Illness Representations in Patients With Bipolar Disorders

• Conditions: Bipolar Disorder
• Interventions: Other: standardized questionnaires; Other: interview

• Registration Number: NCT03595670
• Lead Sponsor: Assistance Publique Hopitaux De Marseille

Brief Summary

Bipolar disorder is a serious and chronic illness representing a major health problem with high mortality rates. According to the self-regulation model , patients had some representations of their illness which are cognitive and emotional. Cognitive representations include the set of beliefs built around the illness, its consequences and treatment. Emotional representations are negative emotions generated by the presence of the illness. According to Leventhal et al. (1997), representations are linked to information extracts by patients from society, relatives, experiences. This model has been particularly studied in the context of somatic disorders, but Baines \& Wittkowski (2013) shown that it may also be relevant in patients with mental disorders. In bipolar disorders, first results show that illness representations are related to relapses and to medication adherence. That's why, we think that this relevant to improve knowledges of the psychological processes that accompany the experience of bipolar disorders. To assess illness representation, we will use both qualitative and quantitative tools. These results could have direct application to clinical practice in psychosocial interventions.

Detailed Description

Bipolar disorder is a serious and chronic illness representing a major health problem with high mortality rates (Colom and Lam, 2005). According to the self-regulation model (Leventhal, Nerenz \& Steel, 1986), patients had some representations of their illness which are cognitive and emotional. Cognitive representations include the set of beliefs built around the illness, its consequences and treatment. Emotional representations are negative emotions generated by the presence of the illness. According to Leventhal et al. (1997), representations are linked to information extracts by patients from society, relatives, experiences. This model has been particularly studied in the context of somatic disorders, but Baines \& Wittkowski (2013) shown that it may also be relevant in patients with mental disorders. In bipolar disorders, first results show that illness representations are related to relapses (Lobban et al., 2013) and to medication adherence (Averous, Charbonnier, Lagouanelle-Simeoni, Prosperi \& Dany, 2018). That's why, we think that this relevant to improve knowledges of the psychological processes that accompany the experience of bipolar disorders. To assess illness representation, we will use both qualitative and quantitative tools. These results could have direct application to clinical practice in psychosocial interventions.

Study Timeline

• Study Start: 2018-04-11
• Status Verified: 2018-07
• Study First Submitted: 2018-07-11
• Study First Submitted QC: 2018-07-11
• Last Update Submitted: 2018-07-11
• Study First Posted: 2018-07-23
• Last Update Posted: 2018-07-23
• Primary Completion: 2020-04
• Study Completion: 2020-10

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 200

Inclusion Criteria

• Men or women whose is between 18 and 85 years
• Patients diagnosed bipolar in mania, depression or euthymic phases according DSM-IV critiera by psychiatrist
• Taking in charge in the framework of service Psychiatrie Secteur 5 - Hôpitaux Sud - Hôpital Sainte Marguerite de Marseille
• Patients agreeing to participate to study

Exclusion Criteria

• Minor patients or over 85 years old
• Patients not understanding French
• Patients with neurological or psychiatric disorders prohibiting their comprehension of the study
• Patients deprived of their liberty following a judicial or administrative decision
• Patients supported without their consent
• Patients under legal guardianship
• Patients treated in emergencies
• Patients refusing to participate in the study

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
experimental group	standardized questionnaires	• Patients diagnosed bipolar in mania, depression or euthymic phases according DSM-IV critiera by psychiatrist standardized questionnaires and interview will be performed
experimental group	interview	• Patients diagnosed bipolar in mania, depression or euthymic phases according DSM-IV critiera by psychiatrist standardized questionnaires and interview will be performed

Primary Outcome Measures

Name	Time	Method
Illness perception for schizophrenia (IPQS)	24 hours	IPQS in an autoquestionnaire evaluating illness representations according to the self-regulation model.

Secondary Outcome Measures

Name	Time	Method
Illness Perception Questionnaire Bref (IPQ-B)	24 hours	IPQ-B evaluate similar dimensions from IPQ-S in only once item.
Qualitative study of illness perceptions	24 hours	Measure of illness representations according to the self-regulation model evaluated with a semi-structured interview.

Trial Locations

Locations (1)

Assistance Publique Des Hopitaux de Marseille; 🇫🇷 Marseille, Paca, France