Dialogical and Narrative Processes in Couple Therapy for Depression

NCT00883207 | Completed Phase 2

• 1 other identifier: DINADEP
• Study Type: interventional
• Target: 65
• Locations: 1 country
• Sites: 1

Brief Summary

The main aim of the project is to develop couple therapy for depression with special interest in dialogical and narrative processes in therapy. Parenthood, and different psychosocial phenomena, such as domestic violence, suicidal behaviour and alcohol abuse in relation to the client's specific depressive state will be analysed. The second main aim of the study is to analyse the effectiveness couple therapy for depression as a real world study. The good and poor outcome of different therapy processes will be compared and thus information about precise change processes will be reached. Owing to the real world setting, the inclusion criterion is a broad one: a primary diagnosis of depression (F32 and F33 in ICD-10). The project will be conducted as a multicentre study so that in each centre the included patients will be randomized into experiment and control groups. The study centres are (1) Pohjois-Savon sairaanhoitopiiri in Kuopio, (2) Länsi-Pohjan sairaanhoitopiiri in Tornio and Kemi and (3) HUS/ Jorvin sairaala regional psychiatric polyclinics in Espoo. In each province the entire adult population has free access to the psychiatric outpatient clinics in their specific catchment area and thus no selection for the patients is done.

Conditions

Depression

Keywords

Depression; family therapy; dialogical processes; Developing couple therapy for depression

Outcome Measures

Primary Outcomes (1)

• Hamilton Depression Rating Scale; BDI and SCL-90 Dyadic Adjustment Scale (DAS)for couples -domestic violence, use of alcohol

  6, 12, 18 and 24 months

Secondary Outcomes (1)

• Outcome Ratings Scale and Session Rating Scale video recordings co-research interviews

  3 months after termination

Interventions

Psychotherapy BEHAVIORAL

Narrative and dialogical approach for couples

Eligibility Criteria

• Age: 15 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• A primary diagnosis of depression (F32 and F33 in ICD-10);
• Under 65 years of age, living in a heterosexual couple relationship;
• Contacting the study centres either by oneself or by a referral because of depression (F32 or F33 in ICD-10) rating at least 14 on the Hamilton Rating Scale.

You may not qualify if:

• Violence;
• Drug abuse;
• Clear psychotic symptoms, organic brain disorder or severe suicidal behaviour that prevents participation in therapy discussions;
• Earlier family or couple therapy due to depression during the two years before the index treatment.

Sponsors & Collaborators

• University of Jyvaskyla: lead
• University of Eastern Finland: collaborator

Study Sites (1)

Department of psychology

Jyväskylä, 40014, Finland

Location

Related Links

• http://www.jyu.fi/ytk/laitokset/psykologia/psykoterapiaklinikka/en/

MeSH Terms

Conditions

Depression

Interventions

Psychotherapy

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior

Intervention Hierarchy (Ancestors)

Behavioral Disciplines and Activities

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: April 16, 2009
• First Posted: April 17, 2009
• Study Start: February 1, 2006
• Primary Completion: July 1, 2007
• Study Completion: October 1, 2009
• Last Updated: August 16, 2023

Record last verified: 2023-08

Locations

FI (1)