Evidence map›Paper›PMID 32549994›Full record

ArticlePilot and feasibility studies2020

The IBER study: study protocol for a feasibility randomised controlled trial of Imagery Based Emotion Regulation for the treatment of anxiety in bipolar disorder.

Craig Steel, Kim Wright, Guy Goodwin, Judit Simon, Nicola Morant, Rod Taylor, Michael Brown, Susie Jennings, Susie Hales, Emily Holmes

Open access · goldAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 3 countries.

Craig SteelOxford Health NHS Foundation Trust, Oxford, UK.ORCID 0000-0002-1643-516X
Kim WrightUniversity of Exeter, Exeter, UK.
Guy GoodwinUniversity of Oxford, Oxford, UK.
Judit SimonOxford Health NHS Foundation Trust, Oxford, UK.
Nicola MorantUniversity College London, London, UK.
Rod TaylorUniversity of Glasgow, Glasgow, UK.
Michael BrownUniversity of Cambridge, Cambridge, UK.
Susie JenningsUniversity of Reading, Reading, UK.
Susie HalesOxford Health NHS Foundation Trust, Oxford, UK.
Emily HolmesKarolinska Institut, Stockholm, Sweden.
Oxford Health NHS Foundation Trust · GBKarolinska Institutet · SEUniversity College London · GBUniversity of Cambridge · GBUniversity of Exeter · GBUniversity of Glasgow · GBUniversity of Oxford · GBUniversity of Reading · GB

Funding

Department of Health PB-PG-1216-20009Medical Research Council MC_UP_0901/1Medical Research Council MC_UU_00005/15
6 · The paper itself

Abstract

backgroundAnxiety is highly prevalent in people diagnosed with bipolar disorder (BD), and can persist between acute episodes of mania and depression. Recent studies indicate that people with BD are prone to experiencing frequent, intrusive and emotional mental images which further fuel their levels of anxiety and mood instability. These intrusive emotional mental images represent a specific target for treatment for this disorder with the potential to reduce anxiety and improve mood stability. A new brief structured psychological intervention for BD called Imagery Based Emotion Regulation (IBER) has been developed, which translates experimental work in the area of imagery and emotion into a skills training programme to improve the regulation of intrusive and distressing emotional mental images in BD. A feasibility trial is required in order to assess whether a full randomised controlled trial is indicated in order to evaluate this approach.

methodsThe design is a two-arm feasibility randomised controlled trial (RCT), with 1:1 randomisation stratified by trial site and minimised on medication status and anxiety severity. Participants are 60 individuals diagnosed with bipolar disorder and experiencing at least a mild level of anxiety. Sites are defined by the geographical boundaries of two National Health Service (NHS) Trusts, with recruitment from NHS teams, GP surgeries and self-referral. The intervention is up to 12 sessions of Imagery Based Emotion Regulation within 16 weeks. The comparator is NHS standard care. The primary aim is to assess the feasibility of conducting a powered multi-site RCT to evaluate effectiveness. Measures of anxiety, depression, mania, mood stability and health care use will be conducted at baseline, end of treatment and at 16-week follow-up. DISCUSSION: This is the first feasibility trial of an imagery-based intervention for the treatment of anxiety in bipolar disorder. If the trial proves feasible, a large multi-site trial will be required.

trial registrationISRCTN16321795. Registered on October 16, 2018. 10.1186/ISRCTN16321795.

Indexed as

AnxietyBipolar disorderEmotion regulationFeasibilityImageryPsychological intervention

Identifiers

PMID32549994
PMCPMC7294606
OpenAlexW3034965891

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.