B positive

A randomized controlled trial of a multicomponent positive psychology intervention for euthymic patients with bipolar disorder - study protocol and intervention development

J.T Kraiss, P.M. ten Klooster, M. Chrispijn, H.R. Trompetter, A.W.M.M. Stevens, E. Neutel, R.W. Kupka, E.T. Bohlmeijer

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Abstract

Background
Bipolar disorder (BD) is characterized by recurrent (hypo)manic and depressive episodes, alternating with euthymic states in which patients are relatively symptom free. Besides clinical recovery, it is important to also strive for improvement of mental well-being and personal recovery. One prominent field focussing on the improvement of well-being is positive psychology. However, studies assessing the effects of positive psychology or personal recovery interventions for people with BD are scarce and have used weak methodological designs. The study described in this protocol article aims to assess the effectiveness of a multicomponent positive psychology intervention ("Living well with bipolar disorder") adjusted for people with BD in the euthymic phase to improve well-being and personal recovery.
Method
The study concerns a pragmatic randomized multicenter trial. The principle objective of the study is to assess whether the positive psychology intervention offered to BD patients in remission in addition to usual care (CAU) is more effective than CAU. The study will include 112 participants randomized to either the experimental condition receiving the intervention in addition to CAU or the control condition receiving CAU. The study population are patients with BD I or II in the euthymic phase. The inclusion criteria are 1) diagnosis of BD I or BD II, 2) between the ages of 18-65, 3) four or more supportive sessions in the last year, and 4) only residual depressive or manic symptoms. Patients are excluded if they are in a depressive or manic episode, have current addiction problems or have optimal levels of well-being. Measurements take place at baseline, post-intervention and follow-up 6 and 12 months from baseline. Outcomes of measures include positive well-being, personal recovery, psychopathology, self-compassion, positive relationships, dampening of positive affect and relapse.
Discussion
The outlined study will be the first RCT examining the effects of a multicomponent positive psychology intervention for patients with bipolar disorder. Several limitations, including generalizability of the results and possible attrition issues, are discussed in advance.
Original languageEnglish
Article number335
Number of pages13
JournalBMC Psychiatry
Volume18
Issue number1
DOIs
Publication statusPublished - 2018

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Multicenter Studies

Keywords

  • BEHAVIOR-THERAPY
  • Bipolar disorder
  • EMOTION REGULATION
  • EXTREME APPRAISALS
  • Effect
  • Effectiveness
  • Flourishing
  • I DISORDER
  • Intervention
  • MAJOR DEPRESSION
  • MENTAL-HEALTH CONTINUUM
  • PSYCHOMETRIC EVALUATION
  • Personal recovery
  • Positive psychology
  • RCT
  • RECOVERY QPR
  • ROLE PARTICIPATION QUESTIONNAIRE
  • Randomized controlled trial
  • SELF-COMPASSION
  • Well-being

Cite this

Kraiss, J.T ; ten Klooster, P.M. ; Chrispijn, M. ; Trompetter, H.R. ; Stevens, A.W.M.M. ; Neutel, E. ; Kupka, R.W. ; Bohlmeijer, E.T. / B positive : A randomized controlled trial of a multicomponent positive psychology intervention for euthymic patients with bipolar disorder - study protocol and intervention development. In: BMC Psychiatry. 2018 ; Vol. 18, No. 1.
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abstract = "BackgroundBipolar disorder (BD) is characterized by recurrent (hypo)manic and depressive episodes, alternating with euthymic states in which patients are relatively symptom free. Besides clinical recovery, it is important to also strive for improvement of mental well-being and personal recovery. One prominent field focussing on the improvement of well-being is positive psychology. However, studies assessing the effects of positive psychology or personal recovery interventions for people with BD are scarce and have used weak methodological designs. The study described in this protocol article aims to assess the effectiveness of a multicomponent positive psychology intervention ({"}Living well with bipolar disorder{"}) adjusted for people with BD in the euthymic phase to improve well-being and personal recovery.MethodThe study concerns a pragmatic randomized multicenter trial. The principle objective of the study is to assess whether the positive psychology intervention offered to BD patients in remission in addition to usual care (CAU) is more effective than CAU. The study will include 112 participants randomized to either the experimental condition receiving the intervention in addition to CAU or the control condition receiving CAU. The study population are patients with BD I or II in the euthymic phase. The inclusion criteria are 1) diagnosis of BD I or BD II, 2) between the ages of 18-65, 3) four or more supportive sessions in the last year, and 4) only residual depressive or manic symptoms. Patients are excluded if they are in a depressive or manic episode, have current addiction problems or have optimal levels of well-being. Measurements take place at baseline, post-intervention and follow-up 6 and 12 months from baseline. Outcomes of measures include positive well-being, personal recovery, psychopathology, self-compassion, positive relationships, dampening of positive affect and relapse.DiscussionThe outlined study will be the first RCT examining the effects of a multicomponent positive psychology intervention for patients with bipolar disorder. Several limitations, including generalizability of the results and possible attrition issues, are discussed in advance.",
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B positive : A randomized controlled trial of a multicomponent positive psychology intervention for euthymic patients with bipolar disorder - study protocol and intervention development. / Kraiss, J.T; ten Klooster, P.M.; Chrispijn, M.; Trompetter, H.R.; Stevens, A.W.M.M.; Neutel, E.; Kupka, R.W.; Bohlmeijer, E.T.

