Research Projects


Studies currently recruiting participants

Understanding personal recovery experiences in bipolar disorder

Recovery experience is a unique and diverse experience and rarely focuses only on symptom reduction. This study aims to examine what other aspects of recovery are important to people with bipolar disorder and discover psychological, social and environmental factors that influence such aspects and fluctuations in recovery experiences, in both everyday life and in longer term.

If you think you might be interested in taking part and would like to find out more, please see our information page about the study.

Managing Bipolar Experiences Without the Use of Medication

This is a research project looking at the experiences of people who manage their bipolar experiences without using medication. This could help professionals develop ideas which might be helpful for other people diagnosed with bipolar disorder who donít want to use medication.

People are eligible to take part in this study if they have been given a diagnosis of bipolar disorder by a mental health professional, and have been offered medication for their mood but do not currently take it.

Taking part will involve completing a questionnaire over the phone, then meeting a researcher to fill in another questionnaire and complete an interview.

If you think you might be interested in taking part and would like to find out more, please e-mail r.cappleman@lancaster.ac.uk.

Thinking Style, Behaviour, Mood & Recovery in Bipolar Disorder

We are exploring relationships between thinking style, responses to mood, positive experiences of mood swings, inspiration, mood and recovery using a set of online questionnaires. We will also be investigating the reliability and validity of several measures of these processes. For more information on the project, see the Thinking Style study page.

You can jump straight to the study questionnaire by visiting www.thinkingstyle.spectrumdevelopment.org.uk


Other studies in progress or recently completed at the Spectrum Centre

Clinical Case Series' - Family Focused Support

This project is designed to assess the acceptability of a 6 month family fucused psychological intervention, providing up to 18 sessions with participants. It will provide a detailed exploration of the relationship between the intervention, the characteristics of the participant (such as thoughts, mood and activity) and outcomes as defined by both the service user and clinician.

You can find out more information on the Family Focused Support project page.

Enhanced Relapse Prevention Online (ERP Online)

What is ERP Online?

ERP Online is an interactive website which provides access to the Enhanced Relapse Prevention approach for bipolar disorder.

Why are we doing this?

Many people continue to experience relapses and our approach is effective in reducing relapse. We want to increase access to it.

For more information on the ERP Online project, see the ERP Online page or visit www.erponline.co.uk

Integrated Bipolar Parenting Intervention (IBPI)

The Spectrum Centre are assessing the usefulness of a web-based parenting programme that is tailored to meet the needs of parents with a diagnosis of bipolar disorder. People with Bipolar Disorder may find that their changes in mood make the delivery of consistent parenting more difficult than for parents without mental health problems.

The Integrated Bipolar Parenting Intervention (IBPI) developed by the Spectrum Centre combines a parenting programme (Triple P) that consists of positive parenting techniques with strategies that are helpful for managing bipolar. For more information on the IBPI project, see the IBPI page or visit www.ibpi.co.uk

Meeting Relatives' Needs (MRN)

Committed to the continuous improvement of the care provided, the Central North West London NHS Foundation Trust (CNWL) is keen to support a research project that aims to evaluate how carers experience the services they receive.

The study focuses on the triangle of care in mental health, consisting of service users, relatives, and health professionals. The study will explore how relatives of people with mental health problems experience the support they receive, whether they are satisfied, and how this can be improved.

For more information on the MRN project, see the MRN page.

Clinical Case Series' - Recovery Focused Therapy

This is a study exploring the impact of a recovery-focused intervention on the mood and other factors of interest for people with a diagnosis of bipolar disorder. Considerable evidence points to the beneficial impact of psychological interventions on outcomes such as symptoms and relapse. However, such outcomes may not accurately capture what the service user considers to be meaningful change. Little is known about the interaction between service user definitions of recovery, participant characteristics and therapeutic components. An improved understanding of these factors represents an important step in developing more suitable and effective psychological interventions.

You can find out more information on the Recovery Focused Therapy project page.

PARADES Programme Grant

Academics at the Spectrum Centre led by Professor Steven Jones have been awarded a prestigious £2m programme grant by National Institute for Health Research. The PARADES programme will run over 5 years in collaboration with Manchester Mental Health and Social Care Trust, Nottingham and Manchester Universities.

This is the first major award for research into bipolar disorder funded by NIHR and will focus on the development, evaluation and implementation of psychological approaches to bipolar disorder and comorbid problems.

