- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04343391
Brief Psychotherapies for Emotional Disorders in Primary and Secondary Care
November 2, 2020 updated by: Jorge Corpas López, Universidad de Córdoba
Brief Psychotherapies for Emotional Disorders in Primary and Secondary Care: A Randomized Controlled Trial
The present work aims to develop a randomized clinical trial with a sample of 150 patients diagnosed with at least one of the following emotional disorder: somatoform disorder, panic disorder, generalized anxiety disorder and depression disorder.
Participants are tested by several self-reports related to the emocional disorders mentioned in a repeated measures design, pre and post treatment.
The investigators think this study will demonstrate that brief psychological treatments should be prioritized over pharmacological treatment for such pathologies in the Primary or Secondary Care context to improve the patient´s quality of life.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Nowadays, the heavy demands placed on health systems exceed the resources in many developed countries.
So-called "emotional disorders" and their mostly pharmacological treatment are, in no small part, responsible for this situation.
However, research indicates that psychological treatment should be the first step when caring for these types of problems.
The investigators expect that the results show that brief psychological therapies are more effective than pharmacological interventions.
Moreover, it is expected that brief individual psychotherpay approach delivered in secondary care is more effective than brief group psychotherapy delivered in primary care.
Study Type
Interventional
Enrollment (Actual)
150
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
-
-
Córdoba
-
Cordoba, Córdoba, Spain, 14071
- Universidad de Córdoba
-
-
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
18 years to 65 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Emotional Disorder
Exclusion Criteria:
- Severe mental disorder
- Substance use disorder
- Severe depression
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: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Brief Individual Psychotherapy
Individual brief psychological intervention by adaptation of the Guide NICE "Common Mental Health Disorders" (ISBN 978-1-84936-585-7) and the unified protocol for the trasndiagnostic treatment of the emotional disorders of Barlow (Boisseau, Farchione, Fairholme, Ellard, y Barlow, 2010).
This intervention is provided by clinical psychologist in secondary care.
|
Time-limited transdiagnostic evidence-based psychological treatment
|
Experimental: Brief Group Psychotherapy
Group brief psychological intervention by adaptation of the Guide NICE "Common Mental Health Disorders" (ISBN 978-1-84936-585-7) and the unified protocol for the trasndiagnostic treatment of the emotional disorders of Barlow (Boisseau, Farchione, Fairholme, Ellard, y Barlow, 2010).
This intervention is provided by clinical psychologist in primary care.
|
Time-limited transdiagnostic evidence-based psychological treatment
|
Active Comparator: Treatment as usual
Medication provided by a general practitioner.
|
Treatment as usual in PC
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Patient Health Questionnaire (PHQ-15)
Time Frame: 10 weeks
|
The Patient Health Questionnaire-Somatoform Disorder is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders.The PHQ-15 is the somatization module, which scores each DSM-IV criteria as "0" (not bothered at all) to "2" (bothered a lot).
The more score the more severity.
|
10 weeks
|
State-Trait Anxiety Inventory (STAI)
Time Frame: 10 weeks
|
The State-Trait Anxiety Inventory is a commonly used measure of trait and state anxiety (Spielberger, Gorsuch, Lushene, Vagg, & Jacobs, 1983).
It can be used in clinical settings to diagnose anxiety and to distinguish it from depressive syndromes.
It also is often used in research as an indicator of caregiver distress AnxietyForm Y, its most popular version, has 20 items for assessing trait anxiety and 20 for state anxiety.
All items are rated on a 4-point scale (e.g., from "Almost Never" to "Almost Always").
Higher scores indicate greater anxiety.
The STAI is appropriate for those who have at least a sixth-grade reading level.
Internal consistency coefficients for the scale have ranged from .86 to .95;
test-retest reliability coefficients have ranged from .65 to .75 over a 2-month interval (Spielberger et al., 1983).
|
10 weeks
|
Beck Depression Inventory (BDI-II)
Time Frame: 10 weeks
|
The Beck Depression Inventory (second edition) is a widely used 21-item self-report inventory measuring the severity of depression in adolescents and adults.
The BDI-II was revised in 1996 to be more consistent with DSM-IV criteria for depression.
For example, individuals are asked to respond to each question based on a two-week time period rather than the one-week timeframe on the BDI.
The BDI-II is widely used as an indicator of the severity of depression, but not as a diagnostic tool, and numerous studies provide evidence for its reliability and validity across different populations and cultural groups.
The more score the more depression severity.
|
10 weeks
|
Patient Health Questionnaire (PHQ-9)
Time Frame: 10 weeks
|
The Patient Health Questionnaire-Depression is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders.The PHQ-9 is the depression module, which scores each of the 9 DSM-IV criteria as "0" (not at all) to "3" (nearly every day).
The more score the more severity.
|
10 weeks
|
Patient Health Questionnaire (PHQ-PD)
Time Frame: 10 weeks
|
The Patient Health Questionnaire-Panic Disorder is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders.The PHQ-PD is the panic disorder module, which scores each DSM-IV criteria as "yes" or "no".
Higher scores mean greater severity of panic disorder.
|
10 weeks
|
Generalized Anxiety Disorder score (GAD-7)
Time Frame: 10 weeks
|
The Generalized Anxiety Disorder score is calculated by assigning scores of 0, 1, 2, and 3, to the response categories of 'not at all', 'several days', 'more than half the days', and 'nearly every day', respectively, and adding together the scores for the seven questions.
Scores of 5, 10, and 15 are taken as the cut-off points for mild, moderate and severe anxiety, respectively.
When used as a screening tool, further evaluation is recommended when the score is 10 or greater.
Using the threshold score of 10, the GAD-7 has a sensitivity of 89% and a specificity of 82% for GAD.
|
10 weeks
|
Brief Symptom Inventory (BSI-18)
Time Frame: 10 weeks
|
The Brief Symptom Inventory contains the three six-item scales somatization, depression, and anxiety as well as the Global Severity Index (GSI), including all 18 items.
The BSI-18 is the latest and shortest of the multidimensional versions of the Symptom-Checklist 90-R.
The more score the more symptoms patients report.
|
10 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
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)
January 15, 2020
Primary Completion (Actual)
October 15, 2020
Study Completion (Actual)
October 15, 2020
Study Registration Dates
First Submitted
April 8, 2020
First Submitted That Met QC Criteria
April 10, 2020
First Posted (Actual)
April 13, 2020
Study Record Updates
Last Update Posted (Actual)
November 4, 2020
Last Update Submitted That Met QC Criteria
November 2, 2020
Last Verified
November 1, 2020
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Brief-Psychotherapies
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
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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