Integrating Motivational Interviewing With Cognitive-behavioral Therapy

Not Applicable

Completed

• Conditions: Depression; Life Style; Anxiety Disorders and Symptoms
• Interventions: Behavioral: Cognitive-behavioral therapy; Behavioral: Integrated motivational interviewing and cognitive-behavioral therapy

• Registration Number: NCT04254120
• Lead Sponsor: Karolinska Institutet

Brief Summary

Cognitive-behavioral therapy (CBT) is efficacious for anxiety disorders and depression, but not all patients achieve remission, and dropout is considerable. Motivational interviewing (MI) may strengthen motivation to change, and influence non-response and dropout. Research shows that MI as a pretreatment to CBT produces moderate effects compared to CBT alone. Studies integrating MI with CBT (MI-CBT) throughout treatment are scarce. The present study explored the feasibility of MI-CBT in routine psychiatric care, and compared CBT alone to MI-CBT for anxiety disorders, depression, and unhealthy lifestyle behaviors. The Anxiety, Depression, Diet, Alcohol, Physical activity, and Tobacco (ADDAPT) feasibility study had a randomized controlled design, and data were analyzed using hierarchical regression.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2014-02-01
• Primary Completion: 2014-12-31
• Study Completion: 2015-06-30
• Study First Submitted: 2020-02-01
• Study First Submitted QC: 2020-02-03
• Study First Posted: 2020-02-05
• Status Verified: 2021-08
• Last Update Submitted: 2021-08-31
• Last Update Posted: 2021-09-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 49

Inclusion Criteria

• 18 years of age or older
• A principal diagnosis according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) of panic disorder, social anxiety disorder, obsessive-compulsive disorder, generalized anxiety disorder, posttraumatic stress disorder, or major depressive disorder
• At least one of the following unhealthy lifestyle behaviors: unhealthy eating habits, hazardous use of alcohol, insufficient physical activity, or tobacco use, according to screening criteria suggested by the National Board of Health and Welfare

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Exclusion Criteria

• Psychotic symptoms
• DSM-IV-TR criteria for substance abuse other than alcohol
• DSM-IV-TR criteria for substance dependence including alcohol
• Moderate to severe suicide risk according to the Mini-International Neuropsychiatric Interview or a score of 2 or above on item 9 on the Patient Health Questionnaire 9
• Another simultaneous psychological treatment

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Cognitive-behavioral therapy (CBT)	Cognitive-behavioral therapy	-
Integrated motivational interviewing and CBT	Integrated motivational interviewing and cognitive-behavioral therapy	-

Primary Outcome Measures

Name	Time	Method
Index measure of aggregated psychiatric symptoms	12 weeks	Symptoms of principal anxiety disorder or principal depression, expressed as z scores; higher scores indicate more severe symptoms
Index measure of aggregated unhealthy lifestyle behaviors	12 weeks	Unhealthy lifestyle behaviors related to diet, physical activity, alcohol, or tobacco, expressed as z scores; higher scores indicate more problematic behaviors

Trial Locations

Locations (1)

WeMind Psykiatri AB; 🇸🇪 Stockholm, Sweden