There are five studies contained within it as follows:

Psychoeducation
A definitive randomised controlled trial (RCT) comparing group psychoeducation with group peer support, both delivered by a service user and 2 clinicians.
Anxiety
A treatment development study concerning anxiety in bipolar disorder. This will have three phases. Phase 1 is a qualitative study of peopleís experience of anxiety in bipolar disorder. Phase 2 is a consultative phase in which individuals with bipolar experience indicate ways in which anxiety intervention protocols might be made relevant to individuals with bipolar. The final phase is a pilot RCT testing the feasibility and acceptability of the chosen approach and also providing provisional information on effectiveness all of which will inform a future definitive trial.
Substance Use
This study will follow the same model as the Anxiety stream (see above) but for people with bipolar and comorbid substance/alcohol problems and will be informed by pilot work already conducted by our team.
Suicidality and Self Harm
This study will look at factors associated with suicide and severe self harm in bipolar disorder using both the Manchester University National Confidential database and associated data sources in the first instance.
Advance Directive Evaluation
The final element is designed to evaluate the extent to which the mental capacity act is impacting on the treatment experiences of individuals with bipolar disorder. This will include surveys of court records and Responsible Medical Officers to indicate application of advance directives as well as interviews with individuals with a bipolar diagnosis to study whether advance directives are used in relation to admission and whether this is more or less likely in individuals in receipt of the psychoeducation intervention.

Recovery

The Recovery project involves the development and evaluation of a recovery-focussed psychosocial intervention for individuals with a diagnosis of bipolar disorder. For more information on the Recovery project, visit the Recovery page.

Relatives Education and Coping Toolkit (REACT)

This project is funded by the National Institute of Health Research, and is developing and evaluating a supported self-management intervention for caregivers of individuals who have experienced psychosis. More information on the REACT project can be found here.

Involving Relatives in the Healthcare Team

Funded by the Violet and Milo Cripps Charitable Trust in memory of Lord Milo Douglas who had bipolar disorder and died by suicide in 2009, aged 34, this study aims to enhance our understanding of the inter- and intrapersonal barriers and facilitators to involving relatives in mental healthcare, and the impact that communication in mental healthcare settings may have on the course of BD and the family's overall wellbeing. For more information, click here

Personality and the Student Experience

This project is an analogue study exploring the associations between personality style and academic achievement in undergraduate students, and what factors are specifically related to positive and negative outcomes for these students.

For more information, see Personality and the Student Experience.

EMOTE - Everyday Momentary Observations of Thoughts and Emotions (PhD)

Faye Banks, Heather Robinson, and Kay Hampshire are jointly running the EMOTE study, which aims to explore the relationships between mood changes and anxiety, mood management and circadian rhythms.

For more information, please click here.

This project is being supervised by Steve Jones and Fiona Lobban.

Circadian Instability, Appraisal Style, and Mood (PhD)

Faye Banks is investigating associations between circadian instability, appraisals, and mood, among individuals with bipolar disorder and fybromyalgia, as well as non-clinical populations.

For more information, please click here.

This project is being supervised by Steve Jones and Fiona Lobban.

Mood management: An eight stage process (PhD)

Heather Robinson is investigating how individuals with and without a diagnosis of bipolar disorder detect and respond to changes in mood. Mood management: An eight stage process will examine whether there are differences between individuals with and without a diagnosis of bipolar disorder with regard to how they manage their moods at different stages of self-regulation, which could have important implications for psychosocial interventions for bipolar disorder.

For more information, please click here.

This project is being supervised by Fiona Lobban and Steve Jones.

Experiences of Anxiety in Bipolar Disorder (PhD)

Anxiety is common among individuals with bipolar disorder, and is associated with poorer outcomes. Kay Hampshire is investigating the experience of anxiety among individuals with a diagnosis of bipolar disorder, and the relationship between the two.

For more information, please click here.

This project is being supervised by Steve Jones and Fiona Lobban.

Helping relatives to help themselves: self management for relatives of people in early Psychosis (PhD)

Laura Wainwright is investigating self management use of relatives of people experiencing early psychosis. The aim is to investigate their experiences and how they may be supported to use resources to facilitate their experiences.

For more information, please click here.

This project is being supervised by Fiona Lobban and Steve Jones.

Living With Bipolar (PhD)

This project is funded by Merseycare NHS Trust, and involves the development and evaluation of the feasibility of a web-based psychosocial intervention for individuals with a diagnosis of bipolar disorder. For more information, see our Living With Bipolar webpage.

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