<clinical_study>
  <!-- This xml conforms to an XML Schema at:
    https://clinicaltrials.gov/ct2/html/images/info/public.xsd -->
  <required_header>
    <download_date>ClinicalTrials.gov processed this data on September 20, 2023</download_date>
    <link_text>Link to the current ClinicalTrials.gov record.</link_text>
    <url>https://clinicaltrials.gov/ct2/show/NCT03266679</url>
  </required_header>
  <id_info>
    <org_study_id>Ethics Approval No: 1700000591</org_study_id>
    <nct_id>NCT03266679</nct_id>
  </id_info>
  <brief_title>Psychological Factors In The Treatment Of Bipolar Mood Disorders</brief_title>
  <official_title>Bipolar Mood Disorders: A Recovery-Oriented Intervention Approach Addressing Deficits In Metacognitive Capacities</official_title>
  <sponsors>
    <lead_sponsor>
      <agency>Queensland University of Technology</agency>
      <agency_class>Other</agency_class>
    </lead_sponsor>
    <collaborator>
      <agency>Metro South Health Addiction &amp; Mental Health Services</agency>
      <agency_class>Other</agency_class>
    </collaborator>
  </sponsors>
  <source>Queensland University of Technology</source>
  <oversight_info>
    <has_dmc>No</has_dmc>
    <is_fda_regulated_drug>No</is_fda_regulated_drug>
    <is_fda_regulated_device>No</is_fda_regulated_device>
  </oversight_info>
  <brief_summary>
    <textblock>
      The aim of this study is to trial an intervention targeting potential deficits in an&#xD;
      individual's ability to form, and reflect upon, ideas about themselves and others (known as&#xD;
      metacognitive capacities), specifically in relation to individuals diagnosed with a bipolar&#xD;
      mood disorder (BMD).&#xD;
&#xD;
      The proposed research will adopt a mixed qualitative and quantitative design. Participants&#xD;
      will be recruited through hospital outpatient groups (i.e., Metro South Addiction &amp; Mental&#xD;
      Health Services Woolloongabba Community Health Centre &amp; Beenleigh Community Health Centre in&#xD;
      Brisbane, Queensland), and, as necessary, local non government organisations (NGOs),&#xD;
      psychiatrists, general practitioners, online support networks (SANE Australia, Black Dog&#xD;
      Institute), community mental health services(such as MINDNET), and/or social media groups&#xD;
      (Facebook, Twitter) supporting people who meet criteria for a BMD. The research will then use&#xD;
      clinical interviews and quantitative (survey) methods to: (1) confirm diagnosis of&#xD;
      participants; and (2) confirm deficits in metacognitive capacities of participants. Following&#xD;
      this, the research will then involve the implementation of an adapted intervention across a&#xD;
      course of 12 months, aimed at improving the metacognitive capacities of participants with a&#xD;
      diagnosis of a BMD.&#xD;
&#xD;
      The research will provide an enriched understanding of a dimension of people with BMDs that&#xD;
      has not been previously explored. The research will help with gaining an understanding of the&#xD;
      metacognitive processes of people with BMDs, and inform more targeted psychological&#xD;
      interventions.&#xD;
    </textblock>
  </brief_summary>
  <overall_status>Completed</overall_status>
  <start_date type="Actual">July 26, 2017</start_date>
  <completion_date type="Actual">July 1, 2019</completion_date>
  <primary_completion_date type="Actual">May 1, 2019</primary_completion_date>
  <phase>N/A</phase>
  <study_type>Interventional</study_type>
  <has_expanded_access>No</has_expanded_access>
  <study_design_info>
    <allocation>N/A</allocation>
    <intervention_model>Single Group Assignment</intervention_model>
    <intervention_model_description>Case-Series Design</intervention_model_description>
    <primary_purpose>Treatment</primary_purpose>
    <masking>None (Open Label)</masking>
  </study_design_info>
  <primary_outcome>
    <measure>The Indiana Psychiatric Illness Interview (IPII)</measure>
    <time_frame>IPII + MAS-A (see below) combined take approximately 45- 60 minutes</time_frame>
    <description>The IPII is a semi-structured interview that will be used to assess how participants understand their experience with mental illness (i.e., to elicit and assess an illness narrative). The interview is conceptually divided into five sections. First, rapport is established and participants are asked to tell the story of their lives, beginning with their earliest memory. Second, participants are asked if they think they have a mental illness and, if so, whether or not this condition has affected different facets of their life. Third, participants are asked if and how their condition controls their life and, alternately, how they control their condition. Fourth, they are asked how their condition affects, and is affected by others. Finally, participants are asked about their expectations for the future. The narratives of self and illness are then qualitatively analysed (form and quality rather than content) and then quantitatively rated.</description>
