Attachment Style and Reflective Functioning in CBASP

NCT02748187 | Completed

• 1 other identifier: 15/SS/0232
• Study Type: interventional
• Target: 12
• Locations: 1 country
• Sites: 1

Brief Summary

Cognitive behavioural analysis system of psychotherapy (CBASP) is one of the only psychological models and treatments that has been designed specifically for patients diagnosed with chronic depression. CBASP in combination with antidepressants has been found to be the most effective treatment for chronic depression. Despite an increasing amount of research into this intervention, researchers are less aware of the role that specific and common ingredients are accounted for in outcomes. Given that CBASP is a treatment model endorsed by the National Health Service Scotland (NHS Scotland), gaining a deeper knowledge and understanding about the active ingredients involved in their success ensures current practice is embedded in an evidence base. Conducting this research adds to the gap in the literature and identifies areas in which further exploration is warranted. Given the emphasis on therapist variables in relation to treatment outcomes, the results of this research will have wider implications from a service resource perspective. Training may be altered or needs emphasised in line with the results of the study to ensure most efficacious outcomes. Limited research has looked at therapist and client variables that may contribute to therapeutic alliance/engagement, and clinical outcomes. The current study proposes to explore two variables that are hypothesized to contribute to outcomes based on the theoretical framework CBASP is grounded on, namely therapist and client attachment style and reflective functioning. This will be done by providing CBASP to a small number of participants and gathering outcome data from therapists and clients at each therapy appointment. Participants will also complete the Adult Attachment Interview (AAI), a semi structured interview which can also be coded for reflective functioning. This is a proof of concept case series design that aims to provide an analysis of individual psychological change in relation to the above variables of interest.

Conditions

Depression

Outcome Measures

Primary Outcomes (3)

• Psychological distress on the Clinical Outcome in Routine Evaluation Measure (CORE)

  The CORE questionnaire, administered to clients, required 10 questions in relation to current mood to be answered. A total score is provided by adding up items. This is a routine outcome measure used in CBASP.

  5 minutes

• Depressive symptomology on the Patient Health Questionnaire (PHQ-9)

  The PHQ-9 is a screening tool and monitor for depression that will be administered to clients. A total score is provided by adding up items.

  5 minutes

• Therapeutic relationship on the Working Alliance Inventory (WAI)

  The WAI is a questionnaire that assesses the quality of the therapeutic relationship. There are two versions, namely client and therapist versions. Both therapists and clients will complete this questionnaire. A total score is provided by adding up items.

  10 minutes

Study Arms (1)

Intervention

EXPERIMENTAL

Cognitive Behavioural Analysis System of Psychotherapy

Other: CBASP

Interventions

CBASP OTHER

Interpersonal psychotherapy for chronic depression

Intervention

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Clients will be included in this study if they meet the following criteria:
• Meet Diagnostic Statistical Manual-5 (DSM-5) criteria for persistent depressive disorder
• Have the capacity to provide informed consent
• Are aged 18 - 64 inclusive
• Speak fluent English

You may not qualify if:

• Therapists will be included in the study if they meet the following criteria:
• Have received training in CBASP
• Have a qualification in at least one psychological therapy
• Current significant substance misuse
• Undergoing other psychological treatment
• Presence of learning disability or significant cognitive impairment
• Presence of psychosis

Sponsors & Collaborators

• University of Edinburgh: lead

Study Sites (1)

Sarah Buckley

Edinburgh, Midlothian, United Kingdom

Location

Related Publications (1)

• Buckley; Attachment Style and Depression: An Investigation into Interpersonal Factors and Processes; DClinPsychol dissertation, available from https://era.ed.ac.uk/bitstream/handle/1842/25759/Buckley2017.pdf?sequence=1&isAllowed=y

  RESULT

MeSH Terms

Conditions

Depression

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior

Study Officials

• Sarah Buckley, BA, HDip, MA

  University of Edinburgh

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 27, 2016
• First Posted: April 22, 2016
• Study Start: January 1, 2016
• Primary Completion: August 1, 2017
• Study Completion: August 1, 2017
• Last Updated: May 3, 2024

Record last verified: 2021-06

Data Sharing

• IPD Sharing: Will share

Locations

GB (1)