Psychobiological Markers to Improve Diagnosis and to Predict Affective Episodes in Bipolar Disorder

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-65
SponsorKarolinska Institutet

About this trial

This trial has two studies. In study 1, the investigators will explore the relationships between three psychobiological factors (sleep patterns, motor activity, and decision-making ability). The investigators aim to investigate how these factors interact in BD patients. This understanding will facilitate the distinction of BD patients from patients with recurrent depressive disorder (MDD) and healthy controls.

In study 2, the investigators will continue following patients with bipolar disorder and use the interplay between the three psychobiological factors to develop early markers of full-blown affective episodes.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Participants must be capable of giving informed consent.

Participants must be able to understand and follow the instructions in the project.

Access to a smartphone and ability to use a smartphone and actimeter.

Confirmed diagnosis of bipolar disorder (type 1 or type 2) according to ICD-10 after completion of an assessment at a psychiatric clinic in the Stockholm Region.

Disqualifiers

Active substance abuse or dependence (alcohol or other substances).

Neurological disease or cognitive impairment that may affect study results or compliance with study procedures.

Inability to use a smartphone and smartwatch as required by the study.

Inability to provide valid informed consent.

Trial population

* Healthy control comes from the Stockholm region general population. * Patients comes from different psychiatric clinics in the Stockholm region.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

600 Participants
are grouped into 3 trial groups
Group A: Bipolar Patients
Group B: New Mood Disorder Patients
Group C: Healthy control

Trial outcomes

Primary outcomes

1

Sleep onset

Smartwatch measure of sleep onset.

Time frame
12 weeks for study 1; 1 year for study 2
2

Motor activity

Smartwatch data on number of steps each half time of the day

Time frame
12 weeks for study 1; 1 year for study 2
3

Learning rate

We will administer a reward learning task and use computational modeling to extract a learning rate.

Time frame
12 weeks for study 1; 1 year for study 2
4

Reward sensitivity

We will administer a valence go/no go task and use computational model to extract reward sensitivity.

Time frame
12 weeks for study 1; 1 year for study 2

Secondary outcomes

1

Questionnaire

Karolinska Sleep Questionnaire (KSQ)

Time frame
12 weeks for study 1; 1 year for study 2
2

Questionnaire

Reduced Morningness-Eveningness Questionnaire

Time frame
12 weeks for study 1; 1 year for study 2
3

Questionnaire

Center for Epidemiologic Studies Depression Scale Revised (CESD-R)

Time frame
12 weeks for study 1; 1 year for study 2
4

Questionnaires

Altman Self-Rating Mania Scale (ASRM)

Time frame
12 weeks for study 1; 1 year for study 2

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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