- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04289740
Transdiagnostic Group Cognitive Behavioral Therapy (PsicAP-A) for Adolescents With Emotional Disorders (PsicAP-A)
April 13, 2022 updated by: Instituto de Investigación Marqués de Valdecilla
Transdiagnostic Group Cognitive Behavioral Therapy Versus Group Relaxation Therapy for Adolescents With Emotional Disorders (PsicAP-A): Protocol
Emotional disorders such as anxiety and depression are highly prevalent during adolescence and associated with functional impairment that commonly extends into adulthood.
In the primary care (PC) setting, these disorders are frequently underdiagnosed and undertreated.
Objective: To carry out a prospective, randomized controlled trial (RCT) to test the efficacy of a new transdiagnostic cognitive behavioural group therapy (TD-CBT) protocol for adolescents (age 12 to 18 years) compared to group relaxation therapy (RT).
Methods: Two-arm, single-blind, RCT (expected N=160) to compare group TD-CBT for emotional disorders to group RT.
The group TD-CBT will be administered in seven sessions (90 min/session) over 12 weeks.
Psychological assessments will be carried out at baseline, post-treatment, and at months 3, 6, and 12 after treatment.
The assessments will include measures of depression, anxiety, somatization, quality of life, disability, and cognitive-emotional factors.
The study will be conducted in two PC centres located in Cantabria, Spain.
Discussion: This is the first RCT to evaluate the efficacy of group TD-CBT for emotional disorders in adolescents in the PC setting in Spain.
If, as expected, the results confirm the superiority of TD-CBT to conventional RT, the widespread implementation of this new approach-based on scientific evidence obtained in a real-world, primary care setting-could improve treatment outcomes and quality of life in adolescents suffering from anxiety or depression.
Study Overview
Status
Recruiting
Conditions
Study Type
Interventional
Enrollment (Anticipated)
160
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 Locations
-
-
-
Girona, Spain
- Not yet recruiting
- centro salud mental Girones
-
Contact:
- Neus Ferras
-
Girona, Spain
- Recruiting
- Centro Salud Mental Selva Marítima
-
Contact:
- devora fuentes, f
- Phone Number: 942203389
- Email: eclinicos5@idival.org
-
Laredo, Spain
- Not yet recruiting
- Hospital de Laredo
-
Contact:
- Amador Pierre
-
Principal Investigator:
- Alberto Elices
-
Torrelavega, Spain
- Not yet recruiting
- Hospital Sierrallana
-
Contact:
- maria ruiz
-
-
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
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Patients aged 12 to 17, inclusive, who present to the PC centre seeking treatment for symptoms of anxiety or depression.
- Scores above the predetermined cut-off points on the GAD-7 (>= 5) and PHQ-9 (>= 5).
- Agreement to participate in the study, with written informed consent provided by both patients and parents/guardians.
Exclusion Criteria:
- Presence of any severe mental disorder, including autism spectrum disorders, bipolar disorder, schizophrenia, anorexia nervosa, substance dependence, personality disorder, and major depressive disorder (PHQ-9> 20).
- Presence of severe or recent suicide attempts
- Moderate or severe behaviour disorder that could interfere with the dynamics of the therapy groups.
- Presence of a mental disability (IQ < 75).
- Be receiving psychological treatment or any type of specialized care related to mental health.
- Receiving any psychopharmacological treatment.
- Parents involved in legal litigation due to separation or divorce.
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: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: cognitive-bahavioral therapy
Trasdiagnotic cognitive-behavioral group therapy: The psychological interventions will be manualized.
Patients assigned to the experimental group will receive 7 sessions (1.5 hr/session) in groups of approximately 8-10 individuals over a 12 week period.
|
Patients assigned to the experimental group will receive 7 sessions (1.5 hr/session) in groups of approximately 8-10 individuals over a 12 week period
|
Active Comparator: relaxation therapy
The control group will receive a progressive muscle relaxation group intervention, based on the Bernstein and Borkoveck procedure.
This intervention will have the same number of sessions as the experimental intervention and last anywhere from 60 to 90 minutes, depending on the session.
|
The control group will receive a progressive muscle relaxation group intervention, based on the Bernstein and Borkoveck procedure.
This intervention will have the same number of sessions as the experimental intervention and last anywhere from 60 to 90 minutes, depending on the session.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Depressive symptoms
Time Frame: 12 month follow-up period.
|
Patient Health Questionnaire - 9 item (PHQ-9), adolescent version.
Nine items assessing depressive symptoms with Likert response with values ranging from 0 to 3 (Total score range: 0-27; higher scores means a worse outcome)
|
12 month follow-up period.
|
Depressive symptoms
Time Frame: 12 month follow-up period.
|
Children's Depression Inventory, short version (CDI-S).
Consists of 10 items answered on a three-point scale, where 0 = absence of the symptom, 1 = moderate symptom, and 2 = severe symptom.
The total score ranges from 0 to 20.
