5-Session CAT Approach - offered by Catalyse
88th November 2018
CPD Event: An Introduction to Cognitive Analytic Therapy - offered by Sussex Partnership NHS Foundation Trust
1515th November 2018
CAT Introductory Event: ACAT: Two Day Introduction to CAT
CPD Event: States, self-States and State Shifts - offered by MCAT
3030th November 2018
CPD Event: PhysCAT Day - offered by Alison Jenaway
CPD Event: CAT, ID & Trauma Conference - offered by the CAT LD Special Interest Group

More information:

Current Research Using a CAT approach to make sense of psychosis Team based Interventions with 5 session CAT consultancy RCT of CAT with adolescent and borderline patients Integrating Embodied Awareness into CAT Comparison of Treatment of Anorexia in Adults with CAT Case Series Research - in intellectual disability (community and forensic) services Research Awaiting Publication Deconstruction of CAT The case formulation task in psychotherapy Therapists’ Construction and Application of the Reformulation Diagram in Clinical Practice Understanding SDRs in CAT CAT Sequential Diagrammatic Reformulation (SDR) to explore service users' experience of CAT formulation: a qualitative thesis project Recently Published Research and Research Presentations A Feasibility Trial of Group Cognitive Analytic Music Therapy in Secure Hospital Settings (2014) Assessment of identity disturbance: Factor Structure and validation of the Personality Structure Questionnaire (PSQ) in an Italian sample CAT and Psychosis Cognitive Analytic Therapy for high-risk sexual behaviour Is Cognitive Analytic Therapy (CAT) effective in treating Hoarding Disorder? Testing the Effectiveness of Cognitive Analytic Therapy for Hypersexuality Disorder: An Intensive Time-Series Evaluation Cognitive analytic therapy: A review of the outcome evidence base for treatment Group Cognitive Analytic Therapy for Female Survivors of Childhood Sexual Abuse An eight-eyed version of Hawkins and Shohet’s clinical supervision model: the addition of the cognitive analytic therapy concept of the ‘observing eye/I’ as the ‘observing us’ Outcomes of cognitive analytic therapy delivered by trainees Treatment of Paranoid Personality Disorder with Cognitive Analytic Therapy - A Mixed Methods Single Case Experimental Design Team Consultancy Using Cognitive Analytic Therapy: A Controlled Study In Assertive Outreach Using a cognitive analytic approach to formulate a complex sexual and violent offender to inform multi-agency working: developing a shared understanding Cognitive analytic therapy at 30 Bipolar Trial: CATBiD: A phase one randomised controlled study of Cognitive Analytic Therapy for Bipolar Affective Disorder Development and evaluation of cognitive analytic guided self-help (CAT-SH) for use in IAPT services How change is enabled during cognitive analytic therapy: An exploratory study of the treatment of depression CAT Research Archives Do people with learning disabilities have a concept of reciprocal roles Exploring endings from therapist's experience RCT for CAT and diabetes A process study evaluating rupture repair in CAT CAT in groups The SPeDi Trial (Sheffield Personality Disorders) Goodbye Letters in CAT The effectiveness of CAT for BPD RCT for CAT informed care planning CAT and CBT for affective disorders Key References to Research in CAT Support for CAT research Research and Communication Committee


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