{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T21:15:32Z","timestamp":1785014132427,"version":"3.55.0"},"reference-count":61,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,3,10]],"date-time":"2022-03-10T00:00:00Z","timestamp":1646870400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychol Psychother"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Evidence for the treatment of bipolar affective disorder with cognitive analytic therapy (CAT) is limited, and so this study sought to intensively evaluate outcomes in a co\u2010produced single\u2010case experimental design (SCED).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>\n                      An A\n                      <jats:sup>1<\/jats:sup>\n                      \/B\/A\n                      <jats:sup>2<\/jats:sup>\n                      \/C with extended follow\u2010up SCED with a female patient meeting diagnostic criteria for bipolar disorder.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Following the 6\u2010week baseline period \u2018A\n                      <jats:sup>1<\/jats:sup>\n                      \u2019, treatment occurred in two phases (18 \u2018B\u2019 and 6\u00a0sessions \u2018C\u2019) sandwiching a 12\u2010week treatment withdrawal phase (\u2018A\n                      <jats:sup>2<\/jats:sup>\n                      \u2019) and a 24\u2010week structured follow\u2010up phase. Five idiographic daily measures were collected daily to create a 622\u2010day timeline. The PHQ\u20109 and the Mania Rating Scale were completed after each treatment session. The participant held two roles: as the patient and provider of the idiographic\/nomothetic outcomes and also as part of the research team through providing a commentary on the outcomes identified.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>CAT was a partially effective intervention. There were improvements to idiographic measures of self\u2010criticism, self\u2010acceptance, body dissatisfaction and worry. Nomothetic outcomes showed little change. CAT did not insulate from the occurrence of a hypermanic relapse during the follow\u2010up phase. The change commentary mirrored the idiographic outcomes in noting that the \u2018exits\u2019 were harder to implement during the manic relapse.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This co\u2010produced SCED suggests a partially effective CAT intervention, but with exits much harder to sustain during manic relapse. Methodologically, it is possible to improve SCED methodology through widening the participant role further beyond that of data collection.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/papt.12390","type":"journal-article","created":{"date-parts":[[2022,3,11]],"date-time":"2022-03-11T00:44:09Z","timestamp":1646959449000},"page":"621-638","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Effectiveness of cognitive analytic therapy for bipolar affective disorder: A co\u2010produced single subject cumulative treatment design with extended follow\u2010up (A\n                    <sup>1<\/sup>\n                    \/B\/A\n                    <sup>2<\/sup>\n                    \/C\u2010FU)"],"prefix":"10.1111","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6034-4495","authenticated-orcid":false,"given":"Stephen","family":"Kellett","sequence":"first","affiliation":[{"name":"University of Sheffield and Sheffield Health and Social Care NHS Foundation Trust  Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Alhadeff","sequence":"additional","affiliation":[{"name":"Patient Participant Sheffield Health and Social Care NHS Foundation Trust  Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Gaskell","sequence":"additional","affiliation":[{"name":"University of Sheffield  Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Simmonds\u2010Buckley","sequence":"additional","affiliation":[{"name":"Patient Participant Sheffield Health and Social Care NHS Foundation Trust  Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,3,10]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40345\u2010015\u20100042\u20100"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600\u20100447.2000.90061.x"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0006\u20103223(96)00548\u20103"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.5465\/255848"},{"key":"e_1_2_9_7_1","volume-title":"Single case experimental designs. 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