Think Effectively About Mood Swings (TEAMS): A case series of cognitive–behavioural therapy for bipolar disorders

Searson, Ruth; Mansell, Warren; Lowens, Ian; Tai, Sara

doi:10.1016/j.jbtep.2011.10.001

Cited by 39 publications

(47 citation statements)

References 42 publications

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“…(HAPPI) (Client-HAPPI) which assesses their most prominent beliefs about internal states [29]. At the end of each treatment session, clients rate their level of satisfaction with therapy on a Likert scale from 0 (not at all) to 10 (extremely).…”

Section: Methodsmentioning

confidence: 99%

“…Specific treatment strategies and therapy techniques employed are determined by an individual formulation using the model. There are several published descriptions of the intervention, as well as a therapy manual in development [14, 22, 29, 41]. …”

Section: Methodsmentioning

confidence: 99%

“…If the significance level were altered to 15%, 30 participants per group will have 80% power to detect an effect size of 0.6. A previous case series of seven patients generated a pre-post effect size at one-month follow-up on the primary outcome measure of 3.0, and between 0.7 and 1.4 for the secondary measures [29]. The above information makes a feasibility trial of 30 participants per group an appropriate target.…”

Section: Methodsmentioning

confidence: 99%

“…In the second phase, we tested the model through a range of self-report, observational and experimental studies that provided strong evidence for the central role of extreme appraisals of internal states as a key mechanism in bipolar disorders and mood swings [20, 27, 28]. In the third phase we reported a number of case studies and a case series [29] that demonstrated promising findings regarding acceptability and effect sizes, and so established the rationale for a pilot randomized controlled trial at the fourth stage. At this fourth stage it is important to establish whether there is evidence that TEAMS added to usual care has evidence of clinical effectiveness of usual care.…”

Section: Introductionmentioning

confidence: 99%

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A novel cognitive behaviour therapy for bipolar disorders (Think Effectively About Mood Swings or TEAMS): study protocol for a randomized controlled trial

Mansell

Tai

Clark

et al. 2014

Trials

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BackgroundExisting psychological therapies for bipolar disorders have been found to have mixed results, with a consensus that they provide a significant, but modest, effect on clinical outcomes. Typically, these approaches have focused on promoting strategies to prevent future relapse. An alternative treatment approach, termed ‘Think Effectively About Mood Swings’ (TEAMS) addresses current symptoms, including subclinical hypomania, depression and anxiety, and promotes long-term recovery. Following the publication of a theoretical model, a range of research studies testing the model and a case series have demonstrated positive results. The current study reports the protocol of a feasibility randomized controlled trial to inform a future multi-centre trial.Methods/DesignA target number of 84 patients with a diagnosis of bipolar I or II disorder, or bipolar disorder not-otherwise-specified are screened, allocated to a baseline assessment and randomized to either 16 sessions of TEAMS therapy plus treatment-as-usual (TAU) or TAU. Patients complete self-report inventories of depression, anxiety, recovery status and bipolar cognitions targeted by TEAMS. Assessments of diagnosis, bipolar symptoms, medication, access to services and quality of life are conducted by assessors blind to treatment condition at 3, 6, 12 and 18 months post-randomization. The main aim is to evaluate recruitment and retention of participants into both arms of the study, as well as adherence to therapy, to determine feasibility and acceptability. It is predicted that TEAMS plus TAU will reduce self-reported depression in comparison to TAU alone at six months post-randomization. The secondary hypotheses are that TEAMS will reduce the severity of hypomanic symptoms and anxiety, reduce bipolar cognitions, improve social functioning and promote recovery compared to TAU alone at post-treatment and follow-up. The study also incorporates semi-structured interviews about the experiences of previous treatment and the experience of TEAMS therapy that will be subject to qualitative analyses to inform future developments of the approach.DiscussionThe design will provide preliminary evidence of efficacy, feasibility, acceptability, uptake, attrition and barriers to treatment to design a definitive trial of this novel intervention compared to treatment as usual.Trial registrationThis trial was registered with Current Controlled Trials (ISRCTN83928726) on registered 25 July 2014.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A novel cognitive behaviour therapy for bipolar disorders (Think Effectively About Mood Swings or TEAMS): study protocol for a randomized controlled trial

Mansell

Tai

Clark

et al. 2014

Trials

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“…Psychopathology can arise when conflicts between goals are ignored and arbitrary control is applied (Mansell, 2005). This idea has been used to develop a model of emotion regulation in bipolar disorder in which symptoms of bipolar disorder are understood to arise as a consequence of the person having conflicting beliefs about internal states (Searson, Mansell, Lownes, & Tai, 2012).…”

Section: Identifying and Using The Theoretical Foundations Of The Epmmentioning

confidence: 99%

Foundations and Extensions for the Extended Model: More on Implicit and Explicit Forms of Emotion Regulation

Webb

Totterdell

Ibar

2015

Psychological Inquiry

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Electronic mail may be sent to t.webb@sheffield.ac.uk Foundations and extensions for the extended model 2 AbstractGross's Extended Process Model of Emotion Regulation (or EPM) draws on insights from the psychology of action control to consider not just the strategies that people use to regulate their emotions, but also how people decide when and how to regulate, and go about implementing their chosen strategy. This commentary seeks to extend the action control perspective on emotion regulation even further to connect the EPM with extant frameworks on self-regulation. In this regard, we consider the relation between emotions and behavior, conflict between emotional goals, the nature of the reference value toward which regulation is directed, and the dynamics of emotion regulation. We then consider two issues only touched on by Gross's review -automatic (or implicit) emotion regulation and (ii) interpersonal (or extrinsic) emotion regulation.

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Psychological Theories of and Therapies for Bipolar Disorder

Wright¹

2013

The Wiley‐Blackwell Handbook of Mood Disorders

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Think Effectively About Mood Swings (TEAMS): A case series of cognitive–behavioural therapy for bipolar disorders

Cited by 39 publications

References 42 publications

A novel cognitive behaviour therapy for bipolar disorders (Think Effectively About Mood Swings or TEAMS): study protocol for a randomized controlled trial

A novel cognitive behaviour therapy for bipolar disorders (Think Effectively About Mood Swings or TEAMS): study protocol for a randomized controlled trial

Foundations and Extensions for the Extended Model: More on Implicit and Explicit Forms of Emotion Regulation

Psychological Theories of and Therapies for Bipolar Disorder

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