Higher scores means a worse outcome
|
12 month follow-up period.
|
Anxiety symptoms
Time Frame: 12 month follow-up period.
|
Generalized Anxiety Disorder - 7 item (GAD-7).
It is composed of 7 Likert response items, ranging from 0 to 3 points (Total score range: 0-21).
Higher scores means a worse outcome.
|
12 month follow-up period.
|
Anxiety symptoms
Time Frame: 12 month follow-up period.
|
Spence Children Anxiety Scale, short version (SCAS-S).
It consists of 19 items, ranging from 0 to 3, as follows: 0 = "never", 1 = "sometimes", 2 = "many times", 3 =" always".
Total scores range from 0-57 points.
Higher scores means a worse outcome.
|
12 month follow-up period.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
the Quality of life
Time Frame: 12 month follow-up period.
|
KIDSCREEN-10 index.
It is composed of 10 Likert response items, ranging from 1 to 5 points.
(Total score range: 10-50).
Higher scores means a better outcome.
|
12 month follow-up period.
|
Somatizations
Time Frame: 12 month follow-up period.
|
PHQ-15. is composed of 15 Likert response items, ranging from 0 to 2 points.
(Total score range: 0-30).
Higher scores means a worse outcome.
|
12 month follow-up period.
|
Rumination
Time Frame: 12 month follow-up period.
|
Ruminative Responses Scales (RRS), brooding subscale.
It is composed of 5 Likert response items, ranging from 1 to 4 points.
(Total score range: 5-20).
Higher scores means a worse outcome.
|
12 month follow-up period.
|
Pathological worry
Time Frame: 12 month follow-up period.
|
Penn State Worry Questionnaire (PSWQ), reduced 8-item version.
It is composed of 8 Likert response items, ranging from 1 to 5 points.
(Total score range: 5-40).
Higher scores means a worse outcome.
|
12 month follow-up period.
|
Attentional and interpretative biases
Time Frame: 12 month follow-up period.
|
Inventory of Cognitive Activity in Anxiety Disorders (IACTA), abbreviated 5-item version.
It is composed of 5 Likert response items, ranging from 0 to 4 points.
(Total score range: 0-20).
Higher scores means a worse outcome.
|
12 month follow-up period.
|
Emotional regulation
Time Frame: 12 month follow-up period.
|
Emotion Regulation Questionnaire (ERQ).
It is composed of 10 Likert response items, ranging from 1 to 7 points.
It assess two emotion-regulation strategies: cognitive reappraisal (6 items; range 6-42; higher scores means a better outcome) and expressive suppression (4 items; range 4-28: higher scores means a worse outcome)
|
12 month follow-up period.
|
Metacognitive beliefs
Time Frame: 12 month follow-up period.
|
Metacognitions Questionnaire (MCQ-30); the 6-item negative metacognitive beliefs subscale. It is composed of 6 Likert response items, ranging from 1 to 4 points. (Total score range: 6-24). Higher scores means a worse outcome. |
12 month follow-up period.
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
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)
April 1, 2022
Primary Completion (Anticipated)
April 1, 2023
Study Completion (Anticipated)
April 1, 2023
Study Registration Dates
First Submitted
February 11, 2020
First Submitted That Met QC Criteria
February 27, 2020
First Posted (Actual)
February 28, 2020
Study Record Updates
Last Update Posted (Actual)
April 21, 2022
Last Update Submitted That Met QC Criteria
April 13, 2022
Last Verified
March 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- PsicAP-A
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
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.
Clinical Trials on Emotional Disorder
-
Peking UniversityNot yet recruitingEmotional Disorder | Emotional DistressChina
-
Peking UniversityBeijing Tiantan Hospital; Capital Medical University; Nanjing Brian Hospital; Foshan...RecruitingEmotional DisorderChina
-
Methodist Health SystemRecruiting
-
Peking University People's HospitalUnknownEmotional Disorder
-
University of MiamiCompletedDepression | Obsessive-Compulsive Disorder | Anxiety Disorders | Emotional Disorder | Adolescent - Emotional ProblemUnited States
-
Duke UniversityNational Institute of Mental Health (NIMH)RecruitingMood Disorders | Obsessive-Compulsive Disorder | Anxiety Disorders | OCD | Borderline Personality Disorder | Stress Disorder | Emotional Distress | Emotion Regulation | Eating Disorders | Emotion Dysregulation | Emotional Dysfunction | Emotional Impulsivity | Emotional Instability | Impulse Control Disorder | Emotional...United States
-
Peking UniversityNot yet recruitingEmotional Disorder | Emotional DistressChina
-
Instituto de Investigación Sanitaria AragónRecruitingDepressive Disorder | Anxiety Disorders | Emotional DisorderSpain
-
Universitat Jaume INot yet recruitingEmotional Disorder
-
University of Colorado, DenverChildren's Hospital Colorado; American Psychological FoundationCompletedEmotional DisorderUnited States