Trial Outcomes & Findings for CBT Enhanced With Social Cognitive Training (NCT NCT03954392)

NCT ID: NCT03954392

Last Updated: 2023-03-28

Results Overview

The Faux Pas Recognition Task consists of 10 Faux Pas Stories and 10 Control Stories without a faux pas, scoring one point for every correct faux pas perception. The higher score is 20 and lower score 0; domain scores are scaled in a positive direction (i.e. higher scores denote higher theory of mind). Faux Pas Recognition test measures the ability to identify and explain faux pas situations where a character unintentionally insults another person due to lack of knowledge about some key feature of the other character.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

45 participants

Primary outcome timeframe

week 12

Results posted on

2023-03-28

Participant Flow

Recruitment was primarily through a university listserv

Participants were randomized to condition shortly after eligibility was confirmed.

Participant milestones

Participant milestones
Measure
CBT+SCT
Cognitive behavioral therapy plus social cognitive skills training (SCT) Cognitive behavior therapy with social cognitive training (CBT+SCT): The cognitive behavioral therapy is based on Beck's cognitive therapy model for the treatment of depression. We will conduct individual therapy based on the Coping with Stress manual used in other depression treatment studies with adolescents. In addition, the investigators will teach the teen explicitly about theory of mind and social perspective taking during each session and we will use examples from their own life to help them learn the skills.
CBT-only
Cognitive behavioral therapy only (without SCT) CBT-only: The cognitive behavioral therapy is based on Beck's cognitive therapy model for the treatment of depression. The investigators will conduct individual therapy based on the Coping with Stress manual used in other depression treatment studies with adolescents.
Overall Study
STARTED
23
22
Overall Study
COMPLETED
23
22
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

CBT Enhanced With Social Cognitive Training

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
CBT+SCT
n=23 Participants
Cognitive behavioral therapy plus social cognitive skills training (SCT) Cognitive behavior therapy with social cognitive training (CBT+SCT): The cognitive behavioral therapy is based on Beck's cognitive therapy model for the treatment of depression. We will conduct individual therapy based on the Coping with Stress manual used in other depression treatment studies with adolescents. In addition, the investigators will teach the teen explicitly about theory of mind and social perspective taking during each session and we will use examples from their own life to help them learn the skills.
CBT-only
n=22 Participants
Cognitive behavioral therapy only (without SCT) CBT-only: The cognitive behavioral therapy is based on Beck's cognitive therapy model for the treatment of depression. The investigators will conduct individual therapy based on the Coping with Stress manual used in other depression treatment studies with adolescents.
Total
n=45 Participants
Total of all reporting groups
Age, Categorical
<=18 years
23 Participants
n=99 Participants
22 Participants
n=107 Participants
45 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Continuous
14.87 years
STANDARD_DEVIATION 1.49 • n=99 Participants
14.82 years
STANDARD_DEVIATION 1.62 • n=107 Participants
14.845 years
STANDARD_DEVIATION 1.545 • n=206 Participants
Sex: Female, Male
Female
15 Participants
n=99 Participants
14 Participants
n=107 Participants
29 Participants
n=206 Participants
Sex: Female, Male
Male
8 Participants
n=99 Participants
8 Participants
n=107 Participants
16 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=99 Participants
2 Participants
n=107 Participants
4 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
21 Participants
n=99 Participants
20 Participants
n=107 Participants
41 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=99 Participants
3 Participants
n=107 Participants
5 Participants
n=206 Participants
Race (NIH/OMB)
White
19 Participants
n=99 Participants
18 Participants
n=107 Participants
37 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
23 participants
n=99 Participants
22 participants
n=107 Participants
45 participants
n=206 Participants
Faux Pas Recognition Test
0.853 units on a scale
STANDARD_DEVIATION 0.083 • n=99 Participants
0.851 units on a scale
STANDARD_DEVIATION 0.072 • n=107 Participants
0.852 units on a scale
STANDARD_DEVIATION 0.077 • n=206 Participants
Children's Depression Rating Scale
48.26 units on a scale
STANDARD_DEVIATION 5.66 • n=99 Participants
48.77 units on a scale
STANDARD_DEVIATION 6.32 • n=107 Participants
48.52 units on a scale
STANDARD_DEVIATION 5.98 • n=206 Participants

PRIMARY outcome

Timeframe: week 12

Population: Participants were 45 youth (64% female), ages 12 through 17 years old (Mean = 14.84, S.D. = 1.54). Youth either met diagnostic criteria for a major depressive episode or persistent depressive disorder or a score of 35 or greater on the Children's Depression Rating Scale.

