Imagery Rescripting in Primary Care
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Imagery Rescripting.
- Who it may be relevant to
- Registry conditions: Major Depressive Diorder, Low Self-Esteem, Mood Disorders. Basic parameters: 18 years — 70 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Netherlands
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Imagery Rescripting Within Primary Care to Manage Depression: A Single-Case Experimental Design
Overview
In the current study we aim to investigate the feasibility, acceptability, and effectiveness of ImRs offered by mental health assistants within primary care to reduce depressive symptoms. In a single-case experimental design (SCED) study, the following hypotheses will be tested: 1. ImRs results in a reduction of depressive symptoms compared to baseline, and this reduction lasts up to six months. 2. Patients with complaints of depressive symptoms find ImRs an acceptable form of intervention when offered by mental health assistants within a general practice setting. Participants will wait for 2-4 weeks and then receive 5 sessions of ImRs over a period of 10 weeks. During these sessions, negative memories related to their depressed feelings are rescripted.
Detailed description
The study consists of a multiple-baseline case series in which the effectiveness and feasibility of Imagery Rescripting as a therapeutic technique will be investigated within primary care, with the aim of reducing depressive symptoms. The intervention will be provided by the mental health assistants (POH-GGZ) at the GP practice that is linked to the University of Amsterdam (Huisartsenpraktijk UvA). These mental health assistant have been trained in Imagery Rescripting. In the study, participants are randomly assigned to a baseline condition of 2-4 weeks, and a subsequent intervention condition of 10 weeks. During the intervention, all patients receive five sessions of Imagery Rescripting (45 minutes per session). Throughout these 12-14 weeks, and for 4 weeks after, participants complete bi-weekly (i.e., twice per week) measurements. The total number of bi-weekly measurements is thus 32-36, depending on the baseline condition that participants are randomized to. In addition, there will be 5 longer questionnaires, including a 3 and 6-month follow-up. Participants that are invited to the study but that do not want to participate will receive care as usual by the mental health assistant.
Interventions
- Behavioral Imagery Rescripting
During ImRs, the patient brings a negative memory to mind and changes, together with the therapist, the outcome of the memory into a more positive
Primary outcome measures
- Depressive symptom severity [Time frame: 16-18 weeks, twice a week]
- Self-esteem [Time frame: 16-18 weeks, twice a week]
- Dysfunctional core beliefs [Time frame: 16-18 weeks, twice a week + 3 month and 6 month follow-up]
Secondary outcome measures (4)
- Hospital Anxiety and Depression Scale [Time frame: Baseline, pre-treatment, 4-weeks post-treatment, 3 month follow-up, 6 month follow-up]
- Rosenberg Self-Esteem Scale [Time frame: Baseline, pre-treatment, 4-weeks post-treatment, 3 month follow-up, 6 month follow-up]
- Suicidal thoughts [Time frame: Baseline, pre-treatment, 4-weeks post-treatment, 3 month follow-up, 6 month follow-up]
- Emotional memory [Time frame: Pre-treatment, 4-weeks post-treatment, 3 month follow-up, 6 month follow-up]
Eligibility criteria
Inclusion criteria
- Main complaint of depressive feelings, as indicated by both the mental health assistant and the patient.
- HADS score for the depression subscale ≥ 11.
- Ability to understand, read, write and speak Dutch or English.
- Age between 18 and 70.
- Willingness to participate in the study and treatment.
Exclusion criteria
- Acute suicide risk (BDI-II-item9 score of 3).
- If the mental health assistant suspects that the patient may have a primary diagnosis of bipolar disorder, psychosis, substance use disorder, low IQ, or if the patient suffers from serious neurological problems such as dementia, then the patient is not included. There will not be a formal assessment of a primary diagnosis.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Netherlands · 1 center
- UvA Huisartsen — Amsterdam
Identifiers
NCT: NCT07362511 · FMG-11030