Intensive Short-Term Dynamic Psychotherapy (ISTDP) for Anxiety Diagnoses in a Primary Care Setting

NCT05863637 | Unknown

• 1 other identifier: LinnaeusUSP
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Living with anxiety often means great suffering for the person affected. The trend points to a continued increase in anxiety problems in the population, especially in the 18-44 age group. Inadequate treatment of this condition can lead to long-term sick leave, isolation, exclusion and, in the worst case, to death. The treatment methods that are available in primary care today help some but far from all. Therefore, the investigators want to scientifically evaluate a shorter version of a proven emotion-focused psychotherapy in order to increase the treatment range for this patient group. The aim of this project is to, in a primary care setting, test and evaluate an intensive, emotion-focused short-term therapy, ISTDP (Intensive Short-Term Dynamic Psychotherapy) for patients with an anxiety diagnosis. The method is well-proven on patients with more severe mental conditions (personality disorders) with good results, but the treatment has only been tested to a limited extent on patients with anxiety symptoms. The investigators want to investigate the effectiveness of treating various anxiety states for primary care patients. The treatment is expected to provide an addition to today's methods, which overall will provide better treatment results for this, increasing in number, group of patients who often seek primary care.

Conditions

Psychotherapy; Anxiety Disorders; Psychiatric &or Mood Disorder

Keywords

Anxiety Disorders; Primary Care Setting; Psychotherapy; Clinical Research

Outcome Measures

Primary Outcomes (1)

• The Generalized Anxiety Disorder-7 (GAD-7) scorings

  Self-report measure. The GAD-7 consists of 7 items which are scored 0-3, with a total score ranging from 0-21. Higher scores correspond to worse outcome. measures

  Changes in scorings from baseline scorings to scorings after 9-10 months.

Secondary Outcomes (3)

• The Perceived Health Questionnaire (PHQ-9) scorings

  Changes in scorings from baseline scorings to scorings after 9-10 months.

• The Panic Disorder Severity Scale (PDSS) scorings

  Changes in scorings from baseline scorings to scorings after 9-10 months.

• The Brunnsvikens Brief Quality of Life Inventory (BBQ) scorings

  Changes in scorings from baseline scorings to scorings after 9-10 months.

Study Arms (1)

Treated

EXPERIMENTAL

Participants are their own controls when they are on the waiting list before treatment, and they will later be treated with the ISTDP.

Other: Intensive Short-Term Dynamic Psychotherapy

Interventions

Intensive Short-Term Dynamic Psychotherapy OTHER

A dynamic and intensive psychotherapy with eight therapeutic sessions

Treated

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Primary Care patients with primary anxiety diagnoses at a Health Care clinic in Sweden. Sufficient language competence in Swedish is required of the participants to understand, read, speak and write.

You may not qualify if:

• Major reading-writing and learning difficulties, severe psychiatric problems such as psychosis, eating disorder, current major depression, recurrent depression, severe trauma, acute crisis reaction, exhaustion, acute risk of suicide (assessed according to the suicide scale), addiction.

Sponsors & Collaborators

• Linnaeus University: lead
• Kalmar County Hospital: collaborator

Study Sites (1)

Region Kalmar

Kalmar, 391 85, Sweden

Location

MeSH Terms

Conditions

Anxiety Disorders; Mood Disorders

Condition Hierarchy (Ancestors)

Mental Disorders

Study Officials

• Cecilia Fagerström, Professor

  Director of the Research Board in Region Kalmar

  STUDY DIRECTOR

Central Study Contacts

Annika Lundmark, MSc

CONTACT

+46480445274; annika.lundmark@regionkalmar.se

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD

Model Details: Controlled study; participants (e.g. primary care patients with an anxiety disorder) will be recruited consecutively to the study, they will be put on a waiting-list for 3 months (= standard procedure) and thus be their own control person.

Study Record Dates

• First Submitted: April 27, 2023
• First Posted: May 18, 2023
• Study Start: September 1, 2023
• Primary Completion: August 1, 2025
• Study Completion: December 1, 2025
• Last Updated: May 31, 2023

Record last verified: 2023-05

Data Sharing

• IPD Sharing: Will not share

Locations

SE (1)