Cognitive Behavior Therapy Among Patients With Major Depressive Disorder-Multiple Episodes.

Официальное название

Cognitive Behavior Therapy for Dysfunctional Cognitive and Behavioral Patterns and Functional Outcomes Among Patients With Major Depressive Disorder-Multiples Episodes: Randomized Control Trial.

Обзор

The main purpose of this study to teach the patients how to manage their depression, generalized Anxiety symptoms, mental health seeking attitude, motivation and attitude toward changing health, to improve the quality of life, and meta memory and meta cognitive functioning after using Adapted CBT. Enhance emotional regulation by helping patients identify and modify maladaptive emotional responses, thereby reducing emotional reactivity and promoting healthier coping strategies. Strengthen relapse prevention skills by equipping patients with long-term cognitive and behavioral techniques to recognize early warning signs and apply learned strategies proactively to prevent future episodes. This research would be helpful for patients etc.

Подробное описание

In this experimental study, 120 patients will be screened for eligibility from various government and private hospitals. Participants meeting the DSM-5-TR criteria for Major Depressive Disorder (multiple episodes) will be considered. Eighty eligible participants will be randomly assigned to the experimental group (n = 40) and control group (n = 40). Participants aged 18-50 years will be included. Following approval from the university and formal permissions from hospitals and patients, all ethical guidelines will be strictly observed. Eligible participants will be selected based on the inclusion criteria. The CBT group will receive two sessions per week, gradually reduced over time, with each session lasting 45-60 minutes. Pre- and post-assessments will be conducted using standardized measures to evaluate changes in depression severity and related psychological variables.

Expected outcome: The intervention is expected to significantly reduce symptoms of depression and anxiety among participants. Improvements are anticipated in help-seeking attitudes, motivation toward health behavior change, and overall quality of life. CBT is also expected to enhance meta-memory and meta-cognitive functioning. These outcomes will support the effectiveness of CBT in treating patients with recurrent MDD.

Вмешательства

• Поведенческое Cognitive Behavior Therapy
  This involves 10 sessions, 2 sessions per week will be conduct, session 1 ( psychoeducation about the problem, second will be cognitive Distortions, thirdly, automatic Thoughts , ABC Worksheet (Antecedent-Belief-Consequence), (Greenberger \& Padesky, 2016) Daily Thought Monitoring Sheet, "Catch It - Check It - Change It" model. fourthly, Core beliefs And Dysfunctional Schemas, Downward Arrow Technique (Beck, 2011) Flashcards for Positive Beliefs, "What does that say about me?" , REFRAMING (Beck,
• Препарат treatment as usual (TAU) (Control Group)
  Participants in this arm will receive Treatment as Usual (TAU) provided by the hospital, which may include routine psychiatric care, medication management, and supportive counseling as prescribed by the treating psychiatrist. No structured psychotherapy sessions, such as CBT, will be administered during the study period. This group will serve as the control condition to compare the effects of Cognitive Behavioral Therapy (CBT) on depressive symptoms and related psychological outcomes. Standard c

Первичные конечные точки

• Patient Health Questionnaire PHQ-9 (Kroenke, and colleagues, 1999) [Срок оценки: at pre-Assessment, after 5 weeks at post-Assessment]
• Generalized Anxiety Disorder 7-item scale (GAD-7) [Срок оценки: at Pre-Assessment, after 5 weeks at post-Assessment]
• WHOQOL BREF Scale (WHO; Skevington, Lotfy &Connell, 2004). [Срок оценки: at pre-assessment, after 5 weeks at post-assessment]
• Mental Help-Seeking Attitudes Scale (MHSAS), [Срок оценки: at pre-assessment, after 5 weeks at post-assessment]
• Motivation and Attitudes Toward Changing Health (MATCH) [Срок оценки: at pre-assessment, after 5 weeks at post-assessment]
• Digit Span Test ( Backward and Forward) [Срок оценки: at pre-assessment, after 5 weeks, post-assessment]

Критерии участия

Критерии включения

• Age range: 18-50 years No physical, psychiatric, or psychological conditions. patients who meet multiple Episodes. who meet DSM 5 TR Major Depressive Disorder Criteria. patients who meet moderate severity at patient health questionnaire scale .

Критерии исключения

• age range: below 18 and above 50 years. presence of any physical, psychiatric, or psychological conditions. who do not meet DSM 5 TR Major Depressive Disorder Criteria. range at patient health questionnaire scale is mild , minimal or severe or moderately severe.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Диагностика

Центры проведения

Пакистан · 1 центр

• Government College University Faisalabad — Faisalabad

Идентификаторы

NCT: NCT07300527 · GCUF_PsychThesisTrial

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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