  </primary_outcome>
  <primary_outcome>
    <measure>The Metacognition Assessment Scale - Abbreviated (MAS-A)</measure>
    <time_frame>IPII + MAS-A combined take approximately 45-60 minutes</time_frame>
    <description>The MAS-A is an observer rating scale that will be used to assess metacognitive capacity. The MAS-A can be used either in a structured interview format or during a therapy session. The measure presumes that metacognition is comprised of multiple related but semi-independent functions. The MAS-A provides an overall measure of metacognitive capacity, as well as four subscale measures. The four subscales are: 1) Self-reflectivity or Understanding of One's Own Mind - the ability of a person to think about his or her own mental states; 2) Understanding Others' Minds - the ability to think about the mental states of others; 3) Decentration - the ability to see other's mental states with motivations and hypotheses independent from their own); and, 4) Mastery - the ability to use</description>
  </primary_outcome>
  <primary_outcome>
    <measure>The Narrative Coherence Rating Scale (NCRS)</measure>
    <time_frame>10-15 minutes</time_frame>
    <description>The NCRS is a six item, 18-point rating scale developed to assess narrative coherence of illness narratives elicited from the IPII. The six items are: 1) &quot;Logical connections&quot; among the narrative of past psychiatric illnesses; 2) &quot;Logical connections&quot; among the narrative of psychiatric illnesses in the present; 3) &quot;Richness of historical detail&quot; among the narrative of past psychiatric illnesses; 4) &quot;Richness of historical detail&quot; among the narrative of psychiatric illnesses in the present; 5) &quot;Plausibility&quot; among the narrative of psychiatric illnesses in the past; and 6) &quot;Plausibility&quot; among the narrative of psychiatric illnesses in the present. A trained rater reviews an IPII transcript and rates according to scoring anchors (Lysaker et al., 2002).</description>
  </primary_outcome>
  <secondary_outcome>
    <measure>Treatment Outcome Package (TOP)</measure>
    <time_frame>15-20 minutes</time_frame>
    <description>The TOP is a multidimensional outcome measure designed to track behavioural health treatment progress and outcomes. The TOP has three age-specific versions (child, adolescent, adult). The adult TOP clinical scales consist of 58 items assessing 12 symptom and functional domains: work functioning, sexual functioning, social conflict, depression, panic (somatic anxiety), psychosis, suicidal ideation, violence, mania, sleep, substance abuse, and quality of life. Items (e.g., &quot;Felt down or depressed&quot; &quot;Felt on top of the world&quot;) can be summed across the domains to form a global symptom severity score. When using raw (non-standardised) scores, higher TOP total scores indicate healthier functioning. The TOP clinical scales and total score have demonstrated adequate internal consistency reliability and test-retest reliability, and convergent, discriminant, and criterion validity (Kraus, Seligman, &amp; Jordan, 2005).</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>The Hamilton Depression Rating Scale (HDRS)</measure>
    <time_frame>10 minutes</time_frame>
    <description>The HDRS is a 17-item, clinician-rated scale that will be used to assess the severity of, and change in, depressive symptoms in participants over the past week. Items (e.g., Feelings of Guilt) are rated on scales of varying grades of severity (e.g., 0 = absent, 4 = incapacitating). The HDRS item scores can be summed to obtain a total score (ranging from 0 to 52), where higher scores indicate greater depression severity. The HDRS has demonstrated adequate reliability (internal, interrater, and retest) and validity (convergent, discriminant, and predictive; Bagby, Ryder, Schuller, Marshall, 2004).</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>The Young Mania Rating Scale (YMRS)</measure>
    <time_frame>10 minutes</time_frame>
    <description>The YMRS is an 11-item, clinician-rated scale that will be used to assess symptoms of mania over the past week. There are four items (Irritability, Speech, Thought Content, and Disruptive/Aggressive Behaviour) that are rated on a 0 to 8 scale, while the remaining items are rated on a 0 to 4 scale. All rating scales have explicitly described grades of severity. The YMRS scores can be summed to obtain a total score (ranging from 0 to 60), where higher scores indicate greater severity of the symptom. The YMRS has demonstrated adequate internal consistency and test-retest reliability, as well as convergent and divergent validity (Young et al., 1978).</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>The Sheehan Disability Scale (SDS)</measure>
