RCT of Cognitive Therapy, Paroxetine, Combined CT and Paroxetine and Placebo
- Conditions
- Phobic Disorders
- Interventions
- Drug: Seroxat, Cognitive therapy, Seroxat+ cognitive therapy
- Registration Number
- NCT00184106
- Lead Sponsor
- Norwegian University of Science and Technology
- Brief Summary
We aim to (1) evaluate the effectiveness of cognitive therapy and paroxetine and their combination, (2) investigate the patterns of change and the mechanisms of action involved during treatment by using psycho-physiological assessments in order to delineate some of the cognitive, behavioural and physiological mechanisms in the patients' response to CT, to paroxetine and placebo.One hundred patients with a primary diagnosis of social phobia will be selected and randomised into four treatment conditions. The first group (N=25) will be treated with CT alone, the second group (N=25) with CT plus paroxetine, the third group (N=25) with paroxetine and clinical management (TAU), the fourth group will receive placebo and clinical management (N=25). All patients will have 12 weeks of treatment in the acute phase, which includes 12 sessions of individual treatment for the two first groups. The 2nd and 3rd groups will in addition have 12 weeks of drug treatment in the maintenance phase. The 4th group will have placebo for 24 weeks and clinical management. The patients will be assessed at pre-treatment, at 12 weeks and at the end of treatment of the acute phase (12 weeks) and by the end of maintenance phase (24 weeks). Follow-up will be at 6 and 12 months.
Measures are based on all three main sources; self-report inventories, clinical assessments by independent raters and psycho-physiological assessments.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 86
- Signed written informed consent obtained prior to entry in the study.
- Diagnosed with primary social phobia, generalized or specific (DSM-IV, APA, 1994).
- Symptoms present at least one year.
- Age between 18-65 years.
- Known somatic diseases.
- Pregnant (*) or lactating women.
- Psychosis
- Acute suicidal symptoms
- Major depressive disorder
- Generalized Anxiety Disorder or PTSD
- Cluster A or cluster B personality disorder
- Substance abuse or dependence
- Body dysmorphic disorder.
- Not willing to accept random allocation.
- Patients who take some form of SSRI medications currently or during the last 6 months
- Patients not willing to withdraw psychotropic medication for a period of 4 weeks prior to entry to the trial or are taking herbal remedies that may be hazardous or inflict treatment response.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- FACTORIAL
- Arm && Interventions
Group Intervention Description Seroxat and SE Seroxat, Cognitive therapy, Seroxat+ cognitive therapy SSRI with Self exposure Cognitive Therapy Seroxat, Cognitive therapy, Seroxat+ cognitive therapy Cognitive Therapy Seroxat and Cognitive Therapy Seroxat, Cognitive therapy, Seroxat+ cognitive therapy Combination of Seroxat and Cognitive Therapy Pill-Placebo Seroxat, Cognitive therapy, Seroxat+ cognitive therapy Pill Placebo
- Primary Outcome Measures
Name Time Method The proportion responders as measured by FAIR OF NEGATIVE EVALUATION and SPAI at 12 and 24 week. December 2010 A patient is classified as responder if the decrease on FNE is equivalent with or above 40%. December 2010
- Secondary Outcome Measures
Name Time Method Relapse rate during 6 and 12 months of follow up. December 2010
Trial Locations
- Locations (1)
Dept. of Psychology, NTNU
🇳🇴Trondheim, Dragvoll, Norway