Examining Change Mechanisms in Psychotherapy: Relationship Between Specific Ingredients and Common Factors in Promoting Change.
试验速览
- 阶段
- 不适用
- 发起方
- Modum Bad
- 入组人数
- 520
- 试验地点
- 1
- 主要终点
- Symptom checklist revised (SCL-90-R)
研究概览
简要总结
This research project seeks to acquire a deeper understanding of the complex influences of common factors and specific ingredients in psychotherapy. By using frequent process-outcome measures, it will address individualized mechanisms of change in psychotherapy by assessing both between and within patient change processes, using a wide spectrum of change indicators.
详细描述
The study is a naturalistic study conducted by collecting data from in-patient units at Modum Bad (psychiatric hospital). The sample includes different patient groups with a variety of psychological disorders. Further, sample is gathered from units using different treatment approaches (short-term psychodynamic treatment, cognitive-behavioral treatment, metacognitive therapy, compassion-focused therapy, relational psychodynamic therapy, existential therapy and stabilizing trauma-therapy).
The following specific research questions will be explored:
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The role of common factors:
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What are the relative influences of different common factors such as agreement on task and goals, treatment credibility and 'the real relationship', across treatments and diagnoses?
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Do some common factor variables stand out regarding ability to explain variance in outcome and across outcomes?
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Do measures of common factors have a consistent effect on outcome across treatment models and diagnoses, or does the explanatory value of common factors vary across diagnose and treatment model?
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The role of specific change mechanisms (affective, cognitive and meta-cognitive):
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To what extent do specific change mechanisms predict change in various outcome domains?
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Are these specific change mechanisms equally important predictors, or do they vary across treatment or diagnose?
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Are there interaction effects between common factors and specific factors across treatment models, patient diagnoses and outcome domain?
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Must be a patient at Modum Bad
- •Have a psychological disorder
- •Must have rights to treatment according to the rules of specialist health care in Norway. Includes the following:
- •Patient is expected to have poorer prognosis of life quality if not given treatment
- •It is expected that the patient will benefit from treatment
- •It is expected that there is a reasonable cost-effect balance regarding the treatment given and the patient's benefit from treatment.
排除标准
- •Acute suicidality
- •Ongoing/active abuse of harmful drug(s)
- •Under 18 years
结局指标
主要结局
Symptom checklist revised (SCL-90-R)
时间窗: Change measure (baseline, 14 weeks, and 12 months).
A general measure of symptoms distress
次要结局
- M-POQ outcome, loneliness(Change measure (baseline, 1 week, 2 weeks, 3 weeks, 4 weeks, 5 weeks, 6 weeks, 7 weeks, 8 weeks, 9 weeks, 10 weeks, 11 weeks, 12 weeks, 13 weeks and 14 weeks).)
- M-POQ outcome, anxiety(Change measure (baseline, 1 week, 2 weeks, 3 weeks, 4 weeks, 5 weeks, 6 weeks, 7 weeks, 8 weeks, 9 weeks, 10 weeks, 11 weeks, 12 weeks, 13 weeks and 14 weeks).)
- Inventory of interpersonal problems(Change measure (baseline, 14 weeks, and 12 months).)
- Beck's depression inventory(Change measure (baseline, 14 weeks, and 12 months).)
- M-POQ outcome, resilience(Change measure (baseline, 1 week, 2 weeks, 3 weeks, 4 weeks, 5 weeks, 6 weeks, 7 weeks, 8 weeks, 9 weeks, 10 weeks, 11 weeks, 12 weeks, 13 weeks and 14 weeks).)
- PTSD checklist for Diagnostic and Statistical Manual 5 (PCL-5)(Change measure (baseline, 14 weeks, and 12 months).)
- M-POQ outcome, depression(Change measure (baseline, 1 week, 2 weeks, 3 weeks, 4 weeks, 5 weeks, 6 weeks, 7 weeks, 8 weeks, 9 weeks, 10 weeks, 11 weeks, 12 weeks, 13 weeks and 14 weeks).)
- M-POQ outcome, well-being(Change measure (baseline, 1 week, 2 weeks, 3 weeks, 4 weeks, 5 weeks, 6 weeks, 7 weeks, 8 weeks, 9 weeks, 10 weeks, 11 weeks, 12 weeks, 13 weeks and 14 weeks).)