Efficacy of Activation-focussed Cognitive Treatment of Depression (ACDT) to Hypnotherapeutic Treatment of Depression (HDT) in Mild to Moderate Major Depression
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 153
- 试验地点
- 2
- 主要终点
- Montgomery-Åsberg Depression Rating Scale (MADRS)
研究概览
简要总结
The purpose of the study is to compare the efficacy of an Hypnotherapeutic Treatment of Depression to Cognitive Behavioral Treatment of Depression in patients with mild to moderate Major Depressive Episodes.
详细描述
Cognitive Behavioral Therapy (CBT) is considered to be an effective psychological treatment of mild to moderate Major Depressive Episodes. Effective treatments, however, show a reduction of depressive symptoms only up to 50 % (Luty et al., 2007) which is one reason for the modification of the well-established CBT in the last years. Following the 'third wave' approaches of CBT, e.g. Emotion-Focussed Therapy or Mindfulness-Based Cognitive Therapy, techniques like meditation or the use of systemic or Gestalt techniques within CBT has been applied. Within this context, Hypnotherapy-based strategies can also show an improvement of the current state of the art in depression psychotherapy. However, only few studies conducted randomised controlled trials to study the efficacy of hypnosis for depression as e.g. the comparison of cognitive hypnotherapy to CBT-alone (e.g. Alladin and Alibhai, 2007). With the present study, the efficacy of the Hypnotherapeutic Treatment of Depression (HDT) will be compared to the CBT-based Activation-focussed Cognitive Treatment of Depression (ACDT). Both treatments are individually administered and includes 20 sessions. We expect HDT not being inferior to ACDT in the reduction of depressive symptoms after six months of treatment.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 70 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •DSM-5 (Diagnostic and Statistical Manual) criteria for current mild to moderate Major Depressive Episode (MDE)
- •Informed consent
- •Fluent in German
- •Time for weekly therapy sessions
- •Stable antidepressant medication since three months
排除标准
- •A history of lifetime bipolar disorder, psychotic symptoms
- •A diagnosis of a chronic Major Depressive Disorder (total duration of two years and more)
- •Fulfilling the DSM-5 criteria for current severe MDE or scores in MADRS >/= 35 or QIDSC16 (Quick Inventory of Depressive Symptomatology) >/= 16
- •Remission of current MDE since more than four weeks prior to inclusion assessment
- •Acute risk for suicide
- •Severe cognitive impairment (confirmed suspicion with Mini-Mental-State-Test > 25)
- •A dominating primary diagnosis of another axis I disorder including anxiety disorders (e.g. Panic disorder, Posttraumatic Stress Disorder, Anorexia nervosa, Borderline personality disorder), or any severe substance-related abuse or dependence disorder
- •A physical illness which would interfere with regular psychotherapy sessions
- •Outpatient psychotherapy during the last 12 months
研究组 & 干预措施
Hypnotherapeutic Treatment
HDT (Hypnotherapeutic Treatment of Depression) focuses on the hypnotic activation and strengthening of individual resources, the use of regression techniques to rebuild positive and negative experiences and the development of positive imaginations for the future.
干预措施: HDT (Behavioral)
Cognitive Behavioral Treatment
ACDT (Activation-focussed Cognitive Treatment of Depression) focuses on psychoeducation, behavior activation, the use of cognitive techniques, and the improvement of social skills.
干预措施: ACDT (Behavioral)
结局指标
主要结局
Montgomery-Åsberg Depression Rating Scale (MADRS)
时间窗: Change from Baseline in MADRS to end of treatment (20 sessions in 20-24 weeks)
Clinician-rating of depressive symptoms, Primary outcome
次要结局
- Montgomery-Åsberg Depression Rating Scale (MADRS)(six and 12 months after end of treatment)
- QIDS: Quick Inventory of Depressive Symptomatology - Clinician Rating (QIDS-C16)(Change from Baseline to end of therapy and follow-ups (six and 12 months after end of treatment))
- Patient Health Questionnaire (PHQ-9)(Change from Baseline to end of therapy and follow-ups (six and 12 months after end of treatment))
研究者
Anil Batra
Efficacy of Activation-focussed Cognitive Treatment of Depression (ACDT) to Hypnotherapeutic Treatment of Depression (HDT) in Mild to Moderate Major Depression
University Hospital Tuebingen
