Bipolar Trial

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

Introduction
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.

Aims
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.

Methods
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.

Results
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 March
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11st March 2019
CPD Event: Research Conference - organised jointly by ACAT and Catalyse
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66th March 2019
CAT Introductory Event: ACAT: Two Day Introduction to CAT
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88th March 2019
CPD Event: ACAT: Out of control sexual behaviour
99th March 2019
CPD Event: CAT Nature Retreat - offered by CAT Cumbria
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1111th March 2019
CPD Event: How to run a successful private practice: all you need to know - offered by Become Psychology
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1515th March 2019
CPD Event: ACAT: CAT for psychosis: a relational approach
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1818th March 2019
Special Interest Group Event: CAT-TAST SIG meeting
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2727th March 2019
CPD Event: Trainers and Supervisors Meeting
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2929th March 2019
CPD Event: ACAT: CAT with Couples
CPD Event: Forensic CAT Conference - offered by Tees, Esk and Wear Valley NHS Trust (TEWV)
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More information:

Support for CAT research Current Research and Research Awaiting Publication Deconstruction of CAT Using a CAT approach to make sense of psychosis Team based Interventions with 5 session CAT consultancy The case formulation task in psychotherapy Therapists’ Construction and Application of the Reformulation Diagram in Clinical Practice RCT of CAT with adolescent and borderline patients Understanding SDRs in CAT CAT Sequential Diagrammatic Reformulation (SDR) to explore service users' experience of CAT formulation: a qualitative thesis project Comparison of Treatment of Anorexia in Adults with CAT Case Series Research - in intellectual disability (community and forensic) services 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 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 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 Key References to Research in CAT Summaries and Meta-analyses of CAT Research Cognitive Analytic Therapy at 30 Cognitive Analytic Therapy: A review of the outcome evidence base for treatment summaries and meta analyses Research and Communication Committee ACAT Research Strategy Donate to ACAT Research Fund Researchers Currently Recruiting Through ACAT 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

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