Psychoanalytic and cognitive-behavior therapy of chronic depression : study protocol for a randomized controlled trial

  • Background: Despite limited effectiveness of short-term psychotherapy for chronic depression, there is a lack of trials of long-term psychotherapy. Our study is the first to determine the effectiveness of controlled long-term psychodynamic and cognitive-behavioral (CBT) treatments and to assess the effects of preferential vs. randomized assessment. Methods/design: Patients are assigned to treatment according to their preference or randomized (if they have no clear preference). Up to 80 sessions of psychodynamic or psychoanalytically oriented treatments (PAT) or up to 60 sessions of CBT are offered during the first year in the study. After the first year, PAT can be continued according to the ‘naturalistic’ usual method of treating such patients within the system of German health care (normally from 240 up to 300 sessions over two to three years). CBT therapists may extend their treatment up to 80 sessions, but focus mainly maintenance and relapse prevention. We plan to recruit a total of 240 patients (60 per arm). A total of 11 assessments are conducted throughout treatment and up to three years after initiation of treatment. The primary outcome measures are the Quick Inventory of Depressive Symptoms (QIDS, independent clinician rating) and the Beck Depression Inventory (BDI) after the first year. Discussion: We combine a naturalistic approach with randomized controlled trials(RCTs)to investigate how effectively chronic depression can be treated on an outpatient basis by the two forms of treatment reimbursed in the German healthcare system and we will determine the effects of treatment preference vs. randomization.

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Metadaten
Author:Manfred Beutel, Marianne Leuzinger-Bohleber, Bernhard Rüger, Ulrich Bahrke, Alexa Negele, Antje Haselbacher, Georg Fiedler, Wolfram Keller, Martin Hautzinger
URN:urn:nbn:de:hebis:30:3-270140
DOI:https://doi.org/10.1186/1745-6215-13-117
ISSN:1745-6215
ISSN:1468-6694
Pubmed Id:https://pubmed.ncbi.nlm.nih.gov/22834725
Parent Title (English):Trials
Publisher:BioMed Central
Place of publication:London
Document Type:Article
Language:English
Date of Publication (online):2012/07/26
Date of first Publication:2012/07/26
Publishing Institution:Universitätsbibliothek Johann Christian Senckenberg
Release Date:2012/10/29
Tag:Chronic depression; Cognitive behavioral therapy; Psychodynamic psychotherapy
Volume:13
Issue:117
Page Number:8
Note:
© 2012 Beutel et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
HeBIS-PPN:358400309
Institutes:Medizin / Medizin
Angeschlossene und kooperierende Institutionen / Sigmund-Freud Institut – Forschungsinstitut fur Psychoanalyse und ihre Anwendungen
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Sammlungen:Universitätspublikationen
Licence (German):License LogoCreative Commons - Namensnennung 2.0