In: BMC Psychiatry, Vol. 18, No. 1, 335, 2018.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - B positive

T2 - A randomized controlled trial of a multicomponent positive psychology intervention for euthymic patients with bipolar disorder - study protocol and intervention development

AU - Kraiss, J.T

AU - ten Klooster, P.M.

AU - Chrispijn, M.

AU - Trompetter, H.R.

AU - Stevens, A.W.M.M.

AU - Neutel, E.

AU - Kupka, R.W.

AU - Bohlmeijer, E.T.

PY - 2018

Y1 - 2018

N2 - BackgroundBipolar disorder (BD) is characterized by recurrent (hypo)manic and depressive episodes, alternating with euthymic states in which patients are relatively symptom free. Besides clinical recovery, it is important to also strive for improvement of mental well-being and personal recovery. One prominent field focussing on the improvement of well-being is positive psychology. However, studies assessing the effects of positive psychology or personal recovery interventions for people with BD are scarce and have used weak methodological designs. The study described in this protocol article aims to assess the effectiveness of a multicomponent positive psychology intervention ("Living well with bipolar disorder") adjusted for people with BD in the euthymic phase to improve well-being and personal recovery.MethodThe study concerns a pragmatic randomized multicenter trial. The principle objective of the study is to assess whether the positive psychology intervention offered to BD patients in remission in addition to usual care (CAU) is more effective than CAU. The study will include 112 participants randomized to either the experimental condition receiving the intervention in addition to CAU or the control condition receiving CAU. The study population are patients with BD I or II in the euthymic phase. The inclusion criteria are 1) diagnosis of BD I or BD II, 2) between the ages of 18-65, 3) four or more supportive sessions in the last year, and 4) only residual depressive or manic symptoms. Patients are excluded if they are in a depressive or manic episode, have current addiction problems or have optimal levels of well-being. Measurements take place at baseline, post-intervention and follow-up 6 and 12 months from baseline. Outcomes of measures include positive well-being, personal recovery, psychopathology, self-compassion, positive relationships, dampening of positive affect and relapse.DiscussionThe outlined study will be the first RCT examining the effects of a multicomponent positive psychology intervention for patients with bipolar disorder. Several limitations, including generalizability of the results and possible attrition issues, are discussed in advance.

AB - BackgroundBipolar disorder (BD) is characterized by recurrent (hypo)manic and depressive episodes, alternating with euthymic states in which patients are relatively symptom free. Besides clinical recovery, it is important to also strive for improvement of mental well-being and personal recovery. One prominent field focussing on the improvement of well-being is positive psychology. However, studies assessing the effects of positive psychology or personal recovery interventions for people with BD are scarce and have used weak methodological designs. The study described in this protocol article aims to assess the effectiveness of a multicomponent positive psychology intervention ("Living well with bipolar disorder") adjusted for people with BD in the euthymic phase to improve well-being and personal recovery.MethodThe study concerns a pragmatic randomized multicenter trial. The principle objective of the study is to assess whether the positive psychology intervention offered to BD patients in remission in addition to usual care (CAU) is more effective than CAU. The study will include 112 participants randomized to either the experimental condition receiving the intervention in addition to CAU or the control condition receiving CAU. The study population are patients with BD I or II in the euthymic phase. The inclusion criteria are 1) diagnosis of BD I or BD II, 2) between the ages of 18-65, 3) four or more supportive sessions in the last year, and 4) only residual depressive or manic symptoms. Patients are excluded if they are in a depressive or manic episode, have current addiction problems or have optimal levels of well-being. Measurements take place at baseline, post-intervention and follow-up 6 and 12 months from baseline. Outcomes of measures include positive well-being, personal recovery, psychopathology, self-compassion, positive relationships, dampening of positive affect and relapse.DiscussionThe outlined study will be the first RCT examining the effects of a multicomponent positive psychology intervention for patients with bipolar disorder. Several limitations, including generalizability of the results and possible attrition issues, are discussed in advance.

KW - BEHAVIOR-THERAPY

KW - Bipolar disorder

KW - EMOTION REGULATION

KW - EXTREME APPRAISALS

KW - Effect

KW - Effectiveness

KW - Flourishing

KW - I DISORDER

KW - Intervention

KW - MAJOR DEPRESSION

KW - MENTAL-HEALTH CONTINUUM

KW - PSYCHOMETRIC EVALUATION

KW - Personal recovery

KW - Positive psychology

KW - RCT

KW - RECOVERY QPR

KW - ROLE PARTICIPATION QUESTIONNAIRE

KW - Randomized controlled trial

KW - SELF-COMPASSION

KW - Well-being

U2 - 10.1186/s12888-018-1916-3

DO - 10.1186/s12888-018-1916-3

M3 - Article

VL - 18

JO - BMC Psychiatry

JF - BMC Psychiatry

SN - 1471-244X

IS - 1

M1 - 335

ER -