Effectiveness of Buddhist Monks in Providing Cognitive Behavior Therapy

Not Applicable

• Conditions: Major Depressive Disorder
• Interventions: Behavioral: Treatment as usual; Behavioral: Cognitive-behavioral therapy

• Registration Number: NCT01706731
• Lead Sponsor: Chiang Mai University

Brief Summary

This research is to study the effectiveness of cognitive behavioral therapy-CBT and Psychotherapy by trained buddhist monks. There are generally accepted that both cognitive and Buddhist concepts are related. This randomized controlled trial is to study the elderly participants who suffer major depressive disorder according to DSM-IV. The subjects will be divided into two groups. The experimental group will receive 12 sessions of CBT 2 times per week for 6 weeks in addition to usual treatment. The control group will receive treatment as usual and general conversation (non-CBT) with monks. Pretreatment factors (such as attachment style, interpersonal factors) of both therapist monks and patient participants will be studied.

Detailed Description

Not available

Study Timeline

• Status Verified: 2012-10
• Study Start: 2012-10
• Study First Submitted: 2012-10-08
• Study First Submitted QC: 2012-10-12
• Last Update Submitted: 2012-10-12
• Study First Posted: 2012-10-15
• Last Update Posted: 2012-10-15
• Primary Completion: 2013-10
• Study Completion: 2013-10

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 62

Inclusion Criteria

• Meet criteria for Major depressive disorder
• receiving antidepressant

Exclusion Criteria

• presence of intense suicidal intent behaviors that require inpatient admission
• history of alcohol or drug dependence
• presence of hallucinations or delusions
• currently receiving electroconvulsive therapy or repetitive-transcranial magnetic stimulation,
• patients' involvement in other clinical trials.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
TAU plus Cognitive-behavioral Therapy	Treatment as usual	Participants randomized to this group will receive treatment as usual plus cognitive behavioral therapy (CBT) provided by trained Buddhist monks.
TAU plus Cognitive-behavioral Therapy	Cognitive-behavioral therapy	Participants randomized to this group will receive treatment as usual plus cognitive behavioral therapy (CBT) provided by trained Buddhist monks.
TAU plus routine counselling	Treatment as usual	Participants randomized into this group will receive treatment as usual (TAU) plus plus routine psychological support from non-CBT monks.

Primary Outcome Measures

Name	Time	Method
Evidence of clinically depression confirmed by clinician	2 months after the end of the intervention	Depression will be assessed by HAMD-7 (McIntyre, 2005)
Depression- self report	2 month after the end of the inetrvention	depression will be assessed by Geriatric Depression Scale (GDS)(Shiekh \& Yesavage, 1986)

Secondary Outcome Measures

Name	Time	Method
Dimensional psychological distress (anxiety, depression,and somatization)	week 6, 12, 20	anxiety, depression,and somatization symptom will be assessed by the Core symptom index (CSI) (Wongpakaran, unpublished),
Dimensional psychological distress ( perception of stress)	Week 6, 12, 20	Perception of stress will be assessed by Perceived Stress Scale-10 (PSS-10) (Cohen 1983 ; Wongpakaran, 2010)

Trial Locations

Locations (1)

Geriatric clinic, Maharaj Nakorn Chiang Mai Hospital; 🇹🇭 Chiang Mai, Thailand