    <time_frame>1-2 minutes</time_frame>
    <description>The SDS is a 5-item, self-reported questionnaire used to measure the extent to which an individual's disability due to an illness or health problem has interfered with: (1) work/school; (2) social life/leisure activities (3) and family life/home responsibilities (each area is considered a subscale of the questionnaire) in the past week. The first three items (e.g.,&quot;The symptoms have disrupted your work/school work&quot;) are rated on a Likert-type scale (0 = not at all, 10 = extremely). Each subscale can be scored separately or combined into a total score (sum of non-missing responses) ranging from 0 to 30, where higher scores indicate significant functional impairment.</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>The 36-Item Short Form Healthy Survey (SF-36)</measure>
    <time_frame>5-10 minutes</time_frame>
    <description>The SF-36 is a 36-item scale used to measure an individual's QoL. The scale taps into varying health concepts, with eight subscales: physical functioning, bodily pain, role limitations due to physical health problems, role limitations due to personal or emotional problems, emotional well-being, social functioning, energy/fatigue, and general health perceptions. It also includes a single item that provides an indication of perceived change in health. Items (e.g., &quot;How much bodily pain have you had in the past 4 weeks?&quot;) are rated on Likert-type scales of varying ranges (between 1-2 and 1-6). Items in the same scale are averaged together to form eight scale scores (average is based on questions that received a response, missing data is excluded). Items are scored such that higher scores indicate a more favourable health state (Ware Jr &amp; Sherbourne, 1992).</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>The Inventory of Interpersonal Difficulties (IIP-32)</measure>
    <time_frame>5 minutes</time_frame>
    <description>The IIP-32 is a 32-item self-report questionnaire used to measure the severity of a wide range of difficulties experienced in interpersonal relationships. It is a shortened version of the 127-item IIP (Horowitz, Rosenberg, Baer, Ureno, &amp; Villasenor, 1998) The scale comprises eight subscales: hard to be sociable, hard to be assertive, too aggressive, too open, too caring, hard to be supportive, hard to be involved, and too dependent. Items (e.g., &quot;I open up to people too much&quot;) are rated on a 5-point Likert-type scale ranging from 0 (not at all) to 4 (extremely), where higher scores indicate greater severity of difficulties experienced. Correlations between the mean item score on the IIP and the IIP-32 were .94 and .96, respectively, at pre- and post-treatment administrations in an efficacy study of time-limited treatment for depression (Barkham, Hardy, &amp; Startup, 1996).</description>
  </secondary_outcome>
  <number_of_arms>1</number_of_arms>
  <enrollment type="Actual">4</enrollment>
  <condition>Metacognitive Capacities</condition>
  <arm_group>
    <arm_group_label>Patients receiving metacognition-based intervention</arm_group_label>
    <arm_group_type>Other</arm_group_type>
    <description>Case-Series Design - all participants receive the intervention - metacognition-based therapy (adapted version of Metacognitive Reflection and Insight Therapy developed by Lysaker &amp; Klion) - weekly for a period of 12 months. No control/comparison group.</description>
  </arm_group>
  <intervention>
    <intervention_type>Other</intervention_type>
    <intervention_name>Metacognitive Reflection and Insight Therapy - Adapted</intervention_name>
    <description>The intervention involves the following elements: setting an agenda, developing a therapeutic relationship, therapist transparency and insertion of therapist's mind, analysis of narrative episodes, problem definition, stimulating self-reflection and understanding of others, stimulating mastery, reflecting on therapeutic relationship, and client assessment of outcomes.</description>
    <arm_group_label>Patients receiving metacognition-based intervention</arm_group_label>
  </intervention>
  <eligibility>
    <criteria>
      <textblock>
        Inclusion Criteria:&#xD;
&#xD;
          -  Diagnosed with a Bipolar Affective (mood) Disorder&#xD;
&#xD;
          -  Medication has not been changed for at least the past one month&#xD;
