Examining Change Mechanisms in Psychotherapy

NCT03503981 | Unknown

• 1 other identifier: CAMPFinsrud
• Study Type: observational
• Target: 520
• Locations: 1 country
• Sites: 1

Brief Summary

This research project seeks to acquire a deeper understanding of the complex influences of common factors and specific ingredients in psychotherapy. By using frequent process-outcome measures, it will address individualized mechanisms of change in psychotherapy by assessing both between and within patient change processes, using a wide spectrum of change indicators.

Conditions

Psychological Disorder; Anxiety Disorders; Depression; Eating Disorder; Post Traumatic Stress Disorder

Keywords

Process-outcome study; Mechanisms of change

Outcome Measures

Primary Outcomes (1)

• Symptom checklist revised (SCL-90-R)

  A general measure of symptoms distress

  Change measure (baseline, 14 weeks, and 12 months).

Secondary Outcomes (8)

• Inventory of interpersonal problems

  Change measure (baseline, 14 weeks, and 12 months).

• Beck's depression inventory

  Change measure (baseline, 14 weeks, and 12 months).

• PTSD checklist for Diagnostic and Statistical Manual 5 (PCL-5)

  Change measure (baseline, 14 weeks, and 12 months).

• M-POQ outcome, anxiety

  Change measure (baseline, 1 week, 2 weeks, 3 weeks, 4 weeks, 5 weeks, 6 weeks, 7 weeks, 8 weeks, 9 weeks, 10 weeks, 11 weeks, 12 weeks, 13 weeks and 14 weeks).

• M-POQ outcome, depression

  Change measure (baseline, 1 week, 2 weeks, 3 weeks, 4 weeks, 5 weeks, 6 weeks, 7 weeks, 8 weeks, 9 weeks, 10 weeks, 11 weeks, 12 weeks, 13 weeks and 14 weeks).

Study Arms (5)

Anxiety unit

Patients have anxiety as a primary diagnose. Receive treatment for anxiety (CBT and MCT).

Other: Psychotherapy

Eating disorder unit

Patients have eating disorder as primary diagnose. Receive treatment for their eating disorder (CBT and compassion-focused therapy).

Other: Psychotherapy

Depression unit

Patients have depression as primary disorder. Receive treatment for their depression (Short-term dynamic therapy, existential therapy and relational psychodynamic therapy).

Other: Psychotherapy

Family unit

One of the members of the family has a psychological disorder. The treatment is focused towards the family and family dynamics.

Other: Psychotherapy

Trauma unit

Patients have PTSD and relational trauma as primary diagnosis. Receive stabilizing treatment and exposure therapy.

Other: Psychotherapy

Interventions

Psychotherapy OTHER

There are different psychotherapy models offered across the units. All patients receive individual treatment and group therapy or psychoeducative groups.

Anxiety unit; Depression unit; Eating disorder unit; Family unit; Trauma unit

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All patients accepted for inpatient treatment at Modum Bad Psychiatric hospital during the time of data collection will participate in this study, contingent on consent. The patients included will be all genders, adults and reciving treatment from specialist health care.

You may qualify if:

• Must be a patient at Modum Bad
• Have a psychological disorder
• Must have rights to treatment according to the rules of specialist health care in Norway. Includes the following:
• Patient is expected to have poorer prognosis of life quality if not given treatment
• It is expected that the patient will benefit from treatment
• It is expected that there is a reasonable cost-effect balance regarding the treatment given and the patient's benefit from treatment.

You may not qualify if:

• Acute suicidality
• Ongoing/active abuse of harmful drug(s)
• Under 18 years

Sponsors & Collaborators

• Modum Bad: lead
• University of Oslo: collaborator

Study Sites (1)

Modum Bad

Vikersund, Buskerud, 3370, Norway

RECRUITING

Related Publications (2)

• Finsrud I, Nissen-Lie HA, Ulvenes P, Melsom L, Vrabel K, Wampold B. Confidence in the therapist and confidence in the treatment predict symptomatic improvement week by week in therapy: A latent curve modeling approach. J Couns Psychol. 2022 Nov;69(6):823-834. doi: 10.1037/cou0000640. Epub 2022 Sep 22.

  PMID: 36136794 DERIVED

• Finsrud I, Nissen-Lie HA, Vrabel K, Hostmaelingen A, Wampold BE, Ulvenes PG. It's the therapist and the treatment: The structure of common therapeutic relationship factors. Psychother Res. 2022 Feb;32(2):139-150. doi: 10.1080/10503307.2021.1916640. Epub 2021 May 2.

  PMID: 33938407 DERIVED

MeSH Terms

Conditions

Mental Disorders; Anxiety Disorders; Depression; Feeding and Eating Disorders; Stress Disorders, Post-Traumatic

Interventions

Psychotherapy

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior; Signs and Symptoms, Digestive; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Stress Disorders, Traumatic; Trauma and Stressor Related Disorders

Intervention Hierarchy (Ancestors)

Behavioral Disciplines and Activities

Central Study Contacts

Ingvild Finsrud, Master degree

CONTACT

95899278; ingvilfi@gmail.com

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 25, 2018
• First Posted: April 20, 2018
• Study Start: September 15, 2017
• Primary Completion: August 20, 2020
• Study Completion: August 20, 2021
• Last Updated: April 20, 2018

Record last verified: 2018-04

Data Sharing

• IPD Sharing: Will not share

Locations

NO (1)