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MOOD DISORDERS PROGRAM

at University Hospitals Case Medical Center

 

Glossary of Terms


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Adjunctive Therapy: Subjects are given study medication, in addition to medications they are already taking.

Blinded study: A study done in such a way that the patients or subjects do not know (is blinded as to) what treatment they are receiving to ensure that the results are not affected by a placebo effect (the power of suggestion).

Chemical dependence: The habit of using alcohol or drugs; usually separated from “substance abuse” or “addiction,” in which the habit is more severe.

Clinical Trial: A controlled study involving human subjects, designed to evaluate prospectively the safety and effectiveness of new drugs or devices or of behavioral interventions.

Confidentiality: A promise from the interviewer to the person being interviewed that no information will be given to anyone except the researchers if it can show who the person being interviewed is.

Control Group: In a test or trial, a group that does not receive the new treatment being studied and which is compared to the group that does receive the new treatment.

Diagnosis: A name of an illness and a description of the illness; usually taken from the “Diagnostic and Statistical Manual” of the American Psychiatric Association, which tries to group clients by their symptoms and the course of their illness.

Double-Blinded Study: Neither the study participants nor the study professionals know which participants are receiving the test therapy and which participants are receiving standard therapy or placebo.

Dual diagnosis: Two different “diagnoses” given to the same person. This term is used most often for a “severe” mental illness combined with some form of “chemical dependency” (for example, schizophrenia combined with dependence on marijuana).

Exclusion Criteria: When a subject does not meet the basic parameters for participation within the study because she/she doesn't have a certain characteristic or trait, they may be excluded from the sample.

Experimental Group: A group that does receive the new treatment being studied.

Fixed Dosage: All subjects are given the same dose of medication throughout the study.

Informed consent: Agreement of a person being studied, based on the person’s knowledge about the goals, methods, benefits, and risks of the study. Informed consent is given with the understanding that the person can change his or her mind about the study at any time.

Institutional Review Board (IRB): An IRB is an independent committee of physicians, nurses, pharmacists, scientists, ethicists, and community advocates. Every clinical trial conducted in the United States requires IRB approval and monitoring to protect each participant's rights and welfare.

Mood Disorder: A disorder in which a person’s emotional mood is distorted or inappropriate to the situation. The two major mood disorders are depression and bipolar disorder.

Mood Stabilizer: A psychiatric medication used to treat mood disorders, including bipolar disorder. Mood stabilizers include: depakote, lithium, and lamictal.

National Institutes of Mental Health (NIMH): A federal institution for research (especially biomedical research) related to causes and treatments of mental illness.

Open-label: Known active study medication taken during a clinical trial.

Phase: Clinical trials of experimental drugs progress through four phases:

  • In Phase I clinical trials, researchers test a new drug or therapy in a small  group of participants (20-80) for the first time to evaluate treatment safety, determine proper dosage, and observe side effects.
  • In Phase II clinical trials, researchers administer the study drug or therapy to a larger group of participants (100-300) to further evaluate both its safety and effectiveness.
  • In Phase III clinical trials, researchers administer the study drug or therapy to large groups of participants (1,000-3,000) to confirm effectiveness, identify risks, monitor side effects, and compare and contrast study treatment safety and effectiveness with commonly used therapies.
  • In Phase IV clinical trials, researchers continue testing the study drug or therapy in order to measure treatment effectiveness and monitor the effects of long-term use.
  • Placebo: A placebo is an inactive substance that holds no treatment value. In clinical trials, the experimental therapy is often compared to the placebo to measure treatment effectiveness.

    Principal Investigator (PI): The main person running a research study.

    Privacy: Control over the extent, timing, and circumstances of sharing oneself (physically, behaviorally, or intellectually) with others.

    Protocol: A protocol outlines the specifics of the clinical trial, namely, study qualifications, time points, treatments, and procedures.

    Randomization: Assignment of subjects to different treatments, interventions, or conditions according to chance rather than systematically.

    Research: A systematic investigation designed to develop or contribute to generalizable knowledge.

    Side Effects: Side effects are any undesired actions or effects caused by the study drug or therapy.

    Voluntary: Free of coercion, duress, or undue inducement. Used in the research context to refer to a subject's decision to participate (or to continue to participate) in a research activity.