Process-based Therapy for Difficult-to-treat Anxiety Disorders and Depression

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorGoethe University

About this trial

The aim of this study is to test the relative efficacy of Process-based Therapy compared to traditional CBT delivered in routine practice (r-CBT) for difficult-to-treat anxiety disorders and depression.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

A primary DSM-5 diagnosis of depressive or anxiety disorder

At least two unsuccessful attempts of pharmacological or psychological treatment according to the German guidelines for the treatment of depression or anxiety disorders (Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften, AWMF)

Age 18-65 years

Sufficient knowledge of the German language

Disqualifiers

Increased suicidality

Substance abuse or dependency

Borderline personality disorder

Pervasive developmental disorder

Trial design

Design model

Parallel

Treatments tested in this trial

  • Process-based Cognitive Behavioral Therapy (PBT)

    Other intervention

    PBT (20 sessions), intervention planning based on the use of EMA data, feedback of dynamic network analysis and matching of interventions to central nodes of the network.

  • Cognitive Behavioral Therapy (CBT)

    Other intervention

    CBT (20 sessions), intervention planning as usual based on manual.

Treatment groups

80 Participants
are divided into 2 treatment groups
Group A: Process-based Cognitive Behavioral TherapyExperimental treatment 1 intervention
Group B: Traditional Cognitive Behavioral TherapyActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Depression Anxiety Stress Scale (DASS-21)

Emotional distress, minimum value=0, maximum value=63, higher scores mean worse outcome

Time frame
Assessed at inclusion, at pre-treatment, at post-treatment (week 32) and at 6 month follow-up

Secondary outcomes

1

Euroqol-5D (EQ-5D)

Health related quality of life, minimum health state=11111, maximum health state=55555, higher scores in health state mean worse outcome, minimum health score=0, maximum health score=100, higher scores in health score mean better outcome

Time frame
Assessed at inclusion, at pre-treatment, at post-treatment (week 32) and at 6 month follow-up
2

Positive-Mental Health Scale (PMH)

Positive mental health, minimum value=9, maximum value=36, higher scores mean better outcome

Time frame
Assessed at inclusion, at pre-treatment, at post-treatment (week 32) and at 6 month follow-up
3

Anticipatory and Consummatory Interpersonal Pleasure Scale (ACIPS)

Pleasure in interpersonal situations, minimum value=17, maximum value=102, higher scores mean better outcome

Time frame
Assessed at inclusion, at pre-treatment, at post-treatment (week 32) and at 6 month follow-up
4

Depression Anxiety Stress Scale (DASS-10)

Psychological symptoms of distress, depressive and anxious symptoms, minimum value=0, maximum value=30, higher scores mean worse outcome

Time frame
Assessed at inclusion, at pre-treatment, at post-treatment (week 32) and at 6 month follow-up

Other outcomes

Sponsors and contacts

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Goethe University

Lead sponsor

Philipps University Marburg

Collaborator