&#xD;
          -  No hospitalisations in the past month&#xD;
&#xD;
          -  Able to provide informed consent&#xD;
&#xD;
        Exclusion Criteria:&#xD;
&#xD;
          -  Diagnosed with an Intellectual Disability&#xD;
&#xD;
          -  Diagnosed with Schizoaffective Disorder&#xD;
&#xD;
          -  High risk of suicide; defined as current, daily suicidal ideation, or the presence of&#xD;
             a current plan and intent to commit suicide&#xD;
      </textblock>
    </criteria>
    <gender>All</gender>
    <minimum_age>N/A</minimum_age>
    <maximum_age>N/A</maximum_age>
    <healthy_volunteers>Accepts Healthy Volunteers</healthy_volunteers>
  </eligibility>
  <overall_official>
    <last_name>Priyanka Komandur</last_name>
    <role>Principal Investigator</role>
    <affiliation>Queensland University of Technology</affiliation>
  </overall_official>
  <location>
    <facility>
      <name>Queensland University of Technology</name>
      <address>
        <city>Brisbane</city>
        <state>Queensland</state>
        <zip>4059</zip>
        <country>Australia</country>
      </address>
    </facility>
  </location>
  <location>
    <facility>
      <name>Metro South Addiction &amp; Mental Health Services</name>
      <address>
        <city>Brisbane</city>
        <state>Queensland</state>
        <zip>4102</zip>
        <country>Australia</country>
      </address>
    </facility>
  </location>
  <location_countries>
    <country>Australia</country>
  </location_countries>
  <verification_date>September 2021</verification_date>
  <study_first_submitted>August 13, 2017</study_first_submitted>
  <study_first_submitted_qc>August 28, 2017</study_first_submitted_qc>
  <study_first_posted type="Actual">August 30, 2017</study_first_posted>
  <last_update_submitted>September 7, 2021</last_update_submitted>
  <last_update_submitted_qc>September 7, 2021</last_update_submitted_qc>
  <last_update_posted type="Actual">September 14, 2021</last_update_posted>
  <responsible_party>
    <responsible_party_type>Principal Investigator</responsible_party_type>
    <investigator_affiliation>Queensland University of Technology</investigator_affiliation>
    <investigator_full_name>Priyanka Komandur</investigator_full_name>
    <investigator_title>PhD Student/Clinical Psychology Registrar</investigator_title>
  </responsible_party>
  <keyword>bipolar disorder</keyword>
  <keyword>metacognition</keyword>
  <keyword>reflective functioning</keyword>
  <keyword>metacognition-based intervention</keyword>
  <keyword>sense of self</keyword>
  <keyword>insight</keyword>
  <condition_browse>
    <!-- CAUTION:  The following MeSH terms are assigned with an imperfect algorithm            -->
    <mesh_term>Mood Disorders</mesh_term>
    <mesh_term>Bipolar Disorder</mesh_term>
  </condition_browse>
  <patient_data>
    <sharing_ipd>No</sharing_ipd>
  </patient_data>
  <!-- Results have not yet been posted for this study                                          -->
</clinical_study>


download date: ClinicalTrials.gov processed this data on September 20, 2023
link text: Link to the current ClinicalTrials.gov record.
url: https://clinicaltrials.gov/ct2/show/NCT03266679
org study id: Ethics Approval No: 1700000591
nct id: NCT03266679
lead sponsor: 
collaborator: 
has dmc: No
is fda regulated drug: No
is fda regulated device: No
The aim of this study is to trial an intervention targeting potential deficits in an
      individual's ability to form, and reflect upon, ideas about themselves and others (known as
      metacognitive capacities), specifically in relation to individuals diagnosed with a bipolar
      mood disorder (BMD).

      The proposed research will adopt a mixed qualitative and quantitative design. Participants
      will be recruited through hospital outpatient groups (i.e., Metro South Addiction & Mental
      Health Services Woolloongabba Community Health Centre & Beenleigh Community Health Centre in
      Brisbane, Queensland), and, as necessary, local non government organisations (NGOs),
      psychiatrists, general practitioners, online support networks (SANE Australia, Black Dog
      Institute), community mental health services(such as MINDNET), and/or social media groups
      (Facebook, Twitter) supporting people who meet criteria for a BMD. The research will then use
      clinical interviews and quantitative (survey) methods to: (1) confirm diagnosis of
      participants; and (2) confirm deficits in metacognitive capacities of participants. Following
      this, the research will then involve the implementation of an adapted intervention across a
      course of 12 months, aimed at improving the metacognitive capacities of participants with a
      diagnosis of a BMD.

