Please use this identifier to cite or link to this item:
https://hdl.handle.net/10316/115070
DC Field | Value | Language |
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dc.contributor.author | Azevedo, Julieta Martins | - |
dc.contributor.author | Swales, Michaela | - |
dc.contributor.author | Carreiras, Diogo | - |
dc.contributor.author | Guiomar, Raquel | - |
dc.contributor.author | Macedo, António | - |
dc.contributor.author | Castilho, Paula | - |
dc.date.accessioned | 2024-04-30T09:25:42Z | - |
dc.date.available | 2024-04-30T09:25:42Z | - |
dc.date.issued | 2024-04-13 | - |
dc.identifier.issn | 01650327 | pt |
dc.identifier.uri | https://hdl.handle.net/10316/115070 | - |
dc.description.abstract | International guidelines endorse psychological treatment for Bipolar Disorder (BD); however, the absence of a recognised gold-standard intervention requires further research. A Dialectical Behaviour Therapy (DBT) skills group intervention with 12 sessions was developed. This pilot randomised controlled trial (RCT) aims to evaluate the feasibility, acceptability, and outcomes variance of Bi-REAL – Respond Effectively, Assertively, and Live mindfully, tailored for individuals with BD, in preparation for a future RCT. Methods: 52 participants (female = 62.7 %; mean age = 43.2 ± 11.1) with BD were randomised by blocks to either the experimental group (EG; n = 26; Bi-REAL + Treatment as Usual, TAU) receiving 12 weekly 90-minutes sessions, or the control group (CG; n = 26, TAU). Feasibility and acceptability were assessed with a multimethod approach (qualitative interviews, semi-structured clinical interviews and a battery of self-report questionnaires – candidate main outcomes Bipolar Recovery Questionnaire (BRQ) and brief Quality of Life for Bipolar Disorder (QoL.BD)). All participants were evaluated at baseline (T0), post-intervention (T1) and 3-month follow-up (T2). Results: Acceptability was supported by participants’ positive feedback and ratings of the sessions and programme overall, as well as the treatment attendance (86.25 % of sessions attended). The trial overall retention rate was 74.5 %, with CG having a higher dropout rate across the 3-timepoints (42.31 %). A significant Time × Group interaction effect was found for BRQ and QoL.BD favouring the intervention group (p < .05). Limitations: The assessors were not blind at T1 (only at T2). Recruitment plan was impacted due to COVID-19 restrictions and replication is questionable. High attrition rates in the CG. Conclusions: The acceptability of Bi-REAL was sustained, and subsequent feasibility testing will be necessary to establish whether the retention rates of the overall trial improve and if feasibility is confirmed, before progressing to a definitive trial. | pt |
dc.language.iso | eng | pt |
dc.publisher | Elsevier | pt |
dc.relation | FCT - SFRH/BD/130116/2017 | pt |
dc.relation | FCT - SFRH/BD/5099/2020 | pt |
dc.rights | openAccess | pt |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | pt |
dc.subject | Bipolar disorder | pt |
dc.subject | DBT-ST | pt |
dc.subject | Skills training | pt |
dc.subject | Emotion regulation | pt |
dc.subject | Recovery | pt |
dc.subject | Pilot RCT | pt |
dc.title | BI-REAL: A 12-session DBT skills group intervention adapted for bipolar disorder - A feasibility randomised pilot trial | pt |
dc.type | article | - |
degois.publication.firstPage | 394 | pt |
degois.publication.lastPage | 404 | pt |
degois.publication.title | Journal of Affective Disorders | pt |
dc.peerreviewed | yes | pt |
dc.identifier.doi | 10.1016/j.jad.2024.04.033 | pt |
degois.publication.volume | 356 | pt |
dc.date.embargo | 2024-04-13 | * |
uc.date.periodoEmbargo | 0 | pt |
item.fulltext | Com Texto completo | - |
item.grantfulltext | open | - |
item.languageiso639-1 | en | - |
item.cerifentitytype | Publications | - |
item.openairetype | article | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
crisitem.author.researchunit | Center for Research in Neuropsychology and Cognitive Behavioral Intervention (CINEICC) | - |
crisitem.author.researchunit | Center for Research in Neuropsychology and Cognitive Behavioral Intervention (CINEICC) | - |
crisitem.author.researchunit | Center for Research in Neuropsychology and Cognitive Behavioral Intervention (CINEICC) | - |
crisitem.author.researchunit | CNC - Center for Neuroscience and Cell Biology | - |
crisitem.author.researchunit | Center for Research in Neuropsychology and Cognitive Behavioral Intervention (CINEICC) | - |
crisitem.author.parentresearchunit | Faculty of Psychology and Educational Sciences | - |
crisitem.author.parentresearchunit | Faculty of Psychology and Educational Sciences | - |
crisitem.author.parentresearchunit | Faculty of Psychology and Educational Sciences | - |
crisitem.author.parentresearchunit | Faculty of Psychology and Educational Sciences | - |
crisitem.author.orcid | 0000-0001-8537-1043 | - |
crisitem.author.orcid | 0000-0003-2048-1895 | - |
crisitem.author.orcid | 0000-0001-9611-1167 | - |
crisitem.author.orcid | 0000-0003-2180-2718 | - |
crisitem.author.orcid | 0000-0003-1864-3146 | - |
Appears in Collections: | I&D CIBIT - Artigos em Revistas Internacionais FMUC Medicina - Artigos em Revistas Internacionais I&D CINEICC - Artigos em Revistas Internacionais FPCEUC - Artigos em Revistas Internacionais |
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File | Description | Size | Format | |
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BI-REAL A 12-session DBT skills group intervention adapted for bipolar disorder – A feasibility randomised pilot trial.pdf | 2.57 MB | Adobe PDF | View/Open |
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