Feasibility and acceptability of CBT for impulsivity.
Research type
Research Study
Full title
Exploring the feasibility and acceptability of a Cognitive Behavioural Therapy (CBT) protocol for mood-driven, problematic impulsive behaviours in adults with bipolar disorder: A case series
IRAS ID
320915
Contact name
JAN Freeman
Contact email
Sponsor organisation
University of Exeter
Duration of Study in the UK
0 years, 9 months, 13 days
Research summary
Bipolar Disorders (BD) affect around 2% of the population and are defined by unpredictable changes in mood, energy and activity. Recommended psychological interventions for BD focus on bipolar depression, treatment adherence and relapse prevention.
Reckless engagement with activity and increased risk taking in the context of impulsivity is part of the clinical presentation of BD. These are associated with a negative impact on functioning and quality of life. Impulsivity has received less attention as a mechanism for improving quality of life and reducing risk behaviours. Research to support the management of impulsivity and associated problematic behaviours may provide additional means to improve key outcomes for those with BD.
Evidence demonstrates CBT is an effective treatment for several psychological difficulties and is useful for symptoms of depression and mania in BD. Less is known about how acceptable and feasible a CBT protocol may be for individuals experiencing mood-driven, PIB (problematic, impulsive behaviours) in the context of BD, which may identify further mechanisms for improving quality of life and provide therapy choices across the course of BD.
The current research involves a small number of people with BD and currently experiencing PIB, receiving up to 12 individual sessions of adapted CBT (CBT-PIB) to see if it seems sensible and worthwhile to them.
The study is taking place in Devon, Southampton, and Lancashire and South Cumbria and is sponsored by the University of Exeter. 12 people with BA and PIB who choose to take part will receive up to 12 individual therapy sessions adapted CBT and will complete regular questionnaires and interviews.
The results of this study will not give the final answer on how effective CBT is for people with BD who experience PIB but will help to plan for a larger study that can answer this question.REC name
Wales REC 4
REC reference
23/WA/0180
Date of REC Opinion
14 Jun 2023
REC opinion
Favourable Opinion