We are doing this study to find out how well cognitive behavioural therapy for social phobia works in people with bipolar disorder, who also have social phobia.
Social phobia is a very prevalent anxiety disorder in people with bipolar disorder and is associated with adverse outcomes. Yet, social phobia is treatable by cognitive behavioural therapy or antidepressant medication. As antidepressants are often contra-indicated in people with bipolar disorder, cognitive behavioural therapy is the likely first choice treatment for social phobia in this population. However, people with bipolar disorder were excluded from previous clinical trials on treatment of social phobia. Our aim is to evaluate the acceptability and to provide a rough estimate of efficacy of cognitive behavioural therapy protocol for social phobia in people with bipolar disorder in a systematic case series. We will also prepare pilot data for evaluating the impact of treatment of comorbid social phobia on the long-term course of bipolar disorder.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
9
The CBT intervention will follow the model of social phobia by Clark \& Wells (Clark \& Wells, 1995; Clark, 2005). The main elements of CBT for social phobia include reducing self-focus, dropping safety behaviours, and testing negative cognitions.
Queen Elizabeth II Health Sciences Centre
Halifax, Nova Scotia, Canada
Acceptability of cognitive behavioural therapy for comorbid social phobia in bipolar disorder
Acceptability of cognitive behavioural therapy for comorbid social phobia in bipolar disorder will be assessed as proportion of offered sessions attended
Time frame: up to end of treatment (20 weeks)
Change on the Social Phobia Inventory (SPIN)
Time frame: Baseline and end of treatment (20 weeks)
Change on the Liebowitz Social Anxiety Scale Scale Self-Report; Social Phobia Scale & Social Interaction Anxiety Scale; Social Phobia and Anxiety Inventory
Time frame: Baseline and end of treatment (20 weeks)
Presence/absence of the social phobia diagnosis
Presence/absence of the social phobia diagnosis as established by Structured Clinical Interview for DSM Disorders
Time frame: Baseline and end of treatment (20 weeks)
Depression symptom change
Depression symptom change as established by the Montgomery-Åsberg Depression Rating Scale and Beck Depression Inventory II
Time frame: Baseline and end of treatment (20 weeks)
Mania symptom change
Change in symptoms of mania as established by the Young Mania Rating Scale
Time frame: Baseline and end of treatment (20 weeks)
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