Cognitive Behavioral Therapy (REBT/CBT) Evaluation for Dysthymia in the Practice of Clinical Social Work at Primary Care

NCT02112708 | Completed Results

• 1 other identifier: P13/035
• Study Type: interventional
• Target: 129
• Locations: 1 country
• Sites: 1

Brief Summary

Introduction: Minor psychiatric disorders are important in primary care, because of its high prevalence and consumption of healthcare resources generated. Objective: Evaluate the effectiveness of rational emotive behavioral therapy (REBT), as an instrument of social work intervention to enhance changes in the parameters of quality of life, medical consultations and drug use in patients with dysthymia. Design: Multicenter, prospective, not randomized clinical trial, with intervention and control group simultaneously in urban primary care settings and 1 year of follow up. Participants: Out-patients seen in two Primary Care centers diagnosed with dysthymia according to DSM-IV classification of American Psychiatric Association. Intervention: Subjects receive up to 8 biweekly individual sessions of thirty minutes of REBT administered by the Social Worker. Variables: Demographic data, educational level, coexistence, comorbidity, quality of life assessment, severity of depression, number of visits to the General Practitioner (GP) and drug consumption: sedatives / antidepressants. Expected Results: The expected results of the intervention, estimated from previous data, are:

• A decrease in attendance at medical visits per year
• An improvement in perceived quality of life, measured as values of the Quality of Life (QOL) questionnaire (Baker \& Intagliata)
• An improvement in severity of depression, measured according to the Beck Depression Inventory.
• A reduction of treatment with psychotropic drugs (sedatives and antidepressants). Potential impact expected: The investigators hope that rational emotive theory is an effective intervention method for handling minor psychiatric disorders in clinical social work.

Conditions

Depression; Dysthymia; Ambulatory Health Services

Keywords

Psychotherapy, Rational-Emotive; Depression; Social Work; Primary Health Care

Outcome Measures

Primary Outcomes (1)

• Change From Baseline in Severity of Depression, Measured According to the Beck Depression Inventory, at 4 and 12 Months.

  The Beck Depression Inventory (BDI) consisted of twenty-one questions about how the subject has been feeling in the last week. Each question has a set of at least four possible answer choices, ranging in intensity. When the test is scored, a value of 0 to 3 is assigned for each answer and then the total score is compared to a key to determine the depression's severity. The standard cut-offs are as follows: * 0-9: indicates minimal depression * 10-18: indicates mild depression * 19-29: indicates moderate depression * 30-63: indicates severe depression. Higher total scores indicate more severe depressive symptoms.

  Baseline, month 4, month 12.

Secondary Outcomes (1)

• Change From Baseline in Perceived Quality of Life, Measured as Values of Satisfaction With Life Domains Scale (SLDS) at 4 and 12 Months

  Baseline, month 4, month 12.

Other Outcomes (2)

• Average Number of Visits of Attendance at Medical Visits in Previous Year and 1 Year of Follow up Date.

  Baseline, 1 year

• Percentage of People in the Group Who Stop Taking or Reduce the Dose of Psychotropic Drugs at 12 Months

  Baseline, months 12

Study Arms (2)

Rational-Emotive-Behavioral Therapy

EXPERIMENTAL

A social worker held eight 30 minutes sessions fortnightly of Rational-Emotive-Behavioral Therapy. First session is informative about the type of treatment to be performed. The next sessions work events, thoughts and feelings with the goal of changing the dysfunctional thoughts by other more rational ones, measured by scales.

Other: Rational-Emotive-Behavioral Therapy

Control Group

ACTIVE COMPARATOR

The control group (GC) will take the usual medical care for dysthymia, according with up-dated guidelines.

Other: Control Group usual care

Interventions

Rational-Emotive-Behavioral Therapy OTHER

A social worker held eight 30 minutes sessions fortnightly. First session is informative about the type of treatment to be performed. The next sessions work events, thoughts and feelings with the goal of changing the dysfunctional thoughts by other more rational ones, measured by scales.

Also known as: Cognitive-Emotive-Behavioral Therapy, REBT, CBT, REBT-CBT

Rational-Emotive-Behavioral Therapy

Control Group usual care OTHER

In the control group the dysthymia is treated as usual with the conventional treatment.

Also known as: conventional treatment, usual care

Control Group

Eligibility Criteria

• Age: 14 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Clinical diagnosis fo dysthymia
• Aged 14 or older

You may not qualify if:

• Impaired cognitive ability
• Illiteracy
• Refuses treatment
• Severe psychiatric disorders
• Participation in psychoeducational groups or other similar therapies.

Sponsors & Collaborators

• Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina: lead

Study Sites (1)

Catalan Health Institute. ABS Sant Andreu 9D

Barcelona, 08030, Spain

Location

MeSH Terms

Conditions

Depression; Dysthymic Disorder

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior; Depressive Disorder; Mood Disorders; Mental Disorders

Results Point of Contact

• Title: Principal Investigator: Carme Rovira Aler
• Organization: Institut Català de la Salut

crovira.bcn.ics@gencat.cat

+34686838979

Study Officials

• Carme Rovira Aler, LCSW

  Catalan Institute of Health

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 9, 2014
• First Posted: April 14, 2014
• Study Start: October 1, 2009
• Primary Completion: April 1, 2013
• Study Completion: June 1, 2013
• Last Updated: September 24, 2024
• Results First Posted: September 24, 2024

Record last verified: 2014-03

Locations

ES (1)