- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04182061
Internet Transdiagnostic-CBT for Anxiety and Depression in Adolescents
January 8, 2024 updated by: Universidad Nacional de Educación a Distancia
Internet-Delivered Transdiagnostic CBT Program to Improve Access for Treatment of Anxiety and Depression in Adolescents: A Randomized Controlled Trial
This study represents the first research program to assess the efficacy of transdiagnostic cognitive behavior therapy (T-CBT) delivered via internet for anxiety and depression in adolescents.
The primary aim of the study was to implement the program AMTE (Aprende a Manejar tus Emociones [Learn to Manage Your Emotions]), an internet delivered T-CBT protocol designed to target both anxiety and depression symptoms and disorders (major depression disorder, dysthymic disorder, panic disorder, agoraphobia, generalized anxiety disorder, and social anxiety disorder) in adolescents, and to establish its preliminary efficacy on anxiety and depressive symptomatology.
A secondary objective is to demonstrate its potential effect regarding: (a) transdiagnostic measures associated with etiology of emotional disorders including negative affect, anxiety sensitivity, and emotional avoidance, and (b) positive factors including satisfaction with life and positive affect.
It is expected that the T-CBT condition will be more effective than the waitlist (WL) control group on the primary (anxiety and depression) and secondary (transdiagnostic and positive factors) outcome measures.
Study Overview
Status
Completed
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
80
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Bonifacio Sandín, Ph.D.
- Phone Number: 913986254
- Email: bsandin@psi.uned.es
Study Contact Backup
- Name: Paloma Chorot, Ph.D.
- Phone Number: 913987940
- Email: pchorot@psi.uned.es
Study Locations
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Madrid, Spain, 28040
- Bonifacio Sandín
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
10 years to 16 years (Child, Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Having identified Spanish as the first official language spoken and having good reading comprehension in Spanish.
- Reliable internet access.
- Meeting the DSM-IV diagnosis criteria for more than one emotional disorder (separation anxiety disorder, panic disorder, agoraphobia, social anxiety disorder, generalized anxiety disorder, specific phobia, major depression disorder, and dysthymia).
- No current participating in cognitive-behavioral therapy.
- No changes in medication for 4 weeks prior to the study; no changes in medication for the next 3 months.
Exclusion Criteria:
- Presence of psychotic symptoms or severe depression.
- Being diagnosed an alcohol and/or substance dependence disorder.
- The presence of high suicidal risk.
- A medical condition which prevents the participant from carry out the psychological treatment.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: The AMTE Protocol
Will receive the AMTE ("Aprende a Manejar tus Emociones") Protocol; this is a modified UP-A adapted as an internet-based program of T-CBT, consisting in 10 modules delivered over 12 weeks.
|
The AMTE program is an adaptation of the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A; Ehrenreich-May et al., 2018) to be applied as an internet-based protocol.
Like the UP-A, the program AMTE implements a set of core principles to address common factors underling youth anxiety and depressive symptoms.
It includes the following 10 modules: (1) Understanding emotional problems and disorders, (2) Getting to know your emotions and behaviors, (3) Enjoy your positive activities, (4) Mindful emotion awareness, (5) Being flexible in your thinking, (6) Confronting physical sensations, (7) Situational emotion exposure, (8) How to regulate the emotional avoidance, (9) Respiratory relaxation training, and (10) Relapse prevention.
Other Names:
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No Intervention: Waiting List Control Group
Participants in a 12-week waiting list control condition.
They will be offered the possibility of receiving the online treatment protocol after the waiting list period.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change on The Revised Child Anxiety and Depression Scale-30 (RCADS-30; Sandín et al., 2010) at pre, post-intervention and 3, 6 and 12 months follow-up.
Time Frame: Up to 12 months.
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Symptoms of anxiety (panic disorder, social phobia, separation anxiety disorder, generalized anxiety disorder, and obsessive-compulsive disorder) and depressive disorders symptoms.
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Up to 12 months.
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Change on The Anxiety Scale for Children and Adolescents [Escala de Ansiedad para Niños y Adolescentes] (EAN; Sandín et al., 2016) at pre, post-intervention and 3, 6 and 12 months follow-up.
Time Frame: Up to 12 months.
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Symptoms of anxiety.
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Up to 12 months.
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Change on The Depression Questionnaire for Children and Adolescents [Cuestionario de Depresión para Niños y Adolescentes] (CDN; Sandín et al., 2016) at pre, post-intervention and 3, 6 and 12 months follow-up.
Time Frame: Up to 12 months.
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Symptoms of depression.
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Up to 12 months.
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change on The Children Positive and Negative Affect Schedule [Escalas PANAS para niños y adolescentes] (PANASN; Sandín, 2003) at pre, post-intervention and 3, 6 and 12 months follow-up.
Time Frame: Up to 12 months.
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Positive and negative (neuroticism) affectivity.
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Up to 12 months.
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Change on The Childhood Anxiety Sensitivity Index (CASI) (Silverman et al.,1991) at pre, post-intervention and 3, 6 and 12 months follow-up.
Time Frame: Up to 12 months.
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Anxiety sensitivity.
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Up to 12 months.
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Change on The Emotional Avoidance Strategy Inventory for Adolescents (EASI-A; Kennedy & Ehrenreich-May, 2016) at pre, post-intervention and 3, 6 and 12 months follow-up.
Time Frame: Up to 12 months.
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Emotional avoidance.
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Up to 12 months.
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Change on The Satisfaction with Life Scale for Children (SWLS-C; Sandín et al., 2015) at pre, post-intervention and 3, 6 and 12 months follow-up.
Time Frame: Up to 12 months.
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Life satisfaction.
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Up to 12 months.
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Change on The Pen State Worry Questionnaire (PSWQ; Meyer, Miller, Metzger, & Borkovec, 1990) adapted for children and adolescents (PSWQ-11) at pre, post-intervention and 3, 6 and 12 months follow-up.
Time Frame: Up to 12 months.
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Symptoms of pathological worry.
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Up to 12 months.
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Change on The Social Anxiety Scale for Children-Revised (SASC-R; La Greca & Stone, 1993) at pre, post-intervention and 3, 6 and 12 months follow-up.
Time Frame: Up to 12 months.
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Symptoms of social anxiety.
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Up to 12 months.
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Change on The Self-Reported Panic Disorder Severity Scale (PDSS-SR; Houck, Spiegel, Shear, & Rucci, 2002) at pre, post-intervention and 3, 6 and 12 months follow-up.
Time Frame: Up to 12 months.
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Symptoms of panic disorder severity.
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Up to 12 months.
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Principal Investigator: Bonifacio Sandín, Ph.D., Universidad Nacional de Educación a Distancia, Madrid, Spain
- Principal Investigator: Paloma Chorot, Ph.D., Universidad Nacional de Educación a Distancia, Madrid, Spain
- Study Chair: Rosa M. Valiente, Ph.D., Universidad Nacional de Educación a Distancia, Madrid, Spain
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
November 15, 2019
Primary Completion (Actual)
June 30, 2023
Study Completion (Actual)
September 30, 2023
Study Registration Dates
First Submitted
November 20, 2019
First Submitted That Met QC Criteria
November 26, 2019
First Posted (Actual)
December 2, 2019
Study Record Updates
Last Update Posted (Actual)
January 9, 2024
Last Update Submitted That Met QC Criteria
January 8, 2024
Last Verified
November 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- BSandin
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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