- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04318899
Predictors of Clinical Course and Treatment Response in DBT Programmes
Predictors of Clinical Course and Treatment Response in Patients Having Received Dialectical Behaviour Therapy Delivered by Clinical Units in the Norwegian Network for Clinical Evaluation and Quality in DBT Programmes
Study Overview
Status
Conditions
Detailed Description
The aim of the project is to collect data from systematic and uniform clinical assessments to study predictors of the clinical course and treatment response in patients admitted to and treated in clinical units delivering Dialectical Behaviour Therapy in Norway.
Aims and research questions:
The study will address the following main research questions:
- Which patient characteristics (sociodemographic variables, psychiatric diagnoses/comorbidities, previous suicidal and self-harming behaviour, previous treatment history), predict a favourable clinical course and treatment response?
- Which factors mediate the clinical change in key outcomes such as a) target symptom levels (depression, hopelessness, suicidal ideation, borderline symptoms etc.), b) function levels (emotion regulation capacity, use of coping skills, social functioning, occupational / academic performance level etc.), c) problem behaviours (suicide attempts, non-suicidal self-harm, substance abuse, eating disorder symptoms etc.), d) global functioning and e) the use of emergency treatment services.
- What are significant moderators of treatment response with respect to key clinical outcomes (mentioned above)?
- Which of the treatment modalities are evaluated as the most salient and helpful by patients who receive the treatment according to their age, gender, psychiatric diagnoses and previous treatment history?
Methods:
A uniform protocol for psychiatric diagnostics and clinical assessment of patients who receive treatment at the participating clinical units will be used. Since some participating clinical units will treat adult patients and some will treat children and adolescents, the protocol will offer assessment instrument suitable for the specific age group whenever this is relevant. The evaluation system includes assessments at baseline before treatment starts, evaluation at several time points during the treatment period, at termination of treatment and at follow-up. Assessments will be made both through interviews and ratings made by therapists and through self-report from patients.
Self-reports will be filled out electronically by patients, on tablets stationed at each participating clinical unit. At intervals patients will also provide self-rated information on dimensions such as emotions, cognitions and impulsive behaviour several times per day through a mobile app developed specifically for the purpose, so-called Ecological Momentary Assessment (EMA). Interview data and ratings will be entered into the database by each clinician to tablets in a similar fashion as self-report data from patients.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Egil Haga, PhD
- Phone Number: +4722923442
- Email: egil.haga@medisin.uio.no
Study Contact Backup
- Name: Lars Mehlum, MD PhD
- Phone Number: +4722923442
- Email: lars.mehlum@medisin.uio.no
Study Locations
-
-
-
Moss, Norway, 1535
- Recruiting
- Moss DPS/Østfold sykehus HF
-
Contact:
- Eva Utne Haldorsen Kalla, MD
- Email: eva.utne.haldorsen.kalla@so-hf.no
-
Oslo, Norway, 1281
- Recruiting
- Søndre Oslo DPS/Oslo Universitetssykehus HF
-
Contact:
- Tone Enge Berthelsen, MA
- Email: UXBETG@ous-hf.no
-
Sandnessjøen, Norway, 8800
- Recruiting
- Psykiatrisk senter ytre Helgeland/Helgelandssykehuset HF
-
Contact:
- Gry E Konradsen, Psych Nurse
- Email: Gry.Elin.Konradsen@Helgelandssykehuset.no
-
Sandvika, Norway, 1341
- Recruiting
- Bjerketun behandlingshjem/Vestreviken HF
-
Contact:
- Kristoffer Ødegård, MA
- Email: oedkri@vestreviken.no
-
Trondheim, Norway, 7024
- Recruiting
- BUP Lian/St Olavs Hospital HF
-
Contact:
- Marthe Stornes, MA
- Email: marthe.stornes@stolav.no
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- History of repeated deliberate self harm
- Satisfies criteria of Diagnostic and Statistical Manual (DSM-IV) Borderline Personality Disorder as measured by Structured Clinical Interview for the DSM (SCID-II) in addition to the self-destructive criterion.
Exclusion Criteria:
- Psychotic disorders
- Anorexia Nervosa
- Substance dependence disorder
- Mental retardation (IQ less than 70)
- Asperger syndrome/autism
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Dialectical Behaviour Therapy
Dialectical Behavior Therapy, delivered for 20 weeks for adolescents (DBT-A) or 52 weeks for adults (standard DBT.
|
DBT developed by Marsha Linehan (Linehan 1993a; 1993b) and adapted for adolescents (DBT-A) by Miller, Rathus & Linehan, 2007 consisting of 20 weeks of weekly individual therapy (60 minutes), multifamily skills training (120 minutes), family therapy sessions as needed and telephone coaching outside therapy sessions.
DBT developed by Marsha Linehan (Linehan 1993a, 1993 b) consisting of 1 weekly session of individual therapy (60 minutes), 1 weekly session of skills training (120 minutes), and telephone coaching with individual therapists outside therapy sessions as needed.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Self-harm behaviour
Time Frame: 4 weeks
|
Number of self-harm episodes (split on suicide attempts and non-suicidal self-harm)
|
4 weeks
|
Suicidal Ideation (adolescents)
Time Frame: 2 weeks
|
Suicidal Ideation Questionnaire (SIQ-Jr).
Min=0, Max=90.
Higher scores indicate worse outcome
|
2 weeks
|
Depressive symptoms
Time Frame: 1 week
|
MADRS (Montgomery Asberg Depression Rating Scale).Min=0, Max=60.
Higher scores indicate worse outcome
|
1 week
|
Suicidal Ideation (adults)
Time Frame: 4 weeks
|
Beck Scale for Suicidal Ideation (BSS).
MIn=0, Max=38.
Higher scores indicate worse outcome
|
4 weeks
|
Depressive symptoms (adolescents)
Time Frame: 1 week
|
Moods and Feelings Questionnaire (MFQ).
Min=0, Max=26.
Higher scores indicate worse outcome
|
1 week
|
Depressive symptoms (adults)
Time Frame: 1 week
|
Beck Depression Inventory (BDI).
Min=0, Max=63.
Higher scores indicate worse outcome
|
1 week
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Borderline Symptoms
Time Frame: 1 week
|
Borderline Symptom List (BSL-23).
Min=0, Max=92.
Higher scores indicate more symptoms.
|
1 week
|
Hopelessness
Time Frame: 1 week
|
Beck Hopelessness Scale (BHS).
Min=0, Max=20.
Higher scores indicate more hopelessness.
|
1 week
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Lars Mehlum, MD PhD, University of Oslo
Publications and helpful links
General Publications
- Linehan, M.M. (1993a). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press
- Linehan, M.M. (1993b). Skills training manual for treating borderline personality disorder. New York: Guilford Press
- Miller, A.L., Rathus J.H., Linehan, M.M. (2007). Dialectical behavioral therapy with suicidal adolescents. New York: Guilford Press
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2017/1247/REK sør-øst
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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