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The COMET study: Metacognitive Therapy and Cognitive Behaviour Therapy for Depressio

Not Applicable
Conditions
Major depressive disorder
Mental Health - Depression
Registration Number
ACTRN12611000804987
Lead Sponsor
Jennifer Jordan
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Stopped early
Sex
All
Target Recruitment
140
Inclusion Criteria

Current major depressive disorder (DSM-IV)
Able to complete questionnaires and psychotherapy in the english language.

Exclusion Criteria

On no psychoactive drugs (e.g. antidepressants, mood stabilisers, anxiolytics or antipsychotic drugs), moderate or severe alcohol or drug dependence as a primary diagnosis, bipolar I disorder or schizophrenia, major physical illness or head injury which could interfere with the fMRI procedure, neuropsychological assessment or psychotherapy.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Reduction in depressive symptoms at end treatment measured by change in the Quick Inventory of Depressive Symptomatology (QIDS-C-16 item) (rated by an independent rater)[weeks 0 and 12];Speed of early change measured by reduction in Quick Inventory of Depressive Symptomatology scores (QIDS-C-16 item) (rated by an independent rater)[weeks 0 and 4];Early change measured by percent change in brain activation on fMRI in the dorso-lateral prefrontal cortex and amygdala regions[weeks 0 and 4]
Secondary Outcome Measures
NameTimeMethod
Time to achieve non-depressed status over the course of treatment measured by the Quick Inventory of Depressive Symptomatology- self report (QIDS- SR) (survival curve, QIDS-SR<6).[weekly self-report questionnaires for 12 weeks];Improvement in executive functioning, measured by the Rapid Visual Information Processing (CANTAB)[weeks 0, 4 and 12 weeks];Improved emotional processing, measured by the Recognition of posed facial expressions task[weeks 0, 4,and 12];Reduction in depressive rumination, measured by the Response Styles Questionnaire- rumination subscale[weeks 0, 4 and 12];Reduction in maladaptive metacognitions measured by the Metacognitions-30 scale[weeks 0, 4,and 12];Reduction in self-report depressive symptoms at end treatment rated by the Quick Inventory of Depressive Symptomatology- self report (QIDS- SR)[weeks 0, 4 and 12]
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