Trial Outcomes & Findings for Cognitive Therapy for Unipolar Depression: Efficacy of a Dilemma-Focused Intervention (NCT NCT01542957)

NCT ID: NCT01542957

Last Updated: 2017-03-22

Results Overview

To assess change in severity of depressive symptoms. The Total score is reported, which is the sum of the ratings of all items and ranges from 0 to 63, with higher scores indicating more severity of depressive symptoms.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

128 participants

Primary outcome timeframe

End of therapy (16 weeks), 3 and 12-month follow-up

Results posted on

2017-03-22

Participant Flow

Participant milestones

Participant milestones
Measure
Cognitive Behavioral + Dilemma Therapy
Combines Group Cognitive Behavioral Therapy with a Individual Dilemma-Focused Intervention Combined Cognitive Behavioral and Dilemma-Focused Therapy: 7 2-hour sessions of Group Cognitive Behavioral Therapy for Depression + 8 individual sessions of a Dilemma-Focused Intervention + 1 3-hour final group session. Manualized.
Cognitive Behavioral Therapy
Combined Group and Individual Cognitive Behavioral Therapy Cognitive Behavioral Therapy for Depression: Cognitive Behavioral Therapy for Depression. Format: 7 2-hour sessions in group + 8 individual sessions + 1 3-hour final group session. Manualized.
End of Therapy
STARTED
65
63
End of Therapy
COMPLETED
53
53
End of Therapy
NOT COMPLETED
12
10
3-month Follow-up
STARTED
53
53
3-month Follow-up
COMPLETED
50
45
3-month Follow-up
NOT COMPLETED
3
8
12-month Follow-up
STARTED
53
53
12-month Follow-up
COMPLETED
37
40
12-month Follow-up
NOT COMPLETED
16
13

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Cognitive Therapy for Unipolar Depression: Efficacy of a Dilemma-Focused Intervention

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cognitive Behavioral + Dilemma Therapy
n=65 Participants
Combines Group Cognitive Behavioral Therapy with a Individual Dilemma-Focused Intervention Combined Cognitive Behavioral and Dilemma-Focused Therapy: 7 2-hour sessions of Group Cognitive Behavioral Therapy for Depression + 8 individual sessions of a Dilemma-Focused Intervention + 1 3-hour final group session. Manualized.
Cognitive Behavioral Therapy
n=63 Participants
Combined Group and Individual Cognitive Behavioral Therapy Cognitive Behavioral Therapy for Depression: Cognitive Behavioral Therapy for Depression. Format: 7 2-hour sessions in group + 8 individual sessions + 1 3-hour final group session. Manualized.
Total
n=128 Participants
Total of all reporting groups
Age, Continuous
48.37 years
STANDARD_DEVIATION 11.22 • n=99 Participants
50.06 years
STANDARD_DEVIATION 11.03 • n=107 Participants
49.20 years
STANDARD_DEVIATION 11.19 • n=206 Participants
Sex: Female, Male
Female
51 Participants
n=99 Participants
48 Participants
n=107 Participants
99 Participants
n=206 Participants
Sex: Female, Male
Male
14 Participants
n=99 Participants
15 Participants
n=107 Participants
29 Participants
n=206 Participants

PRIMARY outcome

Timeframe: End of therapy (16 weeks), 3 and 12-month follow-up

Population: The overall number of participants analyzed are those who completed the treatment but not all of them completed follow-up assessments at 3 and 12-month after the end of the therapy. In each row the number of those participants who completed the assessment are specified

To assess change in severity of depressive symptoms. The Total score is reported, which is the sum of the ratings of all items and ranges from 0 to 63, with higher scores indicating more severity of depressive symptoms.

Outcome measures

Outcome measures
Measure
Cognitive Behavioral Therapy
n=53 Participants
Combined Group and Individual Cognitive Behavioral Therapy Cognitive Behavioral Therapy for Depression: Cognitive Behavioral Therapy for Depression. Format: 7 2-hour sessions in group + 8 individual sessions + 1 3-hour final group session. Manualized.
Cognitive Behavioral + Dilemma Therapy
n=53 Participants
Combines Group Cognitive Behavioral Therapy with a Individual Dilemma-Focused Intervention Combined Cognitive Behavioral and Dilemma-Focused Therapy: 7 2-hour sessions of Group Cognitive Behavioral Therapy for Depression + 8 individual sessions of a Dilemma-Focused Intervention + 1 3-hour final group session. Manualized.
Change From Baseline in Beck Depression Inventory-Second Edition (BDI-II) at the End of Therapy, 3 and 12-month Follow-up
Baseline
36.94 units on a scale
Standard Deviation 9.56
37.23 units on a scale
Standard Deviation 8.96
Change From Baseline in Beck Depression Inventory-Second Edition (BDI-II) at the End of Therapy, 3 and 12-month Follow-up
At the end of therapy change from baseline
-15.52 units on a scale
Standard Deviation 13.92
-17.62 units on a scale
Standard Deviation 12.05
Change From Baseline in Beck Depression Inventory-Second Edition (BDI-II) at the End of Therapy, 3 and 12-month Follow-up
3-month follow-up change from baseline
-15.60 units on a scale
Standard Deviation 15.56
-15.42 units on a scale
Standard Deviation 13.16
Change From Baseline in Beck Depression Inventory-Second Edition (BDI-II) at the End of Therapy, 3 and 12-month Follow-up
12-month follow-up change from baseline
-16.65 units on a scale
Standard Deviation 13.87
-19.51 units on a scale
Standard Deviation 13.17

