Dysthymia: Associated Costs, Treatment and Change Process
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Psychotherapy.
- Кому может быть актуально
- Состояния в реестре: Depression, Cost Benefit Analysis, Psychotherapeutic Processes. Базовые параметры: 18 лет — 70 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Норвегия
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
DepressionForefront: Costs, Treatment and Change Process for Dysthymia
Обзор
The study evaluates cost and effect of inpatient versus outpatient treatment of dysthymia, as well as investigates the processes through which psychotherapy works in treating dysthymia.
Подробное описание
Inpatient treatment allows a more intensive treatment and allows the patient to be in a context where it is possible to focus on the processes in therapy with minimal interruption. Outpatient treatment is much less intensive but allows the treatment process to unfold in the context where the patient is experiencing the problems that brought them to therapy. It is not clear which of the contexts will be more effective in alleviating symptoms of dysthymia. Further, as dysthymia is a very costly disease for society it is of interest to know if the two treatments are cost-effective, and which one is the most cost effective.
A great paucity on dysthymia research ha left the psychotherapy field without an understanding of the processes through which dysthymia is changed. This study will investigate the change process through frequent assessments of common factors, psychological processes, symptoms, heart rate variability and cognitive attention bias.
Вмешательства
- Поведенческое Psychotherapy
Первичные конечные точки
- Change in Depressive symptoms [Срок оценки: At assessment, start (12 weeks after assessment) and end (24 weeks after assessment) of therapy, and at one-year follow up (76 weeks after assessment).]
- Change in Depressive symptoms [Срок оценки: Once every week for the 12 weeks of active psychotherapy]
- Change in Cost of living with dysthymia [Срок оценки: pre therapy, one-year and 10 years]
Вторичные конечные точки (11)
- Emotional psychological processes [Срок оценки: Once every week for the 12 weeks of active psychotherapy]
- cognitive psychological processes [Срок оценки: Once every week for the 12 weeks of active psychotherapy]
- metacognitive psychological processes [Срок оценки: Once every week for the 12 weeks of active psychotherapy]
- Common factors-alliance [Срок оценки: Once every week for the 12 weeks of active psychotherapy]
- Common factors-expectations [Срок оценки: Once every week for the 12 weeks of active psychotherapy]
- Common factors-credibility [Срок оценки: Once every week for the 12 weeks of active psychotherapy]
- Common factors-explanation [Срок оценки: Once every week for the 12 weeks of active psychotherapy]
- anxiety Symptoms [Срок оценки: Once every week for the 12 weeks of active psychotherapy]
- resilience [Срок оценки: Once every week for the 12 weeks of active psychotherapy]
- loneliness [Срок оценки: Once every week for the 12 weeks of active psychotherapy]
- Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS) [Срок оценки: Once every week for the 12 weeks of active psychotherapy]
Критерии участия
Критерии включения
- Inclusion criteria will be liberal and similar to clinical practice criteria at the treatment site: Persistent depressive disorder as defined by the diagnostic and statistical manual of mental disorders (DSM5); which includes an International classification of disorders-10 (ICD-10) diagnosis of depression, dysthymia, recurrent depression. unsuccessful previous treatments. living within driving distance from the treatment facilities.
Критерии исключения
- current suicidal risk, current psychosis, marked emotional instability (i.e. issues with impulsivity), strong paranoid traits, current problems related to heavy substance abuse.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Простое слепое
- Основная цель
- Лечение
Центры проведения
Норвегия · 1 центр
- Modum Bad — Vikersund
Идентификаторы
NCT: NCT04911829 · Depression Forefront