Emotion Recognition Modification for Bipolar Disorder
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Psychiatric, Bipolar Disorder |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 16 - 25 |
| Updated: | 4/5/2019 |
| Start Date: | October 2014 |
| End Date: | January 2021 |
Previous research suggests that people with bipolar disorder have trouble accurately
identifying emotions. The goal of this study is to test a novel intervention, emotion
recognition modification (ERM), to help improve the ability of young people with bipolar
disorder to identify emotions.
identifying emotions. The goal of this study is to test a novel intervention, emotion
recognition modification (ERM), to help improve the ability of young people with bipolar
disorder to identify emotions.
Procedure: Participants will be recruited through the University Clinic, affiliated
psychiatric hospitals and outpatient psychiatric clinics in the area, and public websites.
Interested participants will be interviewed on the phone to determine initial eligibility;
those who meet criteria will be invited for a comprehensive evaluation.
For potential participants under the age of 18, parents/caregivers will be asked the
eligibility questions about their child. If the child meets initial eligibility criteria,
both s/he and the parent/caregiver will be invited to the baseline appointment.
The baseline appointment will take place at Zucker Hillside Hospital. Following the informed
consent/assent process, participants will be interviewed by a trained research assistant to
assess clinical and treatment history, and to determine diagnostic eligibility, using the
SCID. Participants who meet eligibility criteria will proceed to complete other baseline
measures.
Emotion recognition baseline procedure. The baseline task allows for the measurement of each
participants' baseline balance point, the point at which they are equally likely to see a
given face as happy or sad (or angry). Each participant will complete 45 trials of the
emotion recognition task in which each face from a morph sequence of happy and sad (or angry)
faces is presented, the participant is then forced to decide whether a face is sad (or angry)
or happy.
Intervention: Once the baseline measures are completed, participants will be randomized to
the sad-to-happy condition, the angry-to-happy condition, or a control condition (n =20 per
group). Participants in the intervention conditions will complete the training task three
times over three in-person sessions. The task will be similar to the baseline procedure;
participants will view faces and be asked to judge the expression, however they will now be
given feedback (e.g. "Incorrect! That face was happy."), in order to shift the category of
happy faces to include those faces two morph steps beyond the participant's baseline balance
point. Participants in the control condition will repeat the baseline task, with feedback
consistent with their baseline performance (i.e. the faces they judged as happy initially
will be called "correct" when judged happy again. The intervention will be administered a
total of three times (once at baseline, once at the first follow-up, once at the second
follow-up).
Follow-Up: After the final training session, participants will complete the first follow-up.
This will consist of the clinician-administered YMRS, as well as online questionnaires,
including the LEE, PANAS, GBI, social network task, Perceived Social Support, feasibility
questionnaire.
Eight weeks after completing the final training session, participants will return to the
research lab for the final follow-up, which will include the following measures, LEE, PANAS,
GBI, social network task, Perceived Social Support, emotion recognition task, YMRS, and
BDI-II to assess changes in mood episode over the study follow-up period. Participants will
also be asked to complete a brief form about whether they liked the intervention and found it
convenient to assess burden and feasibility.
psychiatric hospitals and outpatient psychiatric clinics in the area, and public websites.
Interested participants will be interviewed on the phone to determine initial eligibility;
those who meet criteria will be invited for a comprehensive evaluation.
For potential participants under the age of 18, parents/caregivers will be asked the
eligibility questions about their child. If the child meets initial eligibility criteria,
both s/he and the parent/caregiver will be invited to the baseline appointment.
The baseline appointment will take place at Zucker Hillside Hospital. Following the informed
consent/assent process, participants will be interviewed by a trained research assistant to
assess clinical and treatment history, and to determine diagnostic eligibility, using the
SCID. Participants who meet eligibility criteria will proceed to complete other baseline
measures.
Emotion recognition baseline procedure. The baseline task allows for the measurement of each
participants' baseline balance point, the point at which they are equally likely to see a
given face as happy or sad (or angry). Each participant will complete 45 trials of the
emotion recognition task in which each face from a morph sequence of happy and sad (or angry)
faces is presented, the participant is then forced to decide whether a face is sad (or angry)
or happy.
Intervention: Once the baseline measures are completed, participants will be randomized to
the sad-to-happy condition, the angry-to-happy condition, or a control condition (n =20 per
group). Participants in the intervention conditions will complete the training task three
times over three in-person sessions. The task will be similar to the baseline procedure;
participants will view faces and be asked to judge the expression, however they will now be
given feedback (e.g. "Incorrect! That face was happy."), in order to shift the category of
happy faces to include those faces two morph steps beyond the participant's baseline balance
point. Participants in the control condition will repeat the baseline task, with feedback
consistent with their baseline performance (i.e. the faces they judged as happy initially
will be called "correct" when judged happy again. The intervention will be administered a
total of three times (once at baseline, once at the first follow-up, once at the second
follow-up).
Follow-Up: After the final training session, participants will complete the first follow-up.
This will consist of the clinician-administered YMRS, as well as online questionnaires,
including the LEE, PANAS, GBI, social network task, Perceived Social Support, feasibility
questionnaire.
Eight weeks after completing the final training session, participants will return to the
research lab for the final follow-up, which will include the following measures, LEE, PANAS,
GBI, social network task, Perceived Social Support, emotion recognition task, YMRS, and
BDI-II to assess changes in mood episode over the study follow-up period. Participants will
also be asked to complete a brief form about whether they liked the intervention and found it
convenient to assess burden and feasibility.
Inclusion Criteria:
- Aged 16-25 with a bipolar spectrum disorder. Must be English-speaking.
Exclusion Criteria:
- Participants who have cognitive impairment, current psychosis, current suicidal
intent, or current substance use disorder will be excluded.
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