      The research will provide an enriched understanding of a dimension of people with BMDs that
      has not been previously explored. The research will help with gaining an understanding of the
      metacognitive processes of people with BMDs, and inform more targeted psychological
      interventions.
allocation: N/A
intervention model: Single Group Assignment
intervention model description: Case-Series Design
primary purpose: Treatment
masking: None (Open Label)
measure: The Indiana Psychiatric Illness Interview (IPII)
time frame: IPII + MAS-A (see below) combined take approximately 45- 60 minutes
description: The IPII is a semi-structured interview that will be used to assess how participants understand their experience with mental illness (i.e., to elicit and assess an illness narrative). The interview is conceptually divided into five sections. First, rapport is established and participants are asked to tell the story of their lives, beginning with their earliest memory. Second, participants are asked if they think they have a mental illness and, if so, whether or not this condition has affected different facets of their life. Third, participants are asked if and how their condition controls their life and, alternately, how they control their condition. Fourth, they are asked how their condition affects, and is affected by others. Finally, participants are asked about their expectations for the future. The narratives of self and illness are then qualitatively analysed (form and quality rather than content) and then quantitatively rated.
measure: The Metacognition Assessment Scale - Abbreviated (MAS-A)
time frame: IPII + MAS-A combined take approximately 45-60 minutes
description: The MAS-A is an observer rating scale that will be used to assess metacognitive capacity. The MAS-A can be used either in a structured interview format or during a therapy session. The measure presumes that metacognition is comprised of multiple related but semi-independent functions. The MAS-A provides an overall measure of metacognitive capacity, as well as four subscale measures. The four subscales are: 1) Self-reflectivity or Understanding of One's Own Mind - the ability of a person to think about his or her own mental states; 2) Understanding Others' Minds - the ability to think about the mental states of others; 3) Decentration - the ability to see other's mental states with motivations and hypotheses independent from their own); and, 4) Mastery - the ability to use
measure: The Narrative Coherence Rating Scale (NCRS)
time frame: 10-15 minutes
description: The NCRS is a six item, 18-point rating scale developed to assess narrative coherence of illness narratives elicited from the IPII. The six items are: 1) "Logical connections" among the narrative of past psychiatric illnesses; 2) "Logical connections" among the narrative of psychiatric illnesses in the present; 3) "Richness of historical detail" among the narrative of past psychiatric illnesses; 4) "Richness of historical detail" among the narrative of psychiatric illnesses in the present; 5) "Plausibility" among the narrative of psychiatric illnesses in the past; and 6) "Plausibility" among the narrative of psychiatric illnesses in the present. A trained rater reviews an IPII transcript and rates according to scoring anchors (Lysaker et al., 2002).
measure: Treatment Outcome Package (TOP)
time frame: 15-20 minutes
description: The TOP is a multidimensional outcome measure designed to track behavioural health treatment progress and outcomes. The TOP has three age-specific versions (child, adolescent, adult). The adult TOP clinical scales consist of 58 items assessing 12 symptom and functional domains: work functioning, sexual functioning, social conflict, depression, panic (somatic anxiety), psychosis, suicidal ideation, violence, mania, sleep, substance abuse, and quality of life. Items (e.g., "Felt down or depressed" "Felt on top of the world") can be summed across the domains to form a global symptom severity score. When using raw (non-standardised) scores, higher TOP total scores indicate healthier functioning. The TOP clinical scales and total score have demonstrated adequate internal consistency reliability and test-retest reliability, and convergent, discriminant, and criterion validity (Kraus, Seligman, & Jordan, 2005).
measure: The Hamilton Depression Rating Scale (HDRS)
time frame: 10 minutes
description: The HDRS is a 17-item, clinician-rated scale that will be used to assess the severity of, and change in, depressive symptoms in participants over the past week. Items (e.g., Feelings of Guilt) are rated on scales of varying grades of severity (e.g., 0 = absent, 4 = incapacitating). The HDRS item scores can be summed to obtain a total score (ranging from 0 to 52), where higher scores indicate greater depression severity. The HDRS has demonstrated adequate reliability (internal, interrater, and retest) and validity (convergent, discriminant, and predictive; Bagby, Ryder, Schuller, Marshall, 2004).
