- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05456035
CBT Enhanced With Social Cognitive Training vs. CBT Only With Depressed Youth
August 17, 2023 updated by: Judith Garber, Vanderbilt University
Social Cognitive Training to Enhance the Efficacy of CBT forDepression in Youth: A Developmental Approach (R33)
Depression in youth is a serious public health concern for which more personalized treatments are needed.
This randomized controlled trial will test the effect of an intervention aimed at enhancing social cognitive capacities (e.g., ability to take another's perspective), thereby making treatment of depression in youth more efficient and effective.
Participants in the R33 (N=82) will be youth between ages 13- through 17-years-old currently experiencing depression.
Youth will be randomized to either an enhanced CBT intervention that teaches social cognitive skills, particularly social perspective taking and theory of mind (CBTSCT) as compared to CBT only.
The primary target is improvement in both social cognitive skills and depressive symptoms at post-treatment and at a 6-month follow-up.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
Depression in adolescents is a recurrent and impairing disorder.
Although some treatments have shown modest effects in children and adolescents (e.g., cognitive behavioral therapy - CBT), there remains a critical need to build upon these therapies to reach even more youths with depression.
One variable hypothesized to affect children's interpersonal relationships is their level of social cognitive development on abilities particularly relevant to social functioning and CBT (e.g., social perspective taking; theory of mind).
This RCT will test the efficacy of an intervention aimed at increasing children's social cognitive (SC) abilities.
Adolescents (ages 13-17; N=82) with depression diagnoses or clinical levels of depressive symptoms (PHQ9 >15) will be randomized to either the social cognitive training enhanced CBT (CBTSCT) or CBT only.
In the R33 RCT, investigators will conduct a trial aimed at replicating the results of the R61 with a new sample of 82 youth (ages 13-17) randomized to CBTSCT or CBT only.
Youth will be evaluated regarding their social cognitive abilities (i.e., theory of mind), level of depressive symptoms, and social functioning at baseline, post-treatment, and at a 6-month follow-up.
Finally, investigators will test if increases in social cognitive abilities partially accounted for the relation between treatment condition and decreases in depression.
If the CBTSCT intervention significantly improves participants' social cognitive abilities and decreases depressive symptoms, then this will provide therapists with a more efficient and personalized treatment of depression in youth.
Study Type
Interventional
Enrollment (Estimated)
82
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: Judy Garber, PhD
- Phone Number: 615-330-5605
- Email: judy.garber@vanderbilt.edu
Study Contact Backup
- Name: Steven D Hollon, PhD
- Phone Number: 615-373-2422
- Email: steven.d.hollon@vanderbilt.edu
Study Locations
-
-
Tennessee
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Nashville, Tennessee, United States, 37203-5721
- Recruiting
- Judy Garber
-
Contact:
- Judy Garber, PhD
- Phone Number: 615-343-8714
- Email: jgarber.vanderbilt@gmail.com
-
Contact:
- Steven D Hollon, PhD
- Phone Number: 615-322-3369
- Email: steven.d.hollon@vanderbilt.edu
-
Principal Investigator:
- Judy Garber, PhD
-
Principal Investigator:
- Steven D Hollon, PhD
-
-
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
13 years to 17 years (Child)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Participants ages 13- through 17-years-old
- Youth must have a diagnosis of a current depressive disorder (e.g., major depressive episode; persistent depressive disorder) or a score on the Patient Health Questionnaire (PHQ9) > 15
Exclusion Criteria:
- ever met criteria for a diagnosis of bipolar disorder, schizophrenia, autism, or conduct disorder
- current alcohol or substance use disorder with significant impairment
- imminent risk of suicide
- reading level < 4th grade
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: Cognitive behavioral therapy plus social cognitive training (CBTSCT)
The cognitive behavioral therapy is based on Beck's cognitive therapy model for the treatment of depression.
We will conduct individual therapy with depressed adolescents using modules from the Coping with Stress manual used in other depression treatment studies with adolescents.
In addition, therapists will teach teens explicitly about theory of mind and social perspective taking during each session and will use examples from the teen's own life to help them learn the skills.
|
The study has two intervention arms to which depressed adolescents will be randomized: (1) CBTSCT is cognitive behavioral therapy enhanced with training in social cognitive abilities (e.g., social perspective taking), and (2) CBT only is cognitive behavioral therapy without the additional social cognitive training component.
Other Names:
|
Active Comparator: Cognitive behavioral therapy (CBT)
The cognitive behavioral therapy is based on Beck's cognitive therapy model for the treatment of depression.
Therapists will conduct individual therapy sessions with depressed adolescents using modules from the Coping with Stress manual.
Social cognitive training will not be provided to teens in this condition.
|
The study has two intervention arms to which depressed adolescents will be randomized: (1) CBTSCT is cognitive behavioral therapy enhanced with training in social cognitive abilities (e.g., social perspective taking), and (2) CBT only is cognitive behavioral therapy without the additional social cognitive training component.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Children's Depression Rating Scale-Revised
Time Frame: after 12 weeks
|
In the R33 RCT, depression will be another primary outcome measured with the CDRS-R, which is a clinical interview with the parent and teen separately, about the youth's depressive symptoms during the last two weeks.
Higher scores mean more depressive symptoms.
|
after 12 weeks
|
Faux Pas Recognition Test
Time Frame: after 12 weeks
|
Faux Pas Recognition test (FPRT) measures the ability to identify and explain faux pas situations where a character unintentionally insults another person due to lack of knowledge about some key feature of the other character.
FPRT contains 8 Faux Pas and 8 control stories without a faux pas.
Stories are followed by 8 questions.
Higher scores mean better theory of mind.
|
after 12 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)
October 10, 2022
Primary Completion (Estimated)
December 1, 2025
Study Completion (Estimated)
February 1, 2026
Study Registration Dates
First Submitted
July 1, 2022
First Submitted That Met QC Criteria
July 7, 2022
First Posted (Actual)
July 13, 2022
Study Record Updates
Last Update Posted (Actual)
August 22, 2023
Last Update Submitted That Met QC Criteria
August 17, 2023
Last Verified
August 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- R33MH115125 (U.S. NIH Grant/Contract)
- R33MH115125-03 (U.S. NIH Grant/Contract)
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.
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