Rumination Focused Cognitive Behavioral Therapy for Major Depression and Recurrent Depression
NCT02278224 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 131
Last updated 2016-02-25
Summary
Group based cognitive behavioural therapy (CBT) is an effective treatment of depression, however, one third of patients do not respond satisfactorily (McDermut, Miller, \& Brown, 2001), and relapse rates around 30% have been reported from several studies (Butler, Chapman, Forman, \& Beck, 2006).
The present study compares group based CBT with rumination focused CBT for depression with respect to outcome and relapse.
Rumination has been evidenced as a crucial vulnerability to depression (Smith \& Alloy, 2009), predicting the onset, severity and duration of future depression (Nolen-Hoeksema, 2000). Depressed individuals show a negative bias in the perception of facial emotion, in the acute phase as well as in remission (Bouhuys, Geerts, \& Gordijn, 1999), and display difficulties in disengaging from negative stimuli (Koster, De Raedt, Goeleven, Franck, \& Crombez, 2005). In addition the present study investigate rumination and perceptual attention bias as potential key mechanisms underlying depression.
128 depressed patients will be recruited and randomised for group based CBT or group based rumination focused CBT. Patients are assessed subsequently during treatment and at 6 month follow-up regarding depression, rumination, worry, negative perceptual bias, attention control. Results are expected at spring 2016.
Conditions
- Depression
- Recurrent Depression
Interventions
- BEHAVIORAL
-
Group based rumination focused CBT
The RFCBT is a group trans-diagnostic manual based psychotherapy for depression and anxiety. RFCBT focuses on increasing effective behaviour - i.e., not stopping rumination but making it functional. It's grounded within the core principles and techniques of CBT for depression with two adaptations: (1) a functional-analytical perspective using Behavioural Activation (BA) approaches, (2) an explicit focus on shifting processing style via imagery and experiential approaches.
- BEHAVIORAL
-
Group based CBT
The control group is gold standard group based CBT based on Becks manual for CBT for depression.
Sponsors & Collaborators
-
University of Exeter
collaborator OTHER -
The University of Western Australia
collaborator OTHER -
University of Copenhagen
lead OTHER
Principal Investigators
-
Stig B Poulsen, Ph.d. · University of Copenhagen
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-11-30
- Primary Completion
- 2016-02-29
- Completion
- 2016-02-29
Countries
- Denmark
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