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Group Therapy for Adults With Both Bipolar Disorder and ADHD

Tests a new group program combining two therapies in adults with bipolar disorder and ADHD.

Plain-language title generated from the registry record
Registry title: A Novel Psychological Intervention for Adults With Bipolar Disorder and Attention Deficit Hyperactivity Disorder Comorbidity (VECTOR)

Key facts

Where
Barcelona, SpainSee the site

Where in Spain

  • Hospital Clínic de Barcelona and Vall d'Hebron University HospitalBarcelona, SpainNo longer taking part

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  2. Are travel costs paid?
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  4. What happens if I want to stop?
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Trial details

Who runs it
Hospital Universitari Vall d'Hebron Research Institute
Trial code
NCT07039903
Record updated
26 June 2025
Original description
Cognitive dysfunctions are present in Bipolar Disorder (BD) and Attention Deficit Hyperactivity Disorder (ADHD) and may negatively impact psychosocial functioning. Further, comorbid BD and ADHD (BD-ADHD) is prevalent, associated with an earlier BD onset and a less favorable prognosis. Nevertheless, there is a paucity of research dedicated to the characterization and treatment of comorbid BD-ADHD.Read full original descriptionShow less

Bridging the Gap in the Study of Bipolar Disorder and Attention Deficit Hyperactivity Disorder: Impact of cognitiVE Reserve and funCtioning in a Newly Designed Treatment intervenTion for comORbidity (VECTOR)

Cognitive dysfunctions are present in Bipolar Disorder (BD) and Attention Deficit Hyperactivity Disorder (ADHD) and may negatively impact psychosocial functioning. Further, comorbid BD and ADHD (BD-ADHD) is prevalent, associated with an earlier BD onset and a less favorable prognosis. Nevertheless, there is a paucity of research dedicated to the characterization and treatment of comorbid BD-ADHD.

This study aims to develop and evaluate the effectiveness of a novel psychological group intervention (VECTOR) for adults with BD-ADHD. VECTOR integrates elements from Cognitive Behavioral Therapy (CBT) for ADHD and Functional Remediation (FR) for BD.

Eighty patients will be randomized (1:1) to receive either the VECTOR program (12 weekly group sessions) or treatment as usual (TAU).

It is expected that the VECTOR program will result in greater improvements in functioning and symptom reduction compared to TAU.

Inclusion: Fulfill DSM-5 criteria for BDI or BDII and ADHD using the Structured Clinical Interview for DSM-5 and the Conners' Adult ADHD Diagnostic Interview (CAARS); Aged ≥18; Stable pharmacological treatment for at least the past three months; Being in full or partial remission Young Mania Rating Scale (YMRS) ≤ 10, Hamilton Depression Rating Scale (HDRS) ≤ 14) at the time of the inclusion and assessment; ADHD rating scale≥24.

Exclusion: Any comorbid psychiatric condition; Diagnosis of substance abuse disorder in the past 12 months; Having any Central Nervous System illness, independent of primary psychiatric diagnosis, hampering neuropsychological performance; Intellectual disability (intelligence quotient < 70); Participation in a structured psychological intervention during the study period.

ClinicalTrials.gov NCT07039903