measure: The Young Mania Rating Scale (YMRS)
time frame: 10 minutes
description: The YMRS is an 11-item, clinician-rated scale that will be used to assess symptoms of mania over the past week. There are four items (Irritability, Speech, Thought Content, and Disruptive/Aggressive Behaviour) that are rated on a 0 to 8 scale, while the remaining items are rated on a 0 to 4 scale. All rating scales have explicitly described grades of severity. The YMRS scores can be summed to obtain a total score (ranging from 0 to 60), where higher scores indicate greater severity of the symptom. The YMRS has demonstrated adequate internal consistency and test-retest reliability, as well as convergent and divergent validity (Young et al., 1978).
measure: The Sheehan Disability Scale (SDS)
time frame: 1-2 minutes
description: The SDS is a 5-item, self-reported questionnaire used to measure the extent to which an individual's disability due to an illness or health problem has interfered with: (1) work/school; (2) social life/leisure activities (3) and family life/home responsibilities (each area is considered a subscale of the questionnaire) in the past week. The first three items (e.g.,"The symptoms have disrupted your work/school work") are rated on a Likert-type scale (0 = not at all, 10 = extremely). Each subscale can be scored separately or combined into a total score (sum of non-missing responses) ranging from 0 to 30, where higher scores indicate significant functional impairment.
measure: The 36-Item Short Form Healthy Survey (SF-36)
time frame: 5-10 minutes
description: The SF-36 is a 36-item scale used to measure an individual's QoL. The scale taps into varying health concepts, with eight subscales: physical functioning, bodily pain, role limitations due to physical health problems, role limitations due to personal or emotional problems, emotional well-being, social functioning, energy/fatigue, and general health perceptions. It also includes a single item that provides an indication of perceived change in health. Items (e.g., "How much bodily pain have you had in the past 4 weeks?") are rated on Likert-type scales of varying ranges (between 1-2 and 1-6). Items in the same scale are averaged together to form eight scale scores (average is based on questions that received a response, missing data is excluded). Items are scored such that higher scores indicate a more favourable health state (Ware Jr & Sherbourne, 1992).
measure: The Inventory of Interpersonal Difficulties (IIP-32)
time frame: 5 minutes
description: The IIP-32 is a 32-item self-report questionnaire used to measure the severity of a wide range of difficulties experienced in interpersonal relationships. It is a shortened version of the 127-item IIP (Horowitz, Rosenberg, Baer, Ureno, & Villasenor, 1998) The scale comprises eight subscales: hard to be sociable, hard to be assertive, too aggressive, too open, too caring, hard to be supportive, hard to be involved, and too dependent. Items (e.g., "I open up to people too much") are rated on a 5-point Likert-type scale ranging from 0 (not at all) to 4 (extremely), where higher scores indicate greater severity of difficulties experienced. Correlations between the mean item score on the IIP and the IIP-32 were .94 and .96, respectively, at pre- and post-treatment administrations in an efficacy study of time-limited treatment for depression (Barkham, Hardy, & Startup, 1996).
arm group label: Patients receiving metacognition-based intervention
arm group type: Other
description: Case-Series Design - all participants receive the intervention - metacognition-based therapy (adapted version of Metacognitive Reflection and Insight Therapy developed by Lysaker & Klion) - weekly for a period of 12 months. No control/comparison group.
intervention type: Other
intervention name: Metacognitive Reflection and Insight Therapy - Adapted
description: The intervention involves the following elements: setting an agenda, developing a therapeutic relationship, therapist transparency and insertion of therapist's mind, analysis of narrative episodes, problem definition, stimulating self-reflection and understanding of others, stimulating mastery, reflecting on therapeutic relationship, and client assessment of outcomes.
arm group label: Patients receiving metacognition-based intervention
criteria: 
gender: All
minimum age: N/A
maximum age: N/A
healthy volunteers: Accepts Healthy Volunteers
last name: Priyanka Komandur
role: Principal Investigator
affiliation: Queensland University of Technology
facility: 
facility: 
country: Australia
responsible party type: Principal Investigator
investigator affiliation: Queensland University of Technology
investigator full name: Priyanka Komandur
investigator title: PhD Student/Clinical Psychology Registrar
mesh term: Mood Disorders
mesh term: Bipolar Disorder
sharing ipd: No