The Faux Pas Recognition Task consists of 10 Faux Pas Stories and 10 Control Stories without a faux pas, scoring one point for every correct faux pas perception. The higher score is 20 and lower score 0; domain scores are scaled in a positive direction (i.e. higher scores denote higher theory of mind). Faux Pas Recognition test measures the ability to identify and explain faux pas situations where a character unintentionally insults another person due to lack of knowledge about some key feature of the other character.

Outcome measures

Outcome measures
Measure
CBT+SCT
n=23 Participants
Cognitive behavioral therapy plus social cognitive skills training (SCT) Cognitive behavior therapy with social cognitive training (CBT+SCT): The cognitive behavioral therapy is based on Beck's cognitive therapy model for the treatment of depression. We will conduct individual therapy based on the Coping with Stress manual used in other depression treatment studies with adolescents. In addition, the investigators will teach the teen explicitly about theory of mind and social perspective taking during each session and we will use examples from their own life to help them learn the skills.
CBT-only
n=22 Participants
Cognitive behavioral therapy only (without SCT) CBT-only: The cognitive behavioral therapy is based on Beck's cognitive therapy model for the treatment of depression. The investigators will conduct individual therapy based on the Coping with Stress manual used in other depression treatment studies with adolescents.
Faux Pas Recognition Test
0.901 score on a scale
Standard Deviation 0.059
0.854 score on a scale
Standard Deviation 0.071

SECONDARY outcome

Timeframe: week 12

Population: Study participants

The Children's Depression Rating Scale-Revised (CDRS-R) total score ranges from 17 (minimal or no symptoms of depression) to 133 (indicative of depression). The CDRS-R is a semi-structured, clinician-rated instrument designed for use with children and adolescents between the ages of 6 to 17 years of age and their caregivers. The CDRS-R evaluates the presence and severity of symptoms commonly associated with depression in childhood. The scale measures 17 depressive symptoms, of which 3 are rated 1-5 and 14 are rated 1-7 (1 = no symptom difficulties; 5 or 7 = severe clinically significant difficulties) for a total score range of 17-113. Scores above 35 are considered to represent clinically significant symptoms. We measured depressive symptoms with the CDRS-R as a secondary outcome.

Outcome measures

Outcome measures
Measure
CBT+SCT
n=23 Participants
Cognitive behavioral therapy plus social cognitive skills training (SCT) Cognitive behavior therapy with social cognitive training (CBT+SCT): The cognitive behavioral therapy is based on Beck's cognitive therapy model for the treatment of depression. We will conduct individual therapy based on the Coping with Stress manual used in other depression treatment studies with adolescents. In addition, the investigators will teach the teen explicitly about theory of mind and social perspective taking during each session and we will use examples from their own life to help them learn the skills.
CBT-only
n=22 Participants
Cognitive behavioral therapy only (without SCT) CBT-only: The cognitive behavioral therapy is based on Beck's cognitive therapy model for the treatment of depression. The investigators will conduct individual therapy based on the Coping with Stress manual used in other depression treatment studies with adolescents.
Children Depression Rating Scale - Revised
23.74 score on a scale
Standard Deviation 5.59
34.59 score on a scale
Standard Deviation 10.60

Adverse Events

CBT+SCT

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

CBT-only

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

Judy Garber, Ph.D., Professor of Psychology and Human Development

Vanderbilt University

Phone: 16153305605

Results disclosure agreements

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