SECONDARY outcome

Timeframe: End of therapy and 12-month follow-up

Population: The overall number of participants analyzed are those who completed the treatment but not all of them completed follow-up assessments at 3 and 12-month after the end of the therapy. In each row the number of those participants who completed the assessment are specified.

This clinician-administered measure was only applied to 78 patients at pre- and posttreatment. It measures severity of depressive symptoms. The Total score is reported, which is the sum of the ratings of all items and ranges from 0 to 54, with higher scores indicating more severity of depressive symptoms.

Outcome measures

Outcome measures
Measure
Cognitive Behavioral Therapy
n=38 Participants
Combined Group and Individual Cognitive Behavioral Therapy Cognitive Behavioral Therapy for Depression: Cognitive Behavioral Therapy for Depression. Format: 7 2-hour sessions in group + 8 individual sessions + 1 3-hour final group session. Manualized.
Cognitive Behavioral + Dilemma Therapy
n=42 Participants
Combines Group Cognitive Behavioral Therapy with a Individual Dilemma-Focused Intervention Combined Cognitive Behavioral and Dilemma-Focused Therapy: 7 2-hour sessions of Group Cognitive Behavioral Therapy for Depression + 8 individual sessions of a Dilemma-Focused Intervention + 1 3-hour final group session. Manualized.
Change From Baseline in Hamilton-Depression Rating Scale-17 Items
Baseline
20.05 units on a scale
Standard Deviation 6.09
18.93 units on a scale
Standard Deviation 6.96
Change From Baseline in Hamilton-Depression Rating Scale-17 Items
At the end of therapy change from baseline
-8.84 units on a scale
Standard Deviation 8.28
-7.61 units on a scale
Standard Deviation 9.21
Change From Baseline in Hamilton-Depression Rating Scale-17 Items
12 month follow-up change from baseline
-7.89 units on a scale
Standard Deviation 9.57
-5.32 units on a scale
Standard Deviation 9.56

SECONDARY outcome

Timeframe: End of therapy, 3 and 12 month follow-up

Population: The overall number of participants analyzed are those who completed the treatment but not all of them completed follow-up assessments at 3 and 12-month after the end of the therapy. In each row the number of those participants who completed the assessment are specified

To assess subjective well-being, symptoms or problems, life functioning, and risk. The Total score is reported, which is the sum of the ratings of all items divided by the number of items (34). The score and ranges from 0 to 4, with higher scores indicating more severity of psychological distress.

Outcome measures

Outcome measures
Measure
Cognitive Behavioral Therapy
n=53 Participants
Combined Group and Individual Cognitive Behavioral Therapy Cognitive Behavioral Therapy for Depression: Cognitive Behavioral Therapy for Depression. Format: 7 2-hour sessions in group + 8 individual sessions + 1 3-hour final group session. Manualized.
Cognitive Behavioral + Dilemma Therapy
n=53 Participants
Combines Group Cognitive Behavioral Therapy with a Individual Dilemma-Focused Intervention Combined Cognitive Behavioral and Dilemma-Focused Therapy: 7 2-hour sessions of Group Cognitive Behavioral Therapy for Depression + 8 individual sessions of a Dilemma-Focused Intervention + 1 3-hour final group session. Manualized.
Change From Baseline in Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) at the End of Therapy, 3 and12 Month Follow-up
12 month follow-up change from baseline
-0.58 units on a scale
Standard Deviation 0.86
-0.77 units on a scale
Standard Deviation 0.81
Change From Baseline in Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) at the End of Therapy, 3 and12 Month Follow-up
Baseline
2.08 units on a scale
Standard Deviation 0.56
2.17 units on a scale
Standard Deviation 0.50
Change From Baseline in Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) at the End of Therapy, 3 and12 Month Follow-up
At the end of therapy change from baselina
-0.67 units on a scale
Standard Deviation 0.75
-0.76 units on a scale
Standard Deviation 0.70
Change From Baseline in Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) at the End of Therapy, 3 and12 Month Follow-up
3 month follow-up change from baseline
-0.63 units on a scale
Standard Deviation 0.80
-0.59 units on a scale
Standard Deviation 0.76

Adverse Events

Cognitive Behavioral + Dilemma Therapy

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Cognitive Behavioral Therapy

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Prof. Guillem Feixas

Universitat de Barcelona

Phone: